We developed a web-based personal health record (PHR) that can be used by patients to collect and manage their health information (e.g., medical history, past surgeries, medications, and allergies), to request self-referrals, and to store a record of their consultations. The PHR also includes a messaging system that can be structured into the workflow of referral management as well as allowing more general communications. A preliminary study was conducted with 61 patients. Thirty-two patients completed a survey in which 85% of respondents were satisfied with the usability and 94% were satisfied with the overall online referral process. The consulting physicians were satisfied with the content of subjects' personal health information and referral problem descriptions and found the information detailed enough to triage all requested referrals. Patients, physicians, and patient care coordinators reported that their communications were enhanced by the system and found the messaging component convenient to use.
A web-based patient-centered personal health record (PHR), called the Personal Health Information Management System (PHIMS), has been developed and its usability has been evaluated in conjunction with a referral system, called the Facilitated Accurate Referral Management System (FARMS). To estimate the system requirements of PHIMS for wider clinical use, we have also studied PHIMS usage by analyzing server log files. A preliminary study showed 85% of survey respondents were satisfied with the usability and 94% were satisfied with the overall online referral process. The physicians were satisfied with the content of subjects' personal health information and found the information detailed enough to triage all requested referrals.
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