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Personal Electronic Health Records: Clinical Effectiveness, Cost-Effectiveness and Guidelines

Last updated: March 4, 2016
Project Number: RC0757-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of personal electronic health records for patients managing an active chronic health condition?
  2. What is the cost-effectiveness of personal electronic health records for patients managing an active chronic health condition?
  3. What are the evidence-based guidelines regarding the use of personal electronic health records by patients managing an active chronic health condition?

Key Message

There was insufficient evidence to directly demonstrate the effect of personal electronic health records on important health outcomes. Improved laboratory results such as lower blood pressure, decreased HbA1c levels and decreased cholesterol levels were reported in the intervention group; however, a statistically significant difference was not always detected, or a clinically significant difference was not observed between treatment groups. On the other hand, the use of personal electronic health records is related to better patient-provider communication, improved patient satisfaction and improved self-disease management. More economic evidence is needed to demonstrate the cost-effectiveness of personal electronic health records.