@Article{信息:doi 10.2196 / / jmir。1061，作者=“Wiljer, David和Urowitz, Sara和Apatu, Emma和DeLenardo, Claudette和Eysenbach, Gunther和Harth, Tamara和Pai, Howard和Leonard, Kevin J”，标题=“患者可访问电子健康记录:探索成功实施策略的建议”，期刊=“J Med Internet Res”，年=“2008”，月=“10月”，日=“31”，卷=“10”，数=“4”，页=“e34”，关键词=“电子健康记录(EHR);个人健康记录;医疗记录;建议;卫生规划准则;访问;背景:为患者提供电子健康记录，对于改善患者健康和对其护理的满意度，以及改善医疗保健的专业和组织方法，都有很大的希望。虽然已经确定了许多好处，但关于实施患者可访问电子健康记录(EHRs)的最佳实践仍存在许多问题。目标:制定建议，以协助卫生保健组织以有意义的、负责任的和响应性的方式向患者提供电子病历。 Methods: A Patient Accessible Electronic Health Record (PAEHR) Workshop was held with nationally and internationally renowned experts to explore issues related to providing patient access to the EHR and managing institutional change. Results: The PAEHR Workshop was attended by 45 participants who discussed recommendations for the implementation of patient accessible EHRs. Recommendations were discussed under four subject domains: (1) providing patient access to the EHR, (2) maintaining privacy and confidentiality related to the PAEHR, (3) patient education and navigation of the PAEHR, and (4) strategies for managing institutional change. The discussion focused on the need for national infrastructure, clear definitions for privacy, security and confidentiality, flexible, interoperable solutions, and patient and professional education. In addition, there was a strong call for research into all domains of patient accessible EHRs to ensure the adoption of evidence-based practices. Conclusions: Patient access to personal health information is a fundamental issue for patient engagement and empowerment. Health care professionals and organizations should consider the potential benefits and risks of patient access when developing EHR strategies. Flexible, standardized, and interoperable solutions must be integrated with outcomes-based research to activate effectively patients as partners in their health care. ", issn="1438-8871", doi="10.2196/jmir.1061", url="//www.mybigtv.com/2008/4/e34/", url="https://doi.org/10.2196/jmir.1061", url="http://www.ncbi.nlm.nih.gov/pubmed/18974036" }