Trustworthiness of the electronic health record in Germany: an exploratory, user-centered analysis

Fostering trust in the German EHR requires attention to technical features and contextual factors. Beyond provider reputation, three aspects emerged as central: (a) professional visual and user experience design to enhance usability and signal reliability; (b) accurate, clear content to foster transparency; and (c) user empowerment through intuitive data control and accessible support. Transparent communication about GDPR compliance further strengthens trust and supports adoption. In Germany's tightly regulated environment, clearly conveying EHR security standards, providing robust support, and leveraging social proof can significantly enhance trust and drive adoption of digital health solutions.