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Telemedicine journal and e-health 2007

Exploring Challenges and Potentials of Personal Health Records in Diabetes Self-Management: Implementation and Initial Assessment. Telemedicine journal and e-health 2007

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Telemedicine journal and e-health 2007

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  1. Exploring Challenges and Potentials of Personal HealthRecords in Diabetes Self-Management: Implementationand Initial Assessment Telemedicine journal and e-health 2007 RACHEL HESS, CINDY L. BRYCE, SUZANNE PAONE, GARY FISCHER, KATHLEEN M. M C TIGUE, ELLEN OLSHANSKY, SUSAN ZICKMUND, KATHARINE FITZGERALD and LINDA SIMINERIO

  2. Introduction • Chronic Care Model (CCM) • Clinical information systems provide disease-specific patient registries. • Computer-based decision support for practitioners. • Development of healthcare system and community change to facilitate longitudinal care. • Programs to support patients’ effective self-management. • Institute of Medicine (IOM): EMR— • The practitioner-maintained portion • Personal Health Record (PHR)

  3. UPMC Health-Trak

  4. MATERIALS AND METHODS • Integration of secure patient messaging into the workflow of practice. • “phone tag” could go on, when office tries to call back. • The risk of inaccurate transcription. • Convenient for the patient and the physician.

  5. Results

  6. Patient reactions • Provider or diabetes educator could adjust medications during the interval between office visits. • Receive appointment reminders and test results electronically suited their busy schedules. • Gave patient the ability to schedule and cancel appointments at their convenience. • Missing lab results, inaccurate information, and slow responses from the physician and/or nurse. • Expectations of being able to contact all of their physicians, not just their primary care physician.

  7. DISCUSSION • The ability to view portions of the EMR, help to ensure that patients are aware of important aspects of their own diseases. • Eliminating the need to “catch the doctor”. • Requests for medication renewals and physician referrals can be structured so that patients provide all necessary information to process the requests. • Users less frequently discussed educational resources, suggesting that simply placing resources within an environment is inadequate to stimulate patient use.

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