MOVING FROM REMOTE PATIENT MONITORS TO CLOUD-BASED PERSONAL HEALTH INFORMATION SYSTEMS - A Way to Practicing Patient-centered Chronic Care Model

Author(s):  
Mark D. Sullivan

The history of proposals for patient-centered medicine begins with Michael Balint’s proposal for patient-centered medicine as an alternative to illness-centered medicine. This has been weakened in more recent calls for patient-centered care from clinicians, foundations, and professional organizations. It is argued that patient-centeredness consists of both taking the patient’s perspective and activating the patient. Taking the patient’s perspective involves communication skills and may involve developing a “shared mind” with the patient. Two programs for activating patients are contrasted, 1) the Expert Patient program based on the Chronic Disease Self-Management Program of Lorig and Holman and 2) the Patient-Centered Medical Home based on the Chronic Care Model developed by Wagner and colleagues. Patient empowerment involves activating patients on their own behalf and in service of their own goals. A truly patient-centered chronic care model aims not only for patient empowerment, but also for patient capability to pursue health and other vital goals.


2013 ◽  
Vol 7 (4) ◽  
pp. 22-36 ◽  
Author(s):  
Francis Akowuah ◽  
Xiaohong Yuan ◽  
Jinsheng Xu ◽  
Hong Wang

The information maintained by Health Information Systems (HIS) is often faced with security threats from a wide range of sources. Some government's regulations require healthcare organizations and custodians of personal health information to take practical steps to address the security and privacy needs of personal health information. Standards help to ensure an adequate level of security is attained, resources are used efficiently and the best security practices are adopted. In this paper, the authors survey security standards applicable to healthcare industry including Control OBjective for Information and related Technology (COBIT), ISO/IEC 27002:2005, ISO/IEC 27001:2005, NIST Special Publication 800-53, ISO 27799:2008, HITRUST Common Security Framework (CSF), ISO 17090:2008, ISO/TS 25237:2008, etc. This survey informs the audience currently available standards that can guide the implementation of information security programs in healthcare organizations, and provides a starting point for IT management in healthcare organizations to select a standard suitable for their organizations.


2019 ◽  
Vol 8 (5) ◽  
pp. 58
Author(s):  
Kristine R. Hearld ◽  
Larry R. Hearld ◽  
Henna Budhwani ◽  
Deirdre McCaughey ◽  
Leandra Y. Celaya ◽  
...  

Objective: Our interest in patient attitudes and beliefs and how they contribute to health and health seeking behaviors is based on growing interest in fostering more patient-centered care. This is particularly relevant for cancer screening in women, where the procedures may be viewed as deeply personal and emotionally invasive. There is convincing evidence that health attitudes and beliefs are strong associates of cancer screening among women. The goal of this paper is to examine if accessibility and use of personal health information (PHI) is a positive predictive of cancer related health detection behaviors among United States women. This study is relevant and timely considering the growing focus on prevention in patient-centered care delivery.Methods: Using data from the 2017 Health Information National Trends Survey (HINTS), this paper employed multivariable path analysis to investigate whether PHI use is related to engaged women’s health detection behaviors, and if this relationship is mediated by self-perceived health status and patient attitudes regarding confidence in their self-care abilities.Results: This study found that PHI use worked directly on health detection behaviors for intermediate levels of health information only. Our findings also suggest that patient attitudes may only act as a mediator at low levels of information use and when both confidence in self-care abilities and self-assessed health status are considered simultaneously.Conclusions: As prevention continues to be a key focus of health care, efforts promoting enhanced population health are critically important. With greater expansion of patient portals, health systems and providers are expecting access to greater PHI will promote increased engagement by patients in their self-health. The results of our research suggest that PHI is positive for patients up until a point and that health care delivery professionals may wish to assess the amount and type of information made readily available to the patients they serve related to breast and cervical cancer screenings.


2011 ◽  
Vol 37 (6) ◽  
pp. 265-273 ◽  
Author(s):  
Robert A. Gabbay ◽  
Michael H. Bailit ◽  
David T. Mauger ◽  
Edward H. Wagner ◽  
Linda Siminerio

2014 ◽  
Vol 33 (9) ◽  
pp. 1540-1548 ◽  
Author(s):  
Stephanie Stock ◽  
James M. Pitcavage ◽  
Dusan Simic ◽  
Sibel Altin ◽  
Christian Graf ◽  
...  

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