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« What is the Value of a Personal Health Record? | Main | The ABCs of Privacy Impact Assessments »

Comments

Alan Brookstone

Mike, one of the big challenges that PHRs will face is the integration of relevant with the physician's workflow. From a physician perspective, I would want as much relevant information as possible, but it has to be within reason and under my control. I don't believe there is really a killer app. There are many factors that influence the ability to deliver care and I see this being one that has both positive and negative angles.

Two of the negatives that should be considered:

1. Physicians will be hard pressed keeping up with the information in their EMR, documenting clinical findings etc. using a single tool and interface. Would they use Google to check on patient information (even if it has been shared with them)? I am not sure of this one - it means another login and another source of information that has to be managed. Does the value of the information trump the effort required?

2. The medico-legal implications. Physicians are already concerned about their legal responsibility for information that is stored in the EHR, even if this is not in their office-based EMRs. I can see physicians raising concerns about patient expectations regarding information in their PHR. For example, "But doctor, I published all of that information in my PHR and you do have access it. Why did you not order the investigations that were indicated?"

The PHR is not just about information sharing, it is about modifying workflows and changing responsibilities for knowledge of that information.

Thinking of 'disruptive' technologies, I believe that the sharing has merit, but could be equally disruptive to workflow....

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