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Personal Health Records: a systematic review

Biostatistics and Medical Informatics Department. Personal Health Records: a systematic review. 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.

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Personal Health Records: a systematic review

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  1. Biostatistics and Medical Informatics Department Personal Health Records:a systematic review 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

  2. Structure • Introduction • Objectives • Methods • Results • Discussion • Conclusions

  3. 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

  4. What is a PHR? PHR is a collection of important informationabout 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.

  5. EHR PHRis different from EHR PHR EHR:Generic term for all electronic patient care systems Waegemann P

  6. What kind of information should PHR contain? • 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

  7. 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

  8. Objectives To evaluate the impact of PHRs’ utilization in the users’ health care.

  9. Methods Search 1st phase October 2006 SCHOLAR.GOOGLE “Personal Health Records” 500 52

  10. 2nd phase: Systematic data collection November 2006 MEDLINE SCOPUS ("Patient Access to Records"[MeSH] and "Medical Records Systems,Computerized"[MeSH]) or ("Personal health records“ or "Personal Health Information") "Patient Access to Records" and "Medical Records Systems, Computerized") or ("Personal health records" or "Personal Health Information") 181 183

  11. 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

  12. Analysis • Inclusion or exclusion criteria • Important information: • 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

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