Rapid systematic literature review identifies EPHRs for refugees and asylum seekers, highlighting challenges in continuity of care.
EP3.5, e-Poster Terminal 3, September 5, 2025, 13:05 - 13:30 Mobile populations, including refugees, asylum seekers and undocumented migrants, face challenges in access, continuity and quality of healthcare, among others, due to lack of available health records. Our study aimed to examine the current landscape of Electronic Personal Health Records (EPHRs) developed for and used by mobile populations. A rapid systematic literature review was conducted, identifying relevant publications through searches in Embase, PubMed, Scopus, and grey literature. The literature search yielded 2303 articles, with 74 remaining after title and abstract screening. After full-text screening, 10 scientific articles and 9 grey literature records were included in a qualitative data synthesis. Six distinct EPHRs were identified, differing in how they centralize health records, ranging from ‘digital vaults‘ to comprehensive systems, from smartphone apps to web-based apps, and from offline functionalities to the necessity of being connected to the internet. Moreover, they differ in additional functionalities, and the level of patient autonomy granted. Limited evidence exists on their impact on health outcomes or continuity of care, and user adoption remains a critical challenge. Key elements in the development and implementation of EPHRs include ensuring a high level of data security and co-designing easy to use EPHRs. The review indicates a need for future research on user-experiences and their impact on the health outcomes of mobile populations.
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