Personal Health Records Systems Go Mobile: Defining Evaluation Components

Personal Health Records Systems Go Mobile: Defining Evaluation Components

Phillip Olla (Madonna University, USA) and Joseph Tan (Wayne State University, USA)
Copyright: © 2009 |Pages: 26
DOI: 10.4018/978-1-60566-332-6.ch003
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Abstract

This chapter provides an overview of mobile personal health record (MPHR) systems. A Mobile personal health record is an eclectic application through which patients can access, manage, and share their health information from a mobile device in a private, confidential, and secure environment. Personal health records have evolved over the past three decades from a small card or booklet with immunizations recorded into fully functional mobile accessible portals, and it is the PHR evolution outside of the secure healthcare environment that is causing some concerns regarding privacy. Specifically, the chapter reviews the extant literature on critical evaluative components to be considered when assessing MPHR systems.
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Introduction

Information technology (IT) is dramatically transforming the delivery of healthcare services. This can be seen through the increased activity in Mobile Health (M-Health) and promotion of the Electronic Health Record (EHR) systems in the healthcare industry and the recent attention and increased activity in the adoption of Personal Health Record (PHR) systems. By distinction, PHR systems have not established a similar height of interest as the EHR (Tang, 2006), but this is changing as more government bodies such as the U.S. Secretary of Health and Human Services, the National Coordinator for Health Information Technology, and the Administrator of the Centres for Medicare and Medicaid Services (CMS) have all identified PHRs as a top priority. In addition to the government organizations involvement, standards organization such as Health Level Seven (HL7) have began the standard definition process to formalize a system model for PHRs.

PHR aims to allow individual health consumers the ability to monitor and manage their personal health information from multiple sources in a single repository. Research shows that maintaining a PHR encourages personal participation in healthcare and cultivates an increased emphasis on communication between the individual and the healthcare provider (Kupchunas, 2007). The use of a PHR provides the opportunity for healthcare providers to monitor and educate patients on health matters and lifestyle changes, and it also acts as a tool for enhancing health literacy. The PHR will eventually improve the decision making capabilities as the patients become more proficient at recording and monitoring vital health information (Lee, Delaney, & Moorhead, 2007). The goal of utilizing personal health records would be to enhance and optimize the healthcare practices while allowing patients to manage their own health care decision-making. For the caregivers, PHR technology can improve efficiency, cost-effectiveness, timeliness, safety, and efficacy of the care processes, whereas for the individual consumers, it can help improve their quality of life. Large organizations and government bodies have recently gained an interest in the PHR phenomenon; for example, Intel, Wal-Mart and BP have formed a consortium, called Dossia, to supply PHRs for their employees; Medicare and Medicaid Services are trialing PHR with Medicare claims; and Google and Microsoft have also entered this market with new products such as Microsoft Health Vault and Google Health. In addition, Verizon Communications in combination with WebMD now offers a password-protected site for PHR (Reese, 2007).

The PHR migration to the mobile platform offers immense benefits such as portability and convenience in the accessing and transmitting of personal health records from a single location, the empowerment of the health consumers to control, verify, and manage their own health information, and the potential enhancement of patient-caregiver relations. Unfortunately these benefits can be overshadowed by the concerns regarding security, privacy, mobile technology choice, and validity of information. This chapter will highlight the important evaluation components that need to be considered when the PHR is modified to support mobility.

The discussion is structured as follows. Following the introduction, the next section describes the history and background of PHRs. Against this backdrop, an overview of the literature and progress being made on PHR research will be highlighted. This will be followed by a discussion on the four categories of PHR systems, namely “individually maintained”, “tethered” to a health plan or employer, “comprehensive” or “Health 2.0”. Once the advantages and disadvantages of the various types of PHR systems have been presented, the discussion will converge on a framework for Mobile PHR systems evaluation, which is then followed by the review of three commercial Mobile PHR systems using components from the framework. The chapter will then conclude with a summary of thoughts on future growth and development in this area.

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Table of Contents
Chapter 1
Katie A Siek, Kay H Connelly, Beenish Chaudry, Desiree Lambert, Janet L. Welch
In this chapter, the authors discuss two case studies that compare and contrast the use of barcode scanning, voice recording, and patient self... Sample PDF
Evaluation of Two Mobile Nutrition Tracking Applications for Chronically Ill Populations with Low Literacy Skills
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Chapter 2
Ana Ferreira, Luis Barreto, Pedro Brandao, Ricardo Correia
Virtual electronic patient records (VEPR) enable the integration and sharing of healthcare information within large and heterogeneous organizations... Sample PDF
Accessing an Existing Virtual Electronic Patient Record with a Secure Wireles Architecture
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Chapter 3
Phillip Olla, Joseph Tan
This chapter provides an overview of mobile personal health record (MPHR) systems. A Mobile personal health record is an eclectic application... Sample PDF
Personal Health Records Systems Go Mobile: Defining Evaluation Components
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Chapter 4
Ing Widya, HaiLiang Mei, Bert-Jan Beijnum, Jacqueline Wijsman, Hermie Hermens
In mobile healthcare, medical information are often expressed in different formats due to the local policies and regulations and the heterogeneity... Sample PDF
Medical Information Representation Framework for Mobile Healthcare
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Chapter 5
Daniel Ruiz-Fernandez, Antonio Soriano-Paya
The incorporation of computer engineering into medicine has meant significant improvements in the diagnosis-related tasks. This chapter presents an... Sample PDF
A Distributed Approach of a Clinical Decision Support System Based on Cooperation
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Chapter 6
Teppo Räisänen, Harri Oinas-Kukkonen, Katja Leiviskä, Matti Seppänen, Markku Kallio
Incorporating healthcare information systems into clinical settings has been shown to reduce medication errors and improve the quality of work in... Sample PDF
Managing Mobile Healthcare Knowledge: Physicians' Perceptions on Knowledge Creation and Reuse
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Chapter 7
Yousef Jasemian
Recording of physiological vital signs in patients’ real-life environment could be especially useful in management of chronic disorders; for example... Sample PDF
Patient Monitoring in Diverse Environments
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Chapter 8
Monica Tentori, Daniela Segura, Jesus Favela
Hospital work is characterized by intense mobility, a frequent switching between tasks, and the need to collaborate and coordinate activities among... Sample PDF
Monitoring Hospital Patients Using Ambient Displays
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Chapter 9
Javier Espina, Heribert Baldus, Thomas Falck, Oscar Garcia, Karin Klabunde
Wireless body sensor networks (BSNs) are an indispensable building stone for any pervasive healthcare system. Although suitable wireless... Sample PDF
Towards Easy-to-Use, Safe, and Secure Wireless Medical Body Sensor Networks
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Chapter 10
Yousef Jasemian
People living with chronic medical conditions, or with conditions requiring short term monitoring, need regular and individualized care to maintain... Sample PDF
Sensing of Vital Signs and Transmission Using Wireless Networks
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Chapter 11
Nuria Oliver, Fernando Flores-Mangas, Rodrigo de Oliveira
In this chapter, we present our experience in using mobile phones as a platform for real-time physiological monitoring and analysis. In particular... Sample PDF
Towards Wearable Physiological Monitoring on a Mobile Phone
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Chapter 12
Giovanni Russello, Changyu Dong, Naranker Dualy
In this chapter, the authors describe a new framework for pervasive healthcare applications where the patient’s consent has a pivotal role. In their... Sample PDF
A Framework for Capturing Patient Consent in Pervasive Healthcare Applications
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Chapter 13
Filipe Meneses, Adriano Moreira
The increasing availability of mobile devices and wireless networks, and the tendency for them to become ubiquitous in our dally lives, creates a... Sample PDF
Technology Enablers for Context-Aware Healthcare Applications
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Chapter 14
Bjorn Gottfried
This chapter introduces spatial health systems, identifies fundamental properties of these systems, and details for specific applications the... Sample PDF
Modeling Spatiotemporal Developments in Spatial Health Systems
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Chapter 15
Hailiang Mei, Bert-Jan van Beijnum, Ing Widya, Val Jones, Hermie Hermens
Building context-aware mobile healthcare systems has become increasingly important with the emergence of new medical sensor technologies, the fast... Sample PDF
Context-Aware Task Distribution for Enhanced M-health Application Performance
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