A Multidimensional View of Personal Health Systems for Underserved Populations
Identifieur interne : 000554 ( Pmc/Curation ); précédent : 000553; suivant : 000555A Multidimensional View of Personal Health Systems for Underserved Populations
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- Journal of Medical Internet Research [ 1438-8871 ] ; 2010.
Abstract
The advent of electronic personal health records (PHR) provides a major opportunity to encourage positive health management practices, such as chronic disease management. Yet, to date there has been little attention toward the use of PHRs where advanced health information services are perhaps most needed, namely, in underserved communities. Drawing upon research conducted with safety net providers and patients, the authors propose a multi-level analytical framework for guiding actions aimed at fostering PHR adoption and utilization. The authors first outline distinctive user and technical requirements that need to be considered. Next, they assess organizational requirements necessary to implement PHRs within health systems bound by limited resources. Finally, the authors analyze the overriding health care policy context that can facilitate or thwart such efforts. The conclusion notes that heightened national attention toward health information technology and reform provides a significant opportunity for initiatives whose goal is to increase widepread access to PHRs.
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DOI: 10.2196/jmir.1355
PubMed: 20685644
PubMed Central: 2956321
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Multidimensional View of Personal Health Systems for Underserved Populations</title></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20685644</idno><idno type="pmc">2956321</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2956321</idno><idno type="RBID">PMC:2956321</idno><idno type="doi">10.2196/jmir.1355</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000554</idno><idno type="wicri:Area/Pmc/Curation">000554</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Multidimensional View of Personal Health Systems for Underserved Populations</title></analytic><series><title level="j">Journal of Medical Internet Research</title><idno type="eISSN">1438-8871</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The advent of electronic personal health records (PHR) provides a major opportunity to encourage positive health management practices, such as chronic disease management. Yet, to date there has been little attention toward the use of PHRs where advanced health information services are perhaps most needed, namely, in underserved communities. Drawing upon research conducted with safety net providers and patients, the authors propose a multi-level analytical framework for guiding actions aimed at fostering PHR adoption and utilization. The authors first outline distinctive user and technical requirements that need to be considered. Next, they assess organizational requirements necessary to implement PHRs within health systems bound by limited resources. Finally, the authors analyze the overriding health care policy context that can facilitate or thwart such efforts. The conclusion notes that heightened national attention toward health information technology and reform provides a significant opportunity for initiatives whose goal is to increase widepread access to PHRs.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moiduddin, A" uniqKey="Moiduddin A">A Moiduddin</name></author><author><name sortKey="Moore, J" uniqKey="Moore J">J Moore</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kanaan, Sb" uniqKey="Kanaan S">SB Kanaan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weinick, R" uniqKey="Weinick R">R Weinick</name></author><author><name sortKey="Shin, P" uniqKey="Shin P">P Shin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tang, Paul C" uniqKey="Tang P">Paul C Tang</name></author><author><name sortKey="Lansky, David" uniqKey="Lansky 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id><journal-id journal-id-type="publisher-id">JMIR</journal-id><journal-title-group><journal-title>Journal of Medical Internet Research</journal-title></journal-title-group><issn pub-type="epub">1438-8871</issn><publisher><publisher-name>Gunther Eysenbach</publisher-name><publisher-loc>Centre for Global eHealth Innovation, Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20685644</article-id><article-id pub-id-type="pmc">2956321</article-id><article-id pub-id-type="publisher-id">v12i3e32</article-id><article-id pub-id-type="doi">10.2196/jmir.1355</article-id><article-categories><subj-group subj-group-type="heading"><subject>Viewpoint</subject></subj-group></article-categories><title-group><article-title>A Multidimensional View of Personal Health Systems for Underserved Populations</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Eysenbach</surname><given-names>Gunther</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Fruhling</surname><given-names>Ann</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Charbonneau</surname><given-names>Deborah</given-names></name></contrib></contrib-group><contrib-group><contrib id="contrib1" contrib-type="author" corresp="yes"><name><surname>Horan</surname><given-names>Thomas A</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><address><institution>Kay Center for E-Health Research</institution><institution>School of Information Systems and Technology</institution><institution>Claremont Graduate University</institution><addr-line>130 East Ninth Street</addr-line><addr-line>Claremont, 91711</addr-line><country>USA</country><phone>1 909 607 9302</phone><fax>1 909 621 8564</fax><email>tom.horan@cgu.edu</email></address></contrib><contrib id="contrib2" contrib-type="author"><name><surname>Botts</surname><given-names>Nathan E</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib id="contrib3" contrib-type="author"><name><surname>Burkhard</surname><given-names>Richard J</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib></contrib-group><aff id="aff2" rid="aff2"><sup>2</sup><institution>Department of Management Information Systems</institution><institution>College of Business</institution><institution>San Jose State University</institution><addr-line>San Jose</addr-line><country>USA</country></aff><aff id="aff1" rid="aff1"><sup>1</sup><institution>Kay Center for E-Health Research</institution><institution>School of Information Systems and Technology</institution><institution>Claremont Graduate University</institution><addr-line>Claremont</addr-line><country>USA</country></aff><pub-date pub-type="collection"><season>Jul-Sep</season><year>2010</year></pub-date><pub-date pub-type="epub"><day>04</day><month>8</month><year>2010</year></pub-date><volume>12</volume><issue>3</issue><elocation-id>e32</elocation-id><history><date date-type="received"><day>16</day><month>9</month><year>2009</year></date><date date-type="rev-request"><day>08</day><month>10</month><year>2009</year></date><date date-type="rev-recd"><day>10</day><month>5</month><year>2010</year></date><date date-type="accepted"><day>25</day><month>5</month><year>2010</year></date></history><permissions><copyright-statement>©Thomas A Horan, Nathan E Botts, Richard J Burkhard. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 04.08.2010 </copyright-statement><copyright-year>2010</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0/">http://creativecommons.org/licenses/by/2.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="http://www.jmir.org/,">http://www.jmir.org/,</ext-link> as well as this copyright and license information must be included.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="http://www.jmir.org/2010/3/e32/"></self-uri><abstract><p>The advent of electronic personal health records (PHR) provides a major opportunity to encourage positive health management practices, such as chronic disease management. Yet, to date there has been little attention toward the use of PHRs where advanced health information services are perhaps most needed, namely, in underserved communities. Drawing upon research conducted with safety net providers and patients, the authors propose a multi-level analytical framework for guiding actions aimed at fostering PHR adoption and utilization. The authors first outline distinctive user and technical requirements that need to be considered. Next, they assess organizational requirements necessary to implement PHRs within health systems bound by limited resources. Finally, the authors analyze the overriding health care policy context that can facilitate or thwart such efforts. The conclusion notes that heightened national attention toward health information technology and reform provides a significant opportunity for initiatives whose goal is to increase widepread access to PHRs.</p></abstract><kwd-group><kwd>Medically underserved</kwd><kwd>chronically ill</kwd><kwd>personal health records</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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