الزامات و چالش‌های به ‌کارگیری پرونده سلامت فردی

نوع مقاله : مقاله مروری نقلی

نویسندگان
محمد حسین حیوی حقیقی 1
زری رحمت‌پسند فتیده 2
محمد دهقانی 3
1 استادیار، مدیریت اطلاعات سلامت، گروه فن‌آوری اطلاعات سلامت، دانشکده پیراپزشکی، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران
2 کارشناس، مدارک پزشکی، مرکز آموزشی درمانی روان‌پزشکی ایران، دانشگاه علوم پزشکی ایران و دانشجوی کارشناسی ارشد، مدیریت خدمات سلامت، گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و علوم اجتماعی، واحد تهران شمال، دانشگاه آزاد اسلامی، تهران، ایران
3 دانشجوی دکتری تخصصی، مدیریت اطلاعات سلامت، کمیته تحقیقات دانشجویی، دانشکده مدیریت و اطلاع‌رسانی پزشکی و قطب علمی و آموزشی مدیریت سلامت ایران، دانشگاه علوم پزشکی تبریز، تبریز، ایران
10.22122/him.v16i4.3922
چکیده
بیماران از پرونده سلامت فردی PHR (Personal Health Record) به منظور دسترسی و به ‌کارگیری اطلاعات پرونده خود و سایر منابع پزشکی استفاده می‌کنند. پژوهش حاضر با هدف تبیین مفهوم، الزامات و چالش‌های PHR انجام شد. مطالعه از نوع مروری نقلی بود و در آن پایگاه‌های اطلاعاتی Medline، Embase، CINAHL و SID (Scientific Information Database) مورد جستجو قرار گرفت. مطالعات مختلف بر الکترونیک بودن PHR و مدیریت و کنترل شخصی بیمار بر PHR توافق داشتند. الزامات PHR متشکل از موضوعات فنی (تعامل‌پذیری و قابلیت عملکردی)، قانونی (امنیت داده، حریم خصوصی و محرمانگی) و اجتماعی (سواد سلامت و مسئولیت‌های فردی) و چالش‌های PHR نیز شامل مسایل سازمانی (مدیریت تغییر)، داده‌ای (دسترسی و مالکیت داده‌ها و محتوا) و قانونی (پاسخگویی و محدودیت‌های آیین‌نامه‌ای) بود. به‌ کارگیری موفقیت‌آمیز PHR نیازمند شناخت محیط مراقبت، کاربران و نیازها می‌باشد. استفاده گسترده از PHR نیز به همکاری همه‌جانبه طراحان سیستم، ارایه ‌دهندگان مراقبت، سیاست‌گذاران سلامت و مردم نیاز دارد.

کلیدواژه‌ها

عنوان مقاله English

The Requirements and Challenges in Using Personal Health Record

نویسندگان English

Mohammad Hosein Hayavi-Haghighi 1
Zari Rahmatpasand-Fatideh 2
Mohammad Dehghani 3
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
چکیده English

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.

کلیدواژه‌ها English

Personal Health Records
Electronic Health Records
Health Literacy
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