Embracing a health services research perspective on personal health records: lessons learned from the VA My HealtheVet system

J Gen Intern Med. 2010 Jan;25 Suppl 1(Suppl 1):62-7. doi: 10.1007/s11606-009-1114-6.

Abstract

Background: Personal health records (PHRs) are designed to help people manage information about their health. Over the past decade, there has been a proliferation of PHRs, but research regarding their effects on clinical, behavioral, and financial outcomes remains limited. The potential for PHRs to facilitate patient-centered care and health system transformation underscores the importance of embracing a broader perspective on PHR research.

Objective: Drawing from the experiences of VA staff to evaluate the My HealtheVet (MHV) PHR, this article advocates for a health services research perspective on the study of PHR systems.

Methods: We describe an organizing framework and research agenda, and offer insights that have emerged from our ongoing efforts regarding the design of PHR-related studies, the need to address PHR data ownership and consent, and the promotion of effective PHR research collaborations.

Conclusion: These lessons are applicable to other PHR systems and the conduct of PHR research across different organizational contexts.

Publication types

  • Review

MeSH terms

  • Biomedical Research / methods
  • Biomedical Research / organization & administration*
  • Biomedical Research / standards
  • Health Records, Personal*
  • Humans
  • Medical Records Systems, Computerized / organization & administration
  • Medical Records Systems, Computerized / standards
  • United States
  • United States Department of Veterans Affairs / organization & administration*
  • United States Department of Veterans Affairs / standards
  • Veterans*