The evolution of personal health records and their role for self-management: a literature review.
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Date
2014-08-27
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Abstract
A literature review has been conducted to gain an overview of the evolution of personal health records PHR and their role for self management This paper presents this evolution overview based on review of abstracts from relevant publications in addition to full text review of reviews A search in the Medline database for PHR and self management identified 62 unique publications Of these 90 met the inclusion and exclusion criteria The number of studies per year has increased heavily since the PHR and self management context originated in the early 1990s Nine studies described messaging functionality eleven studies described shared access functionalities and four described both However the general evidence remains sparse to document the value of PHR for self management Most PHRs are not based on patients needs and do not support self management To be adopted by the users and to be useful for self management PHRs need to be integrated with physicians EHR systems and provide shared access both ways in addition to secure e mail communication and educational modules