Transcript Personal Health Records

Personal Health Records:
a systematic review
Biostatistics and Medical
Informatics Department
Authors: Maria João Xará, Nivalda Pereira, Sandra Fontes, Anabela Maio,
Maria João Pinto Cristina Gomes, Hugo Cunha Tiago Adrego, Paulo Pancrácio
Supervisor: Dr Ricardo Correia
Class 21
Structure
• Introduction
– Objectives
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Methods
Results
Discussion
Conclusions
Introduction
Why PHR now?
There has been a tremendous progress in medicine as
well as in informatics during the last decades.
Haus, Reinhold; 2006
Recently there has been a remarkable upsurge in
activity surrounding the adoption of personal health
record (PHR) systems for patients and consumers.
Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ
What is a PHR?
PHR is a collection of important information
about individual’s health or the health of someone
he is caring for (such as a parent or a child) that
he actively maintains and update.
AHIMA, 2006
PHRs systems are more than just static repositories for
patient data.
PHR is different from EHR
EHR
PHR
EHR: Generic term for all electronic patient care systems
Waegemann P
What kind of information should PHR contain?
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Personal identification;
List and dates of significant illness and surgeries;
Current medications and dosages;
Immunizations and their dates;
Allergies;
Organ donor authorization;
Opinions of specialists;
Important test results;
Eye and dental records;
Any information that the user think is important for his health.
AHIMA, 2006
Why using PHR?
Advantages
• Extremely quick and economic
tecnique that prevents the loss of
information;
• Reduction of hospital services
affluence;
• The individual is active in the process of
prevention and diagnosis;
• Chronic patients (control and earlier
interventions).
Disadvantages
• Data might not be correct;
• Problems related to the privacy.
FORMATION
Objectives
To evaluate the impact of
PHRs’ utilization in the
users’ health care.
Methods
Search
1st phase
October 2006
SCHOLAR.GOOGLE
“Personal Health Records”
500
52
2nd phase: Systematic data collection
November 2006
MEDLINE
("Patient Access to Records"[MeSH] and
"Medical Records
Systems,Computerized"[MeSH]) or
("Personal health records“ or "Personal Health
Information")
181
SCOPUS
"Patient Access to Records" and "Medical
Records Systems, Computerized") or
("Personal health records" or "Personal
Health Information")
183
Selection
Studies were only included if they met all of
the following ideas:
• PHR as a register edited and kept by the patient or
another person responsible for him
• Systems in which PHR was implemented and used
• Evaluation of the PHRs' impact in users' health
Analysis
1) Inclusion or exclusion criteria
2) Important information:
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Health status of the user using the PHR
Hospitalar services
Patient responsibility for the prevention or
intervention process
Implemented system
Users’ perception
Characteristics of the individuals