White Paper: Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption

Recently there has been a remarkable upsurge in activity surrounding the adoption of personal health record (PHR) systems for patients and consumers. The biomedical literature does not yet adequately describe the potential capabilities and utility of PHR systems. In addition, the lack of a proven business case for widespread deployment hinders PHR adoption. In a 2005 working symposium, the American Medical Informatics Association's College of Medical Informatics discussed the issues surrounding personal health record systems and developed recommendations for PHR-promoting activities. Personal health record systems are more than just static repositories for patient data; they combine data, knowledge, and software tools, which help patients to become active participants in their own care. When PHRs are integrated with electronic health record systems, they provide greater benefits than would stand-alone systems for consumers. This paper summarizes the College Symposium discussions on PHR systems and provides definitions, system characteristics, technical architectures, benefits, barriers to adoption, and strategies for increasing adoption.

[1]  D. Z. Sands,et al.  Electrons in flight--e-mail between doctors and patients. , 2004, The New England journal of medicine.

[2]  Joshua Borus,et al.  Adverse drug events in ambulatory care. , 2003, The New England journal of medicine.

[3]  Joseph E Scherger,et al.  Primary care needs a new model of office practice , 2005, BMJ : British Medical Journal.

[4]  David W. Bates,et al.  How Accurate is Information that Patients Contribute to their Electronic Health Record? , 2005, AMIA.

[5]  Marion J. Ball,et al.  Consumer Informatics: Applications and Strategies in Cyber Health Care , 2004 .

[6]  D. Bates Physicians and ambulatory electronic health records. , 2005, Health affairs.

[7]  Nancy Smith,et al.  PAMFOnline: Integrating EHealth with an Electronic Medical Record System , 2003, AMIA.

[8]  C J McDonald,et al.  Canopy computing: using the Web in clinical practice. , 1998, JAMA.

[9]  Daniel Z. Sands,et al.  PatientSite: Patient-Centered Communication, Services, and Access to Information , 2004 .

[10]  Eric C. Pan,et al.  The value of health care information exchange and interoperability. , 2005, Health affairs.

[11]  W V Slack,et al.  Patient-computer dialogue. , 1972, The New England journal of medicine.

[12]  David W. Bates,et al.  A Patient-Controlled Journal for an Electronic Medical Record: Issues and Challenges , 2004, MedInfo.

[13]  D. Lansky,et al.  The missing link: bridging the patient-provider health information gap. , 2005, Health affairs.

[14]  Diana J. Mason,et al.  Promoting Health Literacy , 2001 .