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Web-based Personal-Centered Electronic Health Record for Elderly Population

摘要Increasing acceptance and availability of information and communication technology (ICT) have made the development and implementation of web-based electronic personal health records (PHRs) more feasible.Previous studies have demonstrated the PHR’s potential to alleviate limitations in traditional healthcare delivery.However,this type of technology-dependent approach inherits the vulnerabilities of exposing the society to its own share of inequality (i.e.,“digital divide”).To address these concerns and improve healthcare outcomes,we have developed a web-based patient-centered electronic PHR,named the Personal Health Information Management System (PHIMS),and a communitybased resource sharing and support model/strategy.The system has been evaluated at the Everett Housing Authority,which provides housing for low-income families and elderly or disabled populations,and we conducted a feasibility trial with the elderly and disabled residents.The participants were satisfied with the PHIMS system in general.82% of the surveyed users attempted to share the PHIMS records with their care providers.Both patients and providers were satisfied with the usability of PHIMS.

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