Partners HealthCare, Clinical Informatics Research and Development, Wellesley, MA 02481, USA.
Int J Med Inform. 2010 Feb;79(2):97-111. doi: 10.1016/j.ijmedinf.2009.11.005. Epub 2010 Jan 6.
To determine the features of commercially available USB-based Personal Health Records (PHR) devices, and compare the commercial state of the art to recommendations made by certification committees.
Thirteen USB-based PHRs were identified and analyzed based on data elements used and features provided. Marketing techniques used by the companies were also explored.
Eight of the thirteen PHRs contained all seven clinical data elements (problems, procedures, medications, providers, allergies, labs, immunizations), three were missing a single element and the remaining two lacked two elements. In the features analysis no single PHR contained all eight features (export data, import data, images, summary print out, emergency entry, teaching material available for problem, username and password supported, Mac-compatible), but two of the devices had seven of the eight features. Finally, scare tactics were used in marketing all but two of the PHR devices.
While PHRs are very important in the health care field, at the present time, USB-based PHRs currently on the market appear to have deficiencies. Tethered or web-based PHRs may be a better option for consumers at present.
确定市售基于 USB 的个人健康记录（PHR）设备的特点，并将商业现状与认证委员会的建议进行比较。
根据使用的数据元素和提供的功能，确定并分析了 13 个基于 USB 的 PHR。还探讨了公司使用的营销技术。
在这 13 个 PHR 中，有 8 个包含所有 7 个临床数据元素（问题、程序、药物、提供者、过敏、实验室、免疫接种），有 3 个缺少单个元素，另外 2 个缺少 2 个元素。在功能分析中，没有一个 PHR 包含所有 8 个功能（数据导出、数据导入、图像、摘要打印输出、紧急输入、问题相关教学材料、用户名和密码支持、兼容 Mac），但有两个设备具备 8 个功能中的 7 个。最后，在营销所有的 PHR 设备中（除了两个之外），都使用了恐吓策略。
虽然 PHR 在医疗保健领域非常重要，但目前市场上基于 USB 的 PHR 似乎存在缺陷。目前，与 USB 连接或基于网络的 PHR 可能是消费者的更好选择。
