INFOB644 Consumer Health Informatics : Personal Health Records
In addition to your original DQ response answer post, please respond substantively to at least four posts in the DQ threads. Therefore, the minimum number of posts required for the session is five: the original DQ answer post and four substantive response posts with at least one substantive response posted each day of the three day graded discussion period.
Posts and responses will be graded according to the point values in the discussion grading rubric.
Discovery Question (DQ) - use all information resources at your disposal to answer the following:
The Personal Health Record (PHR) and Consumer Health Information Portals (HIPs). The goal for discussion in this unit is to assess the current state of affairs respective to the PHR and HIPs relative to meeting CH stakeholder needs and expectations, as well as to identify strategic priorities and provide recommendations to improve the current state of affairs. In your DQ response, please address the following questions:
How do PHRs and HIPs compare and contrast with each conceptually, functionally, and in terms of the stakeholder needs/expectations for their value they each create?
What are the major PHR and HIP issues and impacts that consumer health informaticians (CHIs) should prioritize; why?
What strategic professional recommendations would you advocate to address the PHR and HIP priorities that you've identified; why?
Please explain and provide examples to support your analysis.
Answer:
Compare and Contrast
The personal health records (PHR) refer to the elements that depend on individual efforts and motivation and are managed by the patient. Health Information Portals (HIPs) offer consumers with convenient online 24-7 hour access to personal health information. PHR and HIP differ in that unlike in a PHR where data gets updated when the patient updates them; HIPs allows updating of information in the event of data updates on the electronic health record (Marquard & Zayas-Caban, 2012)
. However, both the PHR and HIP are electronic systems, and patients experience difficulties while using them.
Major PHR and HIP Issues and Impacts
Currently, the adoption of HIPs and PHR in the health system has raised mixed feelings among the providers and patients who utilize the online web in monitoring chronic problems. The fact that consumer HIPs are advantageous in health care provision, the health care providers are worried about the rise in workload and meeting consumer demand, lack of security, high online system installation cost, and lost returns (Reid & Borycki, 2011). For example, security of one's chronic disease.
Currently, health literacy and incompetence affect the use of PHRs whereby the providers and patients face difficulties in their use. Patients are still concerned about their ability to access their health information, personal data security, and the usefulness and value of access (Marceglia, Fontelo, & Ackerman, 2015). For example, Some patients experience difficulties while using the system due to challenges encountered in understanding the information.
The data in HIPs online website gets updated in the event the patient updates any personal information. Currently, these portals provide patients with easy access to any health information that needs to get addressed in urgency. For example, provides discharge summaries, allergies, lab results, and full-time office online access. However, not everyone understands how to use them.
Currently, most health care systems have adopted patient portals which have resulted to active monitoring of consumer health. The implementation of health care systems has secured information that helps patients, and the medical providers upgrade health coordination across many physicians (Marquard & Zayas-Caban, 2012). Currently, patients enquire health needs to the doctors electronically.
Further, PHR offer patients with increased access to medical care data, enhance participation healthcare decision making and ensure correction of medical related errors. Currently, PHRs engage patients when making decisions about healthcare (Reid & Borycki, 2011). This has been achieved through the connection of physicians with consumer medical records via an electronic portal.
However, the adoption of PHR has been affected by healthcare environmental barriers. The system requires that any associated challenge existing in individual office get addressed with PHRs, there is no room for privacy (Marceglia, Fontelo, & Ackerman, 2015). Further, lack of sufficient capital hinders installation and implementation of PHR systems in provider offices.
Reasons of Prioritising on CHIs
Patients need assurance of personal health information security by the medical providers. The patients need the security of their health data which is an obligation by the healthcare centers to provide (Detmer, Bloomrosen, Raymond, & Tang, 2008). Also, medical providers give patient health response mechanism the highest priority. This then makes them invest more funds in installing the online consumer websites where immediate feedback is guaranteed.
Recommendations
The health providers should invest in web portals to enable patients to access their medical records anytime; the portal should be easy to understand on how to use by a patient. Also, to ensure acceptance of patient portals in healthcare firms, the management should design user-friendly and appealing portals. Further, the health providers should adopt a patient portal whose design offer patients with sufficient information to understand how to manage their chronic health challenges.
References
Detmer, D., Bloomrosen, M., Raymond, B., & Tang, P. (2008). Integrated personal health records: transformative tools for consumer-centric care. BMC medical informatics and decision making, 8(1), 45.
Marceglia, S., Fontelo, P., & Ackerman, M. J. (2015). Transforming consumer health informatics: connecting CHI applications to the health-IT ecosystem. Journal of the American Medical Informatics Association, ocu030.
Marquard, J. L., & Zayas-Cabán, T. (2012). Commercial off-the-shelf consumer health informatics interventions: recommendations for their design, evaluation, and redesign. Journal of the American Medical Informatics Association, 19(1), 137-142.
Reid, P., & Borycki, E. M. (2011, February). The emergence of a new consumer health informatics framework: introducing the healthcare organization. In ITCH (pp. 353- 357).
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