Chen Yunan
College of Information and Computer Science, University of California, Irvine, CA, USA.
Stud Health Technol Inform. 2010;160(Pt 1):3-7.
Recent consumer health informatics initiatives advocate individual access and management of personal medical records. However, little is known regarding the impact of personal access of health information on clinical practice. This paper introduces a field study investigating the usage patterns of personal health records in medical consultations. The self-managed records provide patients with a strong sense of ownership and control over their own health information. Personal medical records have been used primarily for transiting information among different providers. This behavior changed patient-provider communication into a records sharing. Doing so effectively eliminated the potential errors in the verbal reporting process. This study indicates that patients can be effective contributors to their own health and suggest the design of health information systems to rethink the role of patients in the healthcare process and shift the responsibility of healthcare to the patients' side.
近期的消费者健康信息学倡议主张个人获取和管理个人医疗记录。然而,关于个人获取健康信息对临床实践的影响,我们知之甚少。本文介绍了一项实地研究,调查个人健康记录在医疗咨询中的使用模式。自我管理的记录让患者对自己的健康信息有强烈的主人翁意识和控制权。个人医疗记录主要用于在不同医疗服务提供者之间传递信息。这种行为将医患沟通转变为记录共享。这样做有效地消除了口头报告过程中的潜在错误。这项研究表明,患者可以有效地为自己的健康做出贡献,并建议健康信息系统的设计重新思考患者在医疗过程中的角色,将医疗责任向患者一方转移。