There are many challenges in the implementation of public health information technology. One of those would be inadequate internet infrastructure, such as in rural areas. (Gabriel, 2014) While this is not as bad as it was ten years ago, it is still a problem. The proposal for fixing this inadequacy would be full buy-in from the government to make this a requirement for public health. Electronic medical records cannot be shared with smaller communities that do not have the infrastructure set up. They do not have the funds to complete these projects on their own, they would need to have government subsidies to make this happen. This infrastructure “is critical to improving quality and enabling delivery system transformation.” (Jones, 2014)
Another challenge that goes in hand with this one is that some patients do not have the understanding and knowledge to access their electronic health records in the way they are proposed. They do not have internet access and, if they do, they do not own computers. For the most part, these patients do not want to change how they live their lives and do not want to learn how to use a computer just to access information they believe their doctor should readily give them anyhow. This state of mind can be another challenge to the implementation of public health information technology. I believe these types of patients will always exist and there must be an alternative method for them to receive their records.
Gabriel, M. Jones, E. Samy, L. & King, J. (2014) Progress and Challenges: Implementation and Use of Health Information Technology Among Critical-Access Hospitals. Health Affairs.