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Objectives New to Healthy People 2020
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HC/HIT HP2020–7:
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(Developmental) Increase the proportion of persons who use electronic personal health management tools.
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a. Increase the proportion of persons who use the Internet to keep track of personal health information, such as care received, test results, or upcoming medical appointments.
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b. Increase the proportion of persons who use the Internet to communicate with their provider.
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Status: New to Healthy People 2020.
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View Objective Comments
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Objective Clarification, Objective Text:
Privacy and security must be addressed in this objective. Language should be added that reflects understanding of the privacy and security risks of using electronic personal health management tools. Any time the internet is referenced, the term “secure network” should be added. There is currently an expanding commercial market for personal health records, including from large businesses, and patients should be educated on the tools that are available, in addition to the risks and responsibilities of using on-line health management tools.
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Objective Clarification, Objective Text:
The American Public Health Association’s Health Informatics Information Technology Section requests that the text of this objective be modified. We suggest:
Increase the proportion of persons who use electronic personal health promotion and management tools.
Sub-objective a. Increase the proportion of persons who use the Internet to keep track of personal health information, such as care received, test results, or upcoming medical appointments.
Sub-objective b. Increase the proportion of persons who use the Internet to communicate with their provider.
Sub-objective c. Increase the proportion of persons who use the Internet to find genetic information.
Sub-objective d. Increase the proportion of persons who use the Internet for chronic disease management.
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Objective Clarification:
HC/HIT7 and 8 Is there evidence that these interventions improve health behaviors?
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Objective Clarification:
The main part of the objective talks about "electronic personal health management tools" but the sub-categories only refer to internet usage, not other electronic tools. One or the other should be adjusted so the objective and sub-categories are consistent.
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Objective Clarification, Objective Text:
ASHP recommends adding a complete medication list as a component of electronic personal health management tools described in this objective. The revised objective could read as follows: “Increase the proportion of persons who use the Internet to keep track of personal health information, such as care received, test results, upcoming medical appointments, AND A COMPLETE MEDICATION LIST.” The health care system has a responsibility to educate the public on the importance of every individual retaining an up-to-date and readily accessible list of medications. There are several secure online electronic medication lists to which patients may designate access by caregivers in the health system or community, such as Google Health (www.google.com/health) or Microsoft’s HealthVault (www.healthvault.com/).
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Objective Clarification:
Given the sensitivity of this sort of information and the high level of expertise required to maintain a secure web browsing environment this goal is of questionable value.
Computers and internet access are expensive and difficult to maintain, keeping a personal machine secure enough to access sensitive information, such as medical history and test results or discussions of medical conditions is even more costly. It is not clear that this is a cost-effective way of improving public health.
There are commercial forces pushing this sort of development, (i.e. many providers try to push this on their patients, whether they want it or not). This is not appropriate as a goal in HP2020 unless there is clear evidence that promoting this is a cost effective way of improving overall public health.
Also, the potential benefits in terms of informed patients must be weighed against the costs of this information being more readily available to unauthorized users.
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Objective Clarification, Objective Text:
I think this is a very useful objective to be included in HP 2020, because access to information is a very powerful determinant of empowerment and confidence in making the best health decisions.
I think the language in part "a" might be clarified a bit. "Track" implies that a person "keeps track" of their personal health information, which might be considered different than "has access to health information generated about them in the health care process."
I think this is the essence of part b. of the objective.
This objective is supportive of the idea that Americans will have access to people and tools in the health care system outside of the in-person provider visit. This is very important for the maintenance of health, across a diversity of populations.
Thank you again for the opportunity to comment.
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Objective Text:
I have experience with item a and the shared care plan idea. However, since patients can choose what they put into their plan which can be either inaccurate or misleading, it has little value. A better idea is shared care between health care providers.
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Content for this site is maintained by the Office
of Disease Prevention & Health Promotion,
U.S. Department of Health and Human Services.
Last revised:
October 30, 2009
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