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  4. Exploration of the Personal Health Record as a Tool for Spinal Cord Injury Health ­Self-Management and Coordination of Care

Exploration of the Personal Health Record as a Tool for Spinal Cord Injury Health ­Self-Management and Coordination of Care

Top Spinal Cord Inj Rehabil, 2017 · DOI: 10.1310/sci2303-218 · Published: July 1, 2017

Spinal Cord InjuryHealthcareTelehealth & Digital Health

Simple Explanation

A personal health record (PHR) allows patients to manage their health data from various sources, promoting proactive care coordination. This study aimed to understand the successes, failures, and potential improvements of MyPHR, a PHR designed for individuals with spinal cord injury (SCI), to enhance care coordination and self-management. The study found that carefully selecting relevant information for patients to track and providing continuous support and communication with the clinical team are crucial for effective PHR implementation.

Study Duration
Not specified
Participants
Five individuals with chronic (>1 year) SCI
Evidence Level
Case study, Formative research

Key Findings

  • 1
    Participants successfully captured various health data in their MyPHRs from providers, pharmacies, and activity trackers, demonstrating the potential for personalized healthcare after SCI.
  • 2
    The effort required to manage health information in MyPHR was perceived as too high compared to the utility gained, especially when data required verification and manual editing.
  • 3
    Participants emphasized the importance of using MyPHR to enhance communication between patients and clinicians, with a care coordinator playing a crucial role in monitoring activity and mediating information.

Research Summary

This study explored the use of MyPHR, a personal health record tailored for individuals with spinal cord injury (SCI), as a tool for health self-management and care coordination. The key findings highlighted the importance of selective information tracking, continuous clinical support, and enhanced patient-clinician communication to optimize PHR implementation. The study concludes that a PHR should be implemented with a focus on its function as a tool for communication and collaboration between patients and providers to optimize health after SCI.

Practical Implications

Personalized Information Selection

Tailor the information included in a PHR to each patient's specific health concerns and goals to increase engagement and perceived value.

Integrated Support System

Incorporate a care coordinator into the SCI-PCSP team to actively engage patients, mediate information, and facilitate communication with healthcare providers.

Enhanced Communication Channels

Utilize PHRs to enhance communication between patients and clinicians, promoting self-management and optimizing health outcomes.

Study Limitations

  • 1
    Small cohort of highly activated patients
  • 2
    Findings may not be generalizable to individuals with less SCI experience
  • 3
    Findings may not be generalizable to individuals with lower technical skills

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