Insights for Internists: “I Want the Computer to Know Who I Am”
Open Access
- 2 May 2009
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of General Internal Medicine
- Vol. 24 (6), 727-732
- https://doi.org/10.1007/s11606-009-0973-1
Abstract
In designing electronic personal health records (PHRs) and related health technologies, lay perspectives are rarely solicited, and we know little about what individuals want and need. To learn how diverse, primarily lay individuals envision how PHRs and other emerging and future electronic technologies could enhance their care. Qualitative study of eight focus groups with adult consumers, patients, and health professionals. Eighty-two adult frequent Internet users who expressed interest in health-related matters and represented diverse populations and a broad demographic range. Focus group transcripts were analyzed qualitatively, using behavioral and grounded theory, employing an immersion/crystallization approach. Individuals expect technology to transform their interactions with the health-care system. Participants want computers to bring them customized health information and advice: “I want the computer to know who I am.” They desire unfettered access to their health record: “I don’t know if I want to read [my entire record], but I want to have it.” They expect home monitors and other technologies will communicate with clinicians, increasing efficiency and quality of life for patients and providers. Finally, especially for the chronically and acutely ill, privacy is of far less concern to patients than to health professionals. Focus group participants have dynamic ideas about how information and related technologies could improve personal health management. Their perspectives, largely absent from the medical literature, provide insights that health professionals may lack. Including a diverse array of individuals throughout the process of designing new technologies will strengthen and shape their evolution.Keywords
This publication has 7 references indexed in Scilit:
- Care Coordination/Home Telehealth: The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veteran Patients with Chronic ConditionsTelemedicine and e-Health, 2008
- Striking jump in consumers seeking health care information.2008
- Early Experiences with Personal Health RecordsJournal of the American Medical Informatics Association, 2008
- Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to AdoptionJournal of the American Medical Informatics Association, 2006
- The Missing Link: Bridging The Patient–Provider Health Information GapHealth Affairs, 2005
- Patient experiences and attitudes about access to a patient electronic health care record and linked web messagingJournal of the American Medical Informatics Association, 2004
- Electrons in Flight — E-Mail between Doctors and PatientsThe New England Journal of Medicine, 2004