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Challenges and Opportunities of Personal Health Records in Diabetes Self-Management

This study explores the implementation and initial assessment of Personal Health Records (PHRs) within diabetes self-management. Emphasizing the Chronic Care Model, it highlights the integration of secure patient messaging and the importance of timely communication between patients and healthcare providers. Key findings reveal patient preferences for appointment scheduling, electronic test results, and medication adjustments. However, challenges such as inaccurate information and slow responses are noted. Insights suggest that simply providing educational resources is insufficient to encourage usage among patients.

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Challenges and Opportunities of Personal Health Records in Diabetes Self-Management

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  1. Exploring Challenges and Potentials of Personal HealthRecords in Diabetes Self-Management: Implementationand Initial Assessment Telemedicine journal and e-health 2007 RACHEL HESS, CINDY L. BRYCE, SUZANNE PAONE, GARY FISCHER, KATHLEEN M. M C TIGUE, ELLEN OLSHANSKY, SUSAN ZICKMUND, KATHARINE FITZGERALD and LINDA SIMINERIO

  2. Introduction • Chronic Care Model (CCM) • Clinical information systems provide disease-specific patient registries. • Computer-based decision support for practitioners. • Development of healthcare system and community change to facilitate longitudinal care. • Programs to support patients’ effective self-management. • Institute of Medicine (IOM): EMR— • The practitioner-maintained portion • Personal Health Record (PHR)

  3. UPMC Health-Trak

  4. MATERIALS AND METHODS • Integration of secure patient messaging into the workflow of practice. • “phone tag” could go on, when office tries to call back. • The risk of inaccurate transcription. • Convenient for the patient and the physician.

  5. Results

  6. Patient reactions • Provider or diabetes educator could adjust medications during the interval between office visits. • Receive appointment reminders and test results electronically suited their busy schedules. • Gave patient the ability to schedule and cancel appointments at their convenience. • Missing lab results, inaccurate information, and slow responses from the physician and/or nurse. • Expectations of being able to contact all of their physicians, not just their primary care physician.

  7. DISCUSSION • The ability to view portions of the EMR, help to ensure that patients are aware of important aspects of their own diseases. • Eliminating the need to “catch the doctor”. • Requests for medication renewals and physician referrals can be structured so that patients provide all necessary information to process the requests. • Users less frequently discussed educational resources, suggesting that simply placing resources within an environment is inadequate to stimulate patient use.

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