Comments on: A Cost-Benefit Model for PHRs http://journal.ahima.org/2008/11/17/a-cost-benefit-model-for-phrs/ The Journal of AHIMA is published monthly by the American Health Information Management Association Fri, 20 Nov 2009 01:17:37 -0600 http://wordpress.org/?v=2.8.4 hourly 1 By: bbneo http://journal.ahima.org/2008/11/17/a-cost-benefit-model-for-phrs/comment-page-1/#comment-1315 bbneo Thu, 20 Nov 2008 14:08:47 +0000 http://journal.ahima.org/?p=117#comment-1315 Any system which *relies* on the patients to maintain it will not work. The most needy and costly patients are generally not capable of keeping up an electronic medical record due to various degrees of illiteracy (computer, medical, general). Some sort of web-based repository which would be interoperable with patient access and various provider/hospital specific EMR systems would be the best solution. The problem would be how to handle providers and hospitals who don't have compatible systems. Any system which *relies* on the patients to maintain it will not work. The most needy and costly patients are generally not capable of keeping up an electronic medical record due to various degrees of illiteracy (computer, medical, general).

Some sort of web-based repository which would be interoperable with patient access and various provider/hospital specific EMR systems would be the best solution.

The problem would be how to handle providers and hospitals who don’t have compatible systems.

]]> By: obobo http://journal.ahima.org/2008/11/17/a-cost-benefit-model-for-phrs/comment-page-1/#comment-1278 obobo Tue, 18 Nov 2008 20:53:03 +0000 http://journal.ahima.org/?p=117#comment-1278 "The most frequent barrier to consumer use of interactive health IT across studies we examined was the lack of a perceived benefit." . http://www.ahrq.gov/clinic/tp/hitbartp.htm Full Title: Barriers and Drivers of Health Information Technology Use for the Elderly, Chronically Ill, and Underserved November 2008 Page 3 Does Middleton factor in the time, dollars, energy, and resources spent on PHRs by the patient? What is the business case for the patient to have a PHR? This is not a zero sum game. The sum is <0 when the consumer is accounted for. “The most frequent barrier to consumer use of interactive health IT across studies we examined was the lack of a perceived benefit.” .

http://www.ahrq.gov/clinic/tp/hitbartp.htm

Full Title: Barriers and Drivers of Health Information Technology Use for the Elderly, Chronically Ill, and Underserved
November 2008 Page 3

Does Middleton factor in the time, dollars, energy, and resources spent on PHRs by the patient? What is the business case for the patient to have a PHR? This is not a zero sum game. The sum is <0 when the consumer is accounted for.

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