Difference between revisions of "Portable Personal Health Record"

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In 2001, the Institute of Medicine published "Crossing the Quality Chasm". They suggested that health care should be "patient centered". At the same time. electronic health records were being developed and improved.  However, compatibility from system to system has remained a large problem despite attempts at standardization such as HL7.  So the electronic health record has been helpful to physicians within their own groups while unavailable to other providers.  Possibly of greatest concern has been how to obtain data in an emergency.
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In 2010, "meaningful use" standards were developed in order for physicians to obtain incentive ARRA money. One of the requirements appears to be the patient being provided access to their medical record electronically. In a study in the AMIA Annual Symposium Proceeding in 2006, a study was performed to evaluate the use of PHR's in the elderly. They described multiple barriers to their use including:
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access to PHR systems
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access to computers or devices
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cognitive disabilities
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physical disabilities
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low computer or reading literacy
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They were able to use a PHR but the great majority required supervised help.
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Submitted by Fred Rubin
 
Submitted by Fred Rubin
  
 
BMI 512
 
BMI 512

Revision as of 19:29, 19 May 2010

In 2001, the Institute of Medicine published "Crossing the Quality Chasm". They suggested that health care should be "patient centered". At the same time. electronic health records were being developed and improved. However, compatibility from system to system has remained a large problem despite attempts at standardization such as HL7. So the electronic health record has been helpful to physicians within their own groups while unavailable to other providers. Possibly of greatest concern has been how to obtain data in an emergency.

In 2010, "meaningful use" standards were developed in order for physicians to obtain incentive ARRA money. One of the requirements appears to be the patient being provided access to their medical record electronically. In a study in the AMIA Annual Symposium Proceeding in 2006, a study was performed to evaluate the use of PHR's in the elderly. They described multiple barriers to their use including: access to PHR systems access to computers or devices cognitive disabilities physical disabilities low computer or reading literacy They were able to use a PHR but the great majority required supervised help.












Submitted by Fred Rubin

BMI 512