我が国におけるパーソナル・ヘルス・レコード(PHR)の定義に関するレビュー
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概要
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The Personal Health Record (PHR) enables patients to access, manage and share their own health information. It can also be expected as a powerful tool and a platform, which improves care quality as well as efficiency, by enhancing collaborative healthcare. However, the PHR is still in its infancy stage in Japan. Since the term is used by multi stake holders in broad and different contexts, the concept of the PHR is not yet clearly defined or codified in a common guidance. This study will focus upon the current situation and the "to-be model" of PHRs in Japan with an internationally comparative light. Firstly, Japanese research papers relating to PHR were systematically reviewed by accessing and searching multiple academic databases. Secondly, in categorizing those papers, necessary conditions of PHR were examined and applied in order to make international comparisons. In addition to Japanese research papers, an interim report of "Dokodemo Mai Byoin(DMB)" released in May 2011 was also applied and reviewed. The DMB is the governmental five-year PHR project. As a result, only less than half papers mentioned "system independency/ connectivity" and "patient centric concept/ design". Also the DMB lacked the concept and functionality of "keeping lifetime information" in addition to the above two items.In conclusion, although the different environment of the healthcare system is to be concerned, the definition of the Japanese PHR should formed as a consensus in more patient centric way, in owning, accessing, and utilizing health information, including the governmental DMB project.
- 国際医療福祉大学の論文
- 2012-07-31
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