A novel tool to track and analyze qualitative usability data: Lessons learned from the VA's personal health record

2010 ◽  
Author(s):  
Scott A. Russell ◽  
Jason J. Saleem ◽  
David A. Haggstrom ◽  
Alissa L. Russ ◽  
Neale R. Chumbler
Author(s):  
Scott A. Russell ◽  
Jason J. Saleem ◽  
David A. Haggstrom ◽  
Alissa L. Russ ◽  
Neale R. Chumbler

2011 ◽  
Vol 18 (Supplement_1) ◽  
pp. i13-i17 ◽  
Author(s):  
David A Haggstrom ◽  
Jason J Saleem ◽  
Alissa L Russ ◽  
Josette Jones ◽  
Scott A Russell ◽  
...  

2020 ◽  
Author(s):  
Nabila Clydea Harahap ◽  
Putu Wuri Handayani ◽  
Achmad Nizar Hidayanto

BACKGROUND Functionalities of PHR are evolving, and continued discussions about PHR functionalities need to be carried out to keep it up-to-date. Technological issues as non-functional requirements are also required to be discussed in the implementation of PHR. OBJECTIVE This study systematically reviews the main functionalities and issues in the implementation of the Personal Health Record (PHR). METHODS This systematic review conducted using Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The search is performed using online databases such as Scopus, ScienceDirect, IEEE, MEDLINE, CINAHL, and PubMed for English journal articles and conference proceedings published between 2015 and 2020. RESULTS A total of 67 articles were selected in the review. Seven function categories are identified in this review, which is grouped into basic and advanced functions. Health records and administrative records were grouped into basic functions. Medication management, communication, appointment management, education, and self-health monitoring were grouped into advanced functions. The issues found in this study include interoperability, security and privacy, usability, data quality, and personalization. CONCLUSIONS In addition to PHR’s basic and advanced functions, other supporting functionalities may also need to be developed based on the issues identified in this study. This paper provides an integrated PHR architectural model that describes the functional requirements and data sources of PHR.


2011 ◽  
Vol 02 (04) ◽  
pp. 406-419 ◽  
Author(s):  
C.A. Longhurst ◽  
R. Slayton ◽  
A.K. Das ◽  
G.L. Gaskin

SummaryObjectives: To analyze sociotechnical issues involved in the process of developing an interoperable commercial Personal Health Record (PHR) in a hospital setting, and to create guidelines for future PHR implementations.Methods: This qualitative study utilized observational research and semi-structured interviews with 8 members of the hospital team, as gathered over a 28 week period of developing and adapting a vendor-based PHR at Lucile Packard Children’s Hospital at Stanford University. A grounded theory approach was utilized to code and analyze over 100 pages of typewritten field notes and interview transcripts. This grounded analysis allowed themes to surface during the data collection process which were subsequently explored in greater detail in the observations and interviews.Results: Four major themes emerged: (1) Multidisciplinary teamwork helped team members identify crucial features of the PHR; (2) Divergent goals for the PHR existed even within the hospital team; (3) Differing organizational conceptions of the end-user between the hospital and software company differentially shaped expectations for the final product; (4) Difficulties with coordination and accountability between the hospital and software company caused major delays and expenses and strained the relationship between hospital and software vendor.Conclusions: Though commercial interoperable PHRs have great potential to improve healthcare, the process of designing and developing such systems is an inherently sociotechnical process with many complex issues and barriers. This paper offers recommendations based on the lessons learned to guide future development of such PHRs.


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