Personal Health Records (PHR) and the future of the physician-patient relationship

Author(s):  
Aaron Baird ◽  
Frederick North ◽  
T. S. Raghu
BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025267 ◽  
Author(s):  
Bertalan Meskó ◽  
Nóra Radó ◽  
Zsuzsa Győrffy

ObjectivesWe aimed to explore the opinion leader empowered patients’ relationship with their medical professionals, their experiences and beliefs about technologies, and how they see the future. We also attempted to determine whether technologies, the access to it or patient empowerment are the main driving forces behind these changes.DesignA qualitative interview study analysed with interpretative phenomenological analysis.SettingAll interviews were conducted and recorded individually with the same trained interviewer via a Skype call.ParticipantsThe study is based on qualitative, semistructured interviews with 11 opinion leader empowered patients from six countries including UK, USA, Australia, Sweden, South Africa and Ireland.ResultsWe identified four superordinate themes emerging from e-patients’ experiences: (1) impact of technology, (2) the meaning of empowerment, (3) the changing physician–patient relationship and (4) expectations for the future. The relationship e-patients have with their physicians is based on efficient communication, proactivity, the desire for asking questions and the use of technologies. The interviews have shown that the rapid development of technology has fundamentally changed the lives of these e-patients, and technology eventually is transforming the physician–patient relationship into a partnership. Regarding the future of the physician–patient partnership, e-patients emphasised that change will rather be cultural than technological.ConclusionsThe interviews have shown that cooperation between technology and healthcare is not enough on its own: the most decisive factor is the return of the human touch and reciprocal communication. All of these suggest that technology is an important ally in the ‘renaissance of medicine’ that starts to treat patients as it should have always had.


Electronics ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. 763
Author(s):  
Seong-Kyu Kim ◽  
Jun-Ho Huh

This paper seeks to use artificial intelligence blockchain algorithms to ensure safe verification of medical institution PHR data and accurate verification of medical data as existing vulnerabilities. Artificial intelligence has recently spread and has led to research on many technologies thanks to the Fourth Industrial Revolution. This is a very important factor in healthcare as well as the healthcare industry’s position. Likewise, blockchain is very safe to apply because it encrypts and verifies these medical data in case they are hacked or leaked. These technologies are considered very important. This study raises the problems of these artificial intelligence blockchains and recognizes blockchain, artificial intelligence, neural networks, healthcare, etc.; these problems clearly exist, so systems like EHR are not being used. In the future, ensuring privacy will be made easier when these EHRs are activated and data transmission and data verification between hospitals are completed. To overcome these shortcomings, we define an information security blockchain artificial intelligence framework and verify blockchain systems for accurate extraction, storage, and verification of data. In addition, various verification and performance evaluation indicators are set to obtain the TPS of medical data and for the implementation of standardization work in the future. This paper seeks to maximize the confidentiality of blockchain and the sensitivity and availability of artificial intelligence.


2021 ◽  
Vol 9 (12) ◽  
Author(s):  
Kim Nazi

Over the last two decades, the early development of standalone Personal Health Records (PHRs), and later tethered patient portals, have had a transformative effect on engaging patients by providing them with tools to manage their health and unprecedented access to their heath data. However, despite anticipated benefits and continued high consumer demand for online access to personal health information, adoption and sustained use has been less than expected. Moreover, powerful forces are transforming healthcare, necessitating change and adaptation. This aim of this paper is to examine several significant trends that are influencing the intersection of health care and technology and provide an assessment of the impact of these trends on the future of PHRs and patient portals. An aging population with an increased prevalence of chronic disease and mental health conditions, coupled with rising consumerism and more diverse care settings, has significant implications for patient-facing tools such as patient portals. Similarly, the proliferation of data generating consumer health technology and technical advances such as artificial intelligence and emerging data standards calls for the next iteration of tools to support care delivery. Moreover, the acceleration of virtual care driven by national policy changes and the COVID 19 pandemic requires better tools to realize the promising potential of the technology in an increasingly complex and interconnected world. Taken together, these factors may provide the perfect storm that will enable a critical shift to envision a more holistic patient-centric information and resource hub that is characterized by improved architecture, optimized design and content, a robust set of well-designed tools and functions, and enhanced integration with clinical care processes and structures. This personal health portal could provide a long desired single comprehensive longitudinal personal health record with best of breed design and features to empower patients as they navigate their health journey.


2006 ◽  
Author(s):  
Luigi Anolli ◽  
Fabrizia Mantovani ◽  
Alessia Agliati ◽  
Olivia Realdon ◽  
Valentino Zurloni ◽  
...  

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