Personal health records: Evaluation of functionality and utility
Personal health records: Evaluation of functionality and utility
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DOI：
10.1197/jamia.m0978
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发表时间：
2002-03-01
影响因子：
6.4
通讯作者：
Johnson, KB
中科院分区：
文献类型：
--
作者：
Kim, MI;Johnson, KB
目标：基于Web的应用程序已经开发出来，允许患者将自己的信息输入到安全的个人健康记录中。目前正在推广这些应用程序，使患者和医疗服务提供者能够普遍获得最新的医疗信息。作者评估的功能和实用性的选择的个人healthrecords.Design：有针对性的搜索策略被用来确定11个网站，促进不同的个人健康records.Design。与数据元素的输入和显示相关的具体标准被开发出来，以评估每个PHR的功能。从实际案例中提取的信息被用来创建一系列代表性的PHR。审查产生的输出进行了评价，以评估的准确性和完整性的临床信息的诊断和治疗的特定disorders.Results：选择用于审查的PHRs采用数据输入方法，限制了范围和内容的患者输入的信息，病史，药物，实验室检查，诊断研究，和免疫接种。代表PHRs创建的信息从一个实际的情况下，显示不同数量的信息在基本和全面的representation.Conclusions水平：目前可用的PHRs演示有限的功能。它们采用的数据输入、验证和信息显示方法可能会限制它们作为医疗信息表示的实用性。
Objectives: Web-based applications have been developed that allow patients to enter their own information into secure personal health records. These applications are being promoted as a means of providing patients and providers with universal access to updated medical information. The authors evaluated the functionality and utility of a selection of personal health records.Design: A targeted search strategy was used to identify eleven Web sites promoting different personal health records. Specific criteria related to the entry and display of data elements were developed to evaluate the functionality of each PHR. Information abstracted from an actual case was used to create a series of representative PHRs. Output generated for review was evaluated to assess the accuracy and completeness of clinical information related to the diagnosis and treatment of specific disorders.Results: The PHRs selected for review employed data entry methods that limited the range and content of patient-entered information related to medical history, medications, laboratory tests, diagnostic studies, and immunizations. Representative PHRs created with information abstracted from an actual case displayed varying amounts of information at basic and comprehensive levels of representation.Conclusions: Currently available PHRs demonstrate limited functionality. The data entry, validation, and information display methods they employ may limit their utility as representations of medical information.