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All Journal HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS)
Nur Ramadhany, Syelova Oktoprime
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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 Aurellia Hadi, Nelsya Gita Ema Novita Deniati Izzah, Zahra Nuriyatul Kiremi, Wesi Wasella Nurul Evi Prasetyo, Dewa Bagus Shofi Yanti, Indi Dwi Yuwana, Nayla Putri