Informaticopia

Sunday, November 09, 2008

Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies

The Journal of Medical Internet Research has recently published an interesting paper entitled: Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies by David Wiljer, Sara Urowitz, Emma Apatu, Claudette DeLenardo, Gunther Eysenbach, Tamara Harth, Howard Pai and Kevin J Leonard.

The paper reports the outcome of a Patient Accessible Electronic Health Record (PAEHR) Workshop attended by 45 participants who discussed recommendations for the implementation of patient accessible EHRs.

Recommendations were discussed under four subject domains:
1) providing patient access to the EHR,
2) maintaining privacy and confidentiality related to the PAEHR,
3) patient education and navigation of the PAEHR, and
4) strategies for managing institutional change.

The discussion focused on the need for national infrastructure, clear definitions for privacy, security and confidentiality, flexible, interoperable solutions, and patient and professional education. In addition, there was a strong call for research into all domains of patient accessible EHRs to ensure the adoption of evidence-based practices.

Although the report has North American focus the suggestions may well have use worldwide for patient engagement and empowerment.

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