A Multidimensional View of Personal Health Systems for Underserved Populations
A Multidimensional View of Personal Health Systems for Underserved Populations
复制标题
DOI：
10.2196/jmir.1355
复制
发表时间：
2010-07-01
影响因子：
7.4
通讯作者：
Burkhard, Richard J.
中科院分区：
文献类型：
--
作者：
Horan, Thomas A.;Botts, Nathan E.;Burkhard, Richard J.
电子个人健康记录（PHR）的出现为鼓励积极的健康管理实践（例如慢性病管理）提供了重要机会。然而，迄今为止，人们很少关注 PHR 的使用，因为这些地方可能是最需要先进健康信息服务的地方，即服务欠缺的社区。根据与安全网提供者和患者进行的研究，作者提出了一个多层次的分析框架，用于指导旨在促进 PHR 采用和利用的行动。作者首先概述了需要考虑的独特用户和技术要求。接下来，他们评估在资源有限的卫生系统内实施 PHR 所需的组织要求。最后，作者分析了可能促进或阻碍此类努力的首要医疗保健政策背景。结论指出，国家对卫生信息技术和改革的高度关注为旨在增加 PHR 广泛获取的举措提供了重要机会。
The advent of electronic personal health records (PHR) provides a major opportunity to encourage positive health management practices, such as chronic disease management. Yet, to date there has been little attention toward the use of PHRs where advanced health information services are perhaps most needed, namely, in underserved communities. Drawing upon research conducted with safety net providers and patients, the authors propose a multi-level analytical framework for guiding actions aimed at fostering PHR adoption and utilization. The authors first outline distinctive user and technical requirements that need to be considered. Next, they assess organizational requirements necessary to implement PHRs within health systems bound by limited resources. Finally, the authors analyze the overriding health care policy context that can facilitate or thwart such efforts. The conclusion notes that heightened national attention toward health information technology and reform provides a significant opportunity for initiatives whose goal is to increase widepread access to PHRs.