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All Journal Media Kesehatan Masyarakat Indonesia The Indonesian Journal of Public Health Journal of Health Education Jurnal Preventia Jurnal Penelitian Kesehatan Suara Forikes Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M) Sport Science and Health International Journal of Public Health Excellence (IJPHE) Abdi Makarti Journal of Educational Innovation and Public Health HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS) PROMOTIF: Jurnal Pengabdian Kepada Masyarakat Holistik Jurnal Kesehatan Sasambo: Jurnal Abdimas (Journal of Community Service) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ema Novita Deniati
Universitas Negeri Malang
Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Overcoming Barriers to Electronic Referral Systems: A Multidisciplinary Approach to Enhancing Global Healthcare Delivery Shofi Yanti, Indi Dwi; Agita, Ghoniya Ilmi; Prasetyo, Dewa Bagus; Yuwana, Nayla Putri; Aurellia Hadi, Nelsya Gita; Agustina, Raudhatunnisa; Nur Ramadhany, Syelova Oktoprime; Kiremi, Wesi Wasella; Izzah, Zahra Nuriyatul; Evi, Nurul; Deniati, Ema Novita
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 2 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i2.190

Abstract

The integration of electronic referral (e-referral) systems into healthcare ecosystems offers significant potential to enhance care coordination, reduce inefficiencies, and improve patient outcomes. However, challenges persist across legal, technological, and social dimensions. A PRISMA-based Systematic Literature Review (SLR) highlights jurisdictional barriers, such as GDPR-HIPAA mismatches, with 40% of EU organizations facing hurdles in sharing data with U.S. partners. Stringent data localization laws in countries like Russia and China further complicate interoperability. Ethical frameworks, including beneficence and non-maleficence, are critical for trust in sensitive care areas. Technological gaps include uneven HL7 FHIR adoption, infrastructure limitations, and underutilization of AI and blockchain innovations. Estonia’s X-Road system demonstrates blockchain’s role in reducing referral wait times by 30%, while India’s e-Sanjeevani platform serves remote areas offline. Clinician resistance and digital literacy gaps necessitate tailored solutions. Escalating cyber threats demand robust measures like zero-trust architectures. Public-private partnerships, open-source platforms, and measurable outcomes (?80% clinician adoption, <48-hour approval times) are vital. Pandemic-resilient systems and sustainable cloud solutions further emphasize scalability and equity. Harmonized policies and inclusive stakeholder engagement are essential for global success.
Co-Authors Agita, Ghoniya Ilmi Agustina, Raudhatunnisa Anindya Hapsari Anisa Noor Cahyani Annajah, Nabiilah Annisaa Annisaa AnNisaa AnNisaa Aprizal Satria Hanafi Aprizal Satria Hanafi Ariyanti, Lilik Aurellia Hadi, Nelsya Gita Azza Rizqia Vatrisa Besral . Dewi Susanna Efendi Efendi Efendi Efendi Fina Adibatul Hasanah Harra Frieda Ani Noor Garnisa, Rachmalia Zahwa Halimatus Sa’adah Hanafi, Aprizal Satria Imthiatiyyah, St Mutrifatul Indah Fitri, Anggun Novia Izzah, Zahra Nuriyatul Karidin, Fahmi 'Ilman Kiremi, Wesi Wasella Kurniawati, Amalia Putri Kurniawati, Anerinanta Ajeng Nurul Malita, Cintya Nur Mario Ekoriano Martina Martina Muhammad Irfan Saputra Muhammmad Al-Irsyad Munarwi, Puteri Zawaliya Mustofa, Ananda Dwi Mutakifah, Lu'luim Ningtiyas, Rosalinda Syafira Cahya Nisa Assifa Hakiki Nohan Arum Romadlona Nur Ramadhany, Syelova Oktoprime Nurnaningsih Herya Ulfah, Nurnaningsih Herya Nurrochmah, Siti Nurul Evi Nuryalestri, Deviany Hanadia Pramudya, Dandy Arie Prasetyo, Dewa Bagus Prastyoningsih, Aris Pratama, Aditya Yudha Pratiwi, Ajeng Maharani Putri, Davina Erida Putri, Laili Andini Qomariyatus Sholihah Rachmawati, Windi Chusniah Rahayu, Retnaning Tyas Ramadhani, Evada Mutiara Rany Ekawati Rara Warih Gayatri Saki, Vernonia Yora Saputra, Yoerdy Agusmal Sayyida, Fatma Lutfiyatus Shofi Yanti, Indi Dwi Siti Nurrochmah Siti Salma Hanifah Supriyadi Supriyadi Supriyadi, Supriyadi Susanti, Meirina Nur Asih Tika Dwi Tama Tuanani, Muhammad Fahresa Umar, Malida Vernonia Yora Saki Vernonia Yora Saki Weva Rahmadana Yumna, Nasywa Annisa Yuwana, Nayla Putri