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The Requirements and Challenges in Using Personal Health Record

Document Type : مقاله مروری نقلی

Authors

1 Assistant Professor, Health Information Management, Department of Health Information Technology, School of Allied Medical Sciences, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 BSc, Medical Record, Iran Psychiatric Hospital, Iran University of Medical Sciences AND MSc Student, Health Services Management, Department of Health Services Management, School of Management and Social Sciences, North Tehran Branch, Islamic Azad University, Tehran, Iran

3 PhD Student, Health Information Management, Student Research Committee, School of Management and Medical Informatics AND Scientific and Educational Center for Health Management of Iran Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Patients apply the Personal Health Record (PHR) to access and use their record information and other medical resources. This study aimed to explain the concept, requirements, and challenges of PHR. This was a narrative literature review conducted by searching Medline, Embase, CINAHL, and Scientific Information Database (SID) databases. Different studies agreed that PHR should be electronic, and the patient should be able to manage and control it. PHR requirements were technical (interoperability and functionality), legal (data security, privacy, and confidentiality), and social (health literacy and personal responsibility) issues. PHR challenges could be categorized as organizational (change management), data (data custodianship, access, and content of PHR), and legal (liability and policy constraints). Successful implementation of PHR was based on understanding of the care environment, users, and needs. The widespread use of PHR required full cooperation of system designers, care providers, health policymakers, and the public.

Keywords

References
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Health Information Management
Volume 16, Issue 4 - Serial Number 4
November 2019
Pages 203-209
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