Table 2.
Value propositions and benefits of personal health record systems to health care delivery constituents.
| Value propositions and benefits | Literature support | Health care delivery constituents | |||||||||
|
|
|
Consumers | Providers | Payors | Public health agencies | ||||||
| Consumer empowerment and patient engagement | |||||||||||
|
|
Promote consumer health education | [14,50,57,68,76] | ✓a | ✓ |
|
✓ | |||||
|
|
Enable patients to become informed health care consumers | [5,42,44,66,98] | ✓ |
|
|
✓ | |||||
|
|
Enhance understanding of medical conditions | [29,42,57,66,74,75,99,100] | ✓ | ✓ |
|
|
|||||
|
|
Simplify and clarify patient instructions | [29,42,57,66,74,75,99,100] | ✓ | ✓ |
|
|
|||||
|
|
Provide a greater control over health outcomes | [3,56,101,102] | ✓ |
|
|
|
|||||
|
|
Offer convenient self-health management | [21,56,68,86,89,103,104] | ✓ |
|
|
|
|||||
|
|
Facilitate self-efficacy via cues for patient action | [13,102] | ✓ |
|
|
|
|||||
| Health care communication | |||||||||||
|
|
Improve patient-physician or provider communication | [14,42,105] | ✓ | ✓ |
|
|
|||||
|
|
Timely information sharing for clinical decisions | [68,85,90,103] | ✓ | ✓ |
|
|
|||||
|
|
End-to-end care delivery involving multiple constituents | [44,55,68,89,106,107] | ✓ | ✓ | ✓ | ✓ | |||||
| Process efficiencies and cost effectiveness | |||||||||||
|
|
Increased portability of patient records | [44,57,63,68,89,108,109] | ✓ | ✓ | ✓ |
|
|||||
|
|
Reduced cost of chronic disease management | [32,110] | ✓ | ✓ | ✓ |
|
|||||
|
|
Greater medical information validity and accuracy | [42,59,75,76,111,112] | ✓ | ✓ | ✓ | ✓ | |||||
|
|
Save patient, physician, and provider time | [14,32,57,85] | ✓ | ✓ | ✓ |
|
|||||
|
|
Reduced cost of duplication of tests and procedures | [42,59,113] | ✓ |
|
✓ | ✓ | |||||
| Enhanced quality of care | |||||||||||
|
|
Increased patient safety considerations | [90,103,114] | ✓ | ✓ |
|
✓ | |||||
|
|
Improved handling of emergency situations | [115,116] | ✓ | ✓ |
|
|
|||||
|
|
Extended durability of patient data | [32,104,109] | ✓ | ✓ |
|
✓ | |||||
|
|
Early identification of patient risks and health susceptibilities | [76,115,117,118] | ✓ | ✓ | ✓ |
|
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| Public health outcomes | |||||||||||
|
|
Reduced burden on health care system and resources | [3,55,59,63] |
|
✓ | ✓ | ✓ | |||||
|
|
Enhanced care for underserved communities and populations | [3,59,63,95] | ✓ | ✓ |
|
✓ | |||||
|
|
Facilitate care in public health emergencies | [119,120] | ✓ | ✓ |
|
✓ | |||||
|
|
Support public health research | [71,90,121,122] |
|
|
|
✓ | |||||
|
|
New avenues for epidemiology surveillance and screenings | [71,90,121,122] |
|
|
|
✓ | |||||
aMapping of value propositions and benefits of personal health records to various health care delivery constituents.