Journal of the American Medical Association (JAMA)  |  April 1, 2009

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President Obama envisions a national electronic medical records system as a high priority for national health care reform, and Congress recently authorized $20 billion for this technology in the stimulus package.1 Health information technology (IT) could improve the quality and efficiency of health care and lower administrative costs.2 It could also facilitate health research and thus speed the pace of medical advancements. Invasions of privacy and security breaches, however, pose major obstacles to the implementation of health IT.

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