Survey: Electronic Patient Record Finds Little Appeal - Demands on Politics - Germany's Digital Health Records Fail to Gain Traction Despite Awareness

Germany's electronic patient record (ePA) has faced low adoption since its launch. A year after its introduction, 71% of insured individuals have not used the system, with 94% aware of its existence. Critics argue that poor integration, limited features, and cumbersome processes have hindered its success.

The ePA officially rolled out nationwide on April 29, 2025, with mandatory use for healthcare providers beginning on October 1, 2025. However, by the end of 2023, doctors and medical facilities had not yet adopted it for digital patient documentation. A survey revealed that 75% of people had not engaged with the ePA at all, while 33% saw no personal benefit in doing so.

Many users complain about insufficient features, unclear information, and complicated activation steps. Concerns over data privacy and security, each cited by 13% of respondents, have also discouraged uptake. The Federation of German Consumer Organizations (vzbv) has criticised the system's failure to integrate smoothly into daily life.

Ramona Pop, vzbv's executive director, believes the ePA could enhance healthcare transparency and efficiency if designed with patients' needs in mind. Suggested improvements include adding more document types and reminder functions for preventive care appointments. The vzbv has also urged the Federal Ministry of Health to provide a clear timeline for expanding the ePA's functionality.

Despite its potential as a tool for managing health data and sharing verified medical information, the ePA remains underused. With only 29% of insured Germans actively engaging with the system, its future depends on addressing usability concerns and expanding its practical applications. The government and healthcare providers now face pressure to improve accessibility and trust in the platform.