Conditions potentially sensitive to a Personal Health Record (PHR) intervention, a systematic review

Simple item page
dc.contributor.authorPrice, Morgan
dc.contributor.authorBellwood, Paule
dc.contributor.authorKitson, Nicole
dc.contributor.authorDavies, Iryna
dc.contributor.authorWeber, Jens
dc.contributor.authorLau, Francis
dc.date.accessioned2015-06-25T19:30:00Z
dc.date.available2015-06-25T19:30:00Z
dc.date.copyright2015en_US
dc.date.issued2015-04-18
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: Personal Health Records (PHRs) are electronic health records controlled, shared or maintained by patients to support patient centered care. The potential for PHRs to transform health care is significant; however, PHRs do not always achieve their potential. One reason for this may be that not all health conditions are sensitive to the PHR as an intervention. The goal of this review was to discover which conditions were potentially sensitive to the PHR as an intervention, that is, what conditions have empirical evidence of benefit from PHR-enabled management. Methods: A systematic review of Medline and CINAHL was completed to find articles assessing PHR use and benefit from 2008 to 2014 in specific health conditions. Two researchers independently screened and coded articles. Health conditions with evidence of benefit from PHR use were identified from the included studies. Results: 23 papers were included. Seven papers were RCTs. Ten health conditions were identified, seven of which had documented benefit associated with PHR use: asthma, diabetes, fertility, glaucoma, HIV, hyperlipidemia, and hypertension. Reported benefits were seen in terms of care quality, access, and productivity, although many benefits were measured by self-report through quasi-experimental studies. No study examined morbidity/mortality. No study reported harm from the PHR. Conclusion: There is a small body of condition specific evidence that has been published. Conditions with evidence of benefit when using PHRs tended to be chronic conditions with a feedback loop between monitoring in the PHR and direct behaviours that could be self-managed. These findings can point to other potentially PHR sensitive health conditions and guide PHR designers, implementers, and researchers. More research is needed to link PHR design, features, adoption and health outcomes to better understand how and if PHRs are making a difference to health outcomes.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis work is funded, in part, through the Alberta Health’s Personal Health Portal program.en_US
dc.identifier.citationPrice et al.: Conditions potentially sensitive to a Personal Health Record (PHR) intervention, a systematic review. BMC Medical Informatics and Decision Making (2015) 15:32en_US
dc.identifier.urihttp://dx.doi.org/10.1186/s12911-015-0159-1
dc.identifier.urihttp://www.biomedcentral.com/1472-6947/15/32
dc.identifier.urihttp://hdl.handle.net/1828/6277
dc.language.isoenen_US
dc.publisherBMC Medical Informatics and Decision Makingen_US
dc.rightsAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectPersonal health records
dc.subjectPatient portals
dc.subjectSelf-management
dc.subjectSystematic review
dc.subjectChronic disease management
dc.subject.departmentSchool of Health Information Science
dc.subject.departmentDepartment of Computer Science
dc.titleConditions potentially sensitive to a Personal Health Record (PHR) intervention, a systematic reviewen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Price_Morgan_BMCMedInformDecisMak_2015.pdf
Size:
1 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.74 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Faculty and Staff Publications
 
University of Victoria Libraries

We acknowledge and respect the Lək̓ʷəŋən (Songhees and Esquimalt) Peoples on whose territory the university stands, and the Lək̓ʷəŋən and W̱SÁNEĆ Peoples whose historical relationships with the land continue to this day.