CC BY-NC-ND 4.0 · Yearb Med Inform 2022; 31(01): 088-093
DOI: 10.1055/s-0042-1742507
Special Section: Inclusive Digital Health
Working Group Contributions

Desiderata for a New Generation of EHRs for Inclusive Healthcare

Contribution from the IMIA Health Information Systems Working Group
Esther Román-Villarán
1   Group of Research and Innovation in Biomedical Informatics, Biomedical Engineering and Health Economy, Institute of Biomedicine of Seville, IBiS / Virgen del Rocío University Hospital / CSIC / University of Seville, Seville, Spain
Elske Ammenwerth
2   University of Health Sciences, Medical Informatics and Technology, Austria
Jayathri Wijayaratne
3   Information Unit, Ministry of Health, Sri Lanka
Carlos Luis Parra-Calderón
1   Group of Research and Innovation in Biomedical Informatics, Biomedical Engineering and Health Economy, Institute of Biomedicine of Seville, IBiS / Virgen del Rocío University Hospital / CSIC / University of Seville, Seville, Spain
4   Head of Technological Innovation Unit, Virgen del Rocío University Hospital, Seville, Spain
› Author Affiliations


Objectives: This research addresses several factors relevant to inequity in healthcare that may be susceptible to being addressed in a new generation of electronic health records (EHRs).

Methods: Through a scoping review of the literature, inequities related to ethnicity, gender, and socioeconomic aspects in healthcare in general and, more specifically in EHRs, have been considered. Papers have been identified between 2011 and 2022 in three categories: EHR, gender inequalities, and ethnicity inequalities.

Results: Twenty-two recommendations have been identified within the scope of the three categories indicated above. These exposed requirements focus on two spheres: (1) technical sphere, mainly focused on the characteristics and tools that the EHR should develop from taking into account the studied inequalities; and (2) clinical sphere, which mainly affects patients, health professionals, and health providers.

Conclusions: Ethnic and gender inequalities are essential factors to take into account when diagnosing, monitoring, preventing, and treating a patient. These factors give us the keys to discovering recommendations for a new generation of EHRs to help mitigate these needs.

Publication History

Article published online:
02 June 2022

© 2022. IMIA and Thieme. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

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