Potential
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Today, online PHR services are being offered by many health care organizations and vendors. PHR systems range in complexity from stand-alone to full seamless integration with EHR systems. Each system has advantages and disadvantages. The stand-alone application allows for greater security but the information is not shared and it is doubtful whether individuals will be resolute in maintaining its currency. The preferred system is the integrated PHR.
Today, online PHR services are being offered by many health care organizations and vendors. PHR systems range in complexity from stand-alone to full seamless integration with EHR systems. Each system has advantages and disadvantages. The stand-alone application allows for greater security but the information is not shared and it is doubtful whether individuals will be resolute in maintaining its currency. The preferred system is the integrated PHR.
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A longitudinal (lifetime) health care record, containing relevant subjective and objective data from various sources including the individual and health care providers, should be established, thus providing a rich resource of useful data for the individual’s health care. While there are no standards for what data the PHR should contain, it is recommended that the data source be identified. Some suggested data types include: problem list; allergy; immunizations; medications; diagnostic test results; personal tracking of vital signs including blood sugars and pressures, weight and heart rate; and others. In a 2011 study by [[Designing a patient-centered personal health record to promote preventive care| Krist et al]], the authors developed a patient centered interactive preventive health record (IPHR) designed to deeply engage patients in preventive care and health promotion.
The IPHR
is
intended to function as a longitudinal record and reminder system for patients and clinicians.
+
A longitudinal (lifetime) health care record, containing relevant subjective and objective data from various sources including the individual and health care providers, should be established, thus providing a rich resource of useful data for the individual’s health care. While there are no standards for what data the PHR should contain, it is recommended that the data source be identified. Some suggested data types include: problem list; allergy; immunizations; medications; diagnostic test results; personal tracking of vital signs including blood sugars and pressures, weight and heart rate; and others. In a 2011 study by [[Designing a patient-centered personal health record to promote preventive care| Krist et al]], the authors developed a patient centered interactive preventive health record (IPHR) designed to deeply engage patients in preventive care and health promotion. The IPHR
provided recommendations for preventive care based on practices recommended by the U.S. Preventive Services Task Force (USPSTF) and other organizations as well as the individual patient history. IPHR was
intended to function as a longitudinal record and reminder system for patients and clinicians.
For the most part, there has been some reluctance in the adoption of the PHR. One impediment for this lack of acceptance may be attributed to the costs of such systems. Deciding who should pay, the providers, individuals, or perhaps the health care payers appears unresolved. Other obstacles may include technical issues (such as interoperability - without it data cannot be shared), legal issues (including privacy and negligence), and the level of an individual’s desire to use, maintain, and authorize sharing of their PHR. Although as a concept the PHR has great potential in improving the management of health care, there remain many impediments to overcome before it is successful.
For the most part, there has been some reluctance in the adoption of the PHR. One impediment for this lack of acceptance may be attributed to the costs of such systems. Deciding who should pay, the providers, individuals, or perhaps the health care payers appears unresolved. Other obstacles may include technical issues (such as interoperability - without it data cannot be shared), legal issues (including privacy and negligence), and the level of an individual’s desire to use, maintain, and authorize sharing of their PHR. Although as a concept the PHR has great potential in improving the management of health care, there remain many impediments to overcome before it is successful.