Barbarito Fulvio, Pinciroli Francesco, Barone Antonio, Pizzo Fabrizio, Ranza Riccardo, Mason John, Mazzola Luca, Bonacina Stefano, Marceglia Sara
Direzione Generale CRS-SISS, Lombardia Informatica S.p.A., Milan, Italy.
E-Health Lab, Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy.
Comput Biol Med. 2015 Apr;59:164-174. doi: 10.1016/j.compbiomed.2013.10.021. Epub 2013 Nov 4.
The use of personal health records (PHRs) can help people make better health decisions and improves the quality of care by allowing access to and use of the information needed to communicate effectively with others concerning their health care.
This work presents the lifelong PHR system of the Lombardy region as an example of the implementation of an e-health solution that is capable of providing personal clinical documents from a lifelong perspective, integrating different healthcare providers over a large territory.
The lifelong PHR is embedded in the regional healthcare information system of Lombardy, which is characterised by a large and heterogeneous territory, a large number of different healthcare providers and organisations, and a significant population.
The lifelong PHR makes clinical documents available to healthcare professionals and citizens when needed, and it is automatically updated with all of the documents regarding a clinical event regardless of which healthcare provider is currently taking care of the patient. Present statistics show that the lifelong PHR has experienced a wide diffusion in a short period of time, and at the end of 2010, it was active for more than five million Lombardy citizens. Digital reports and e-prescription transactions have almost doubled since 2007 and have reached a coverage of almost 100%.
The qualified and exhaustive collection of patient clinical data and documents should impact daily medical practice, as well as the care pathways and services provided to patients, and should help in the renewal of health assistance and the simplification of patients' access to care.
使用个人健康记录（PHR）有助于人们做出更明智的健康决策，并通过允许获取和使用与他人就其医疗保健进行有效沟通所需的信息来提高护理质量。
本文介绍了伦巴第地区的终身个人健康记录系统，作为电子健康解决方案实施的一个示例，该解决方案能够从终身角度提供个人临床文件，整合大片区域内的不同医疗服务提供者。
终身个人健康记录嵌入在伦巴第地区的医疗信息系统中，该地区地域广阔且情况各异，有大量不同的医疗服务提供者和组织，人口众多。
终身个人健康记录在需要时向医疗专业人员和公民提供临床文件，并且会自动更新与某一临床事件相关的所有文件，而不论当前负责照顾患者的是哪家医疗服务提供者。目前的统计数据显示，终身个人健康记录在短时间内得到了广泛传播，到2010年底，已有超过500万伦巴第公民在使用。自2007年以来，数字报告和电子处方交易几乎翻了一番，覆盖率接近100%。
对患者临床数据和文件进行高质量且详尽的收集应会影响日常医疗实践以及为患者提供的护理途径和服务，并应有助于更新医疗援助以及简化患者获得护理的流程。
