Access to Healthcare Records

I got the Microsoft Architecture Journal #16 in the post and found a great article in there about 'Federated Identity and Healthcare'. It also talks about the tight security Austria knows and the Netherlands is talking about.
I think they make it to much a hassle to get to the patients information. I personally don't care what healthcare professional accesses my health records. I just want them to make be better and I know that they need information about my medical history to do so.
The only restriction for me is that I want to see who did access my health records and when. Even in case of research they may use my health records as long as it is guaranteed to be anonymized.