Title: Toward a patient–centric medical information model: issues and challenges for US adoption

Authors: Daniel Lorence, Sabatini Monatesti, Robert Margenthaler, Ellen Hoadley

Addresses: Department of Health Policy and Administration, 114 Henderson HHD, Pennsylvania State University, University Park, PA 16802, USA. ' ES Enterprises Inc., 919 Belair Drive, Berwick, PA, USA. ' Sellinger School of Business and Management, Loyola College, 4501 N. Charles Street, Baltimore, MD 21210, USA. ' Sellinger School of Business and Management, Loyola College, 4501 N. Charles Street, Baltimore, MD 21210, USA

Abstract: As the USA moves, incrementally, toward evidence-based medicine, there is growing awareness of the importance of innovation in information management. Mandates for change include improved use of resources, accelerated diffusion of knowledge and an advanced consumer role. Key among these requirements is the need for a fundamentally different patient information recording system. Within the challenges identified in the most recent national health information technology initiative, we propose a model for an electronic, patient-centric medical information infrastructure, highlighting a transportable, scalable and integrated resource. We identify resources available for technology transfer, promoting consumers as integral parts of the collaborative medical decision-making process.

Keywords: consumer-centric information; CPR; data fusion; EHR; infrastructure; medical records; NHII; ONCHIT; patient-centric information; PHR; innovation; information management; evidence-based medicine; patient information; patient records; technology transfer; e-healthcare; electronic healthcare; information technology; medical information.

DOI: 10.1504/IJEH.2005.006677

International Journal of Electronic Healthcare, 2005 Vol.1 No.4, pp.349 - 364

Published online: 01 Apr 2005 *

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