One of the things that I like is that those who have asked questions and take nothing for granted ... and so it was that yesterday, during an exciting session of the laying of a washing machine, I had a conversation with a friend of mine doctor, which I used a term that she sounded unknown, PHR, an acronym for Personal Health Record .
The wikipedia link leaves the classical definition and model for the USA ...
But what do we mean and how they are orienting PHR deployments in Europe?
PHR would
personal history, one that corresponds and is maintained by the city ... that is, as an extension of the stewardship process with the clinician, the individual should be and must manage their health information and welfare.
The responsibility, therefore, is not only created a blog, a twitter account and search for health information criterion: the responsibility is 360 ° and extends to all aspects of health and wellness .. . and is not necessary that the citizens are sick to make use of it.
The personal history might think that is based only on clinical information repositories: they do not, the information that is in clinical repositories is one of the sources of a PHR, but not the only ...
I must say that a PHR in which leaving only a duplicate of the contents of a clinical repository does not add much value, that to me, I am a patient with type 2A cholesterol, 10mg atorvastatin prescription chronic 1-daily, which I know that I take, I displayed it, together with a history of my disease and prescription is not something that motivates me a lot, to put it mildly.
The PHR MUST bring a lot more, because it is oriented to the citizen: a study of Nike, the word most used in social networks is "I" and therefore any value personalized service that can link the PHR will be highly appreciated.
Thus, the citizen contributions can add regarding activities of daily living (ADL), or connect sensors (including non-prescription) and the Polar pulse scales or Bluetooth, to name two examples, for captured biometric data can be stored in the PHR, the association of these services.
thing is to store to store, if you do not have a clear return on value, not that it is too stimulating.
why the PHR should be combined with PGS type services (Patient Guidance Services), business intelligence services that are capable of, based on existing information in PHR, offering health advice ...
Suppose, for example, that the PHR is introduced our size, scale and Bluetooth (or manually) send our information weight: it can trigger a calculation of body mass index, and depending on the value and other parameters, to propose such a diet, a doctor's visit ...
Suppose, for example, I am a great lady :-) I practice Pilates, spinning, jogging, and more ... I have tachycardia and also ... the use of sensors heart during physical activity, which information would be stored in my PHR, along with the supervision of a cardiologist (who would have access to this information), allow better control of physical activity.
Suppose I am a teen with pheromones boiling :-), and probably is thinking about having my first sex ... a PHR with PGS can provide the information needed to practice safer sex so ... who says sex, says drugs, alcohol, piercings or tattoos ...
Suppose I am a diabetic with type 1 DM, with most Bluetooth glucose meter weight control and quizzes dedicated to control activities Daily life ... PHR again and again PGS can provide an added plus for quality of life in this kind of chronic patient.
Suppose I am a patient who wants to use the PHR to download medical reports have been generated in a center of the public ... prevent movement, a service much appreciated by the public.
Suppose I am a user of medical services related to private health care, either through mutual, whether private-private, although there is a high degree of consensus on the issue, if the center is connected to the public PHR and "incorporate" the most relevant data of the services provided ... and if the city itself may be incorporated.
In the case of health problems in the case of a shift away from the CCAA or the country, to have this service on mobile (and therefore is also mHealth PHR) can be a safety factor Added: our HC always travels with us and will be present wherever there is Internet connection.
are a few examples of the possibilities of this set of services: obviously may be some fear or apprehension about the access and registration of citizens to their PHR, but it is also true that until now in the process of opening of HC on a first visit, background are based solely on the information given orally (once in documentary form) the patient / citizen.
This is what comes ... this is the future: at least in Catalonia and Valencia and is in deployment phase, and Andalusia has also announced a similar deployment.
In Europe, only France has a public PHR ... in the UK have agreements with Google Health and Microsoft HealthVault , and in Germany the deployment of Microsoft HealthVault Siemens does, in this case acts as a VAR, under the name of ASSIGNIA .
You can see that trend. :-)
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