Personal health records and health care utilization
Menée aux Etats-Unis, cette étude de cohorte rétrospective analyse l'association entre un accès aux dossiers médicaux personnels en ligne et l'utilisation des services de santé par les patients
There are 2 main electronic architectures: one linked directly to the physician's practice-based electronic health record, the other free-standing in cyberspace, without a linkage. The first architecture appears to be dominating the scene and offers many advantages because it can include specific information from the medical record that is difficult and time-consuming for patients to access otherwise. Functions typically include a problem list, medication list, list of allergies, test results, and links to personalized health information. Additional services such as patient reminders for preventive health checks and the ability for patients to securely e-mail their physicians, make an appointment, ask for a new prescription, and sort out billing claims and payments are often included. Such “tethered” PHRs are called patient portals.
JAMA: The Journal of the American Medical Association , éditorial, 2011