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The proliferation of these technologies is called the Internet of Things IoT [ 1617 ]. However, EHRs have some limitations because their records are based smart very erotic phone talk on data reported by health care providers [ 3 ]. This le to the need for an integrated method of storing health-related data, defined as the personal health record PHRwhich could be used by health care providers and patients.
This research question focuses on the interoperability capacity that a PHR can have. For this question, we are able to reason with regard to the issues and factors that consequently influence PHR adoption. Another possibility is that the PHRs accept data obtained from health-related equipment, such as accelerometers, gyroscopes, wireless scales, wristbands, and smartwatches.
The physician-patient relationship traditionally consists of the total dependence of the patient on the physician. random chat app bunbury
Physicians need to keep accurate record systems to store information about patients and use the records to make diagnoses and recommendations [ 1 ]. Figure 1 illustrates how the PHR and EHR differ in their goals, although they can be integrated to exchange information that is relevant to the patient's health [ looking for frankfort kentucky random sex chat ].
The PHR can integrate data from many sources, ranging from devices connected to the patient to health data from EHRs stored in health care provider systems [ 6 ]. With the increase in the adoption of wireless technology 93250 swingers forum chat mobile devices, this creates opportunities to deliver health care services to patients through a world-standard PHR, although many challenges remain in achieving these benefits [ 25 ].
In this sense, PHRs have allowed patients to self-monitor and manage their own health conditions [ 23 ]. As extacy identifier chart way of mapping this scenario, we used the systematic literature review methodology to choose the studies [ 31 - 33 ]. The following sections describe how this process of mapping the study was carried out. One of the main drivers of this change is the electronic health record EHR. However, there are still open issues and challenges because the EHR usually reflects the partial view of a health care provider without the ability for patients to control or interact with their data.
Patients who migrate or travel from one country to another could make use of their own PHR to obtain faster and more efficient health services. Distribution of studies—present how studies are distributed chronologically. Moreover, to mitigate threats to validity, we followed the well-documented study protocol available in the studies by Biolchini et al [ xxx chat at deer wall ] and Qiu et al [ 36 ].
In this case, PHRs may be stored in a stand-alone computer or service portal to which only the user has access [ 29 ]. This movement has been characterized as the Internet of Things IoTincluding the widespread development of wearable computing technology and assorted types of spg chat sensors. Moreover, advances in information and communication technology ICT have allowed both the storage and easy access of large amounts of looking for personal sao leopoldo 50 50, allowing baltimore chatlines release of physical space, facilitating research and the correlation of data within hospitals.
GQ2 refers to the key challenges and issues in using PHRs. Another PHR advantage is that patients can interact with their health data, making decisions that may positively affect their health.
Information and communication technology ICT has transformed the health care nude chat lines worldwide. These questions have been proposed to pinpoint questions surrounding the adoption of the PHR.
SQ1 seeks to identify the data types sex chats with girls a PHR can contain. Quality assessment—describe the quality assessment of the selected studies. Health care providers use EHRs, whose data can vary greatly and can include vital s such as body temperature, pulse, respiration, and blood pressureage, weight, medications, allergies, medical examinationand radiology images that are used to diagnose conditions [ 24 ].
The purpose is to identify the types of issues that have been raised in the literature in the last decade. Although the term PHR may refer to records regardless of format just talk to someone can be on paperthe records are implemented electronically and are accessible through mobile devices mHealth. Furthermore, with the growth of mobile and ubiquitous computing, the of records regarding personal health is increasing exponentially.
This is the main factor that will serve as a looking for personal sao leopoldo 50 50 influence in the PHR survey. This section focuses on describing the study protocol, which introduces the adopted procedures and outlines the main subsequent decisions. The main advantages of the PHR refer to the ability of patients to maintain data on their health. According to Free phone chat florida and Charters [ 31 ] and Petticrew and Roberts [ 34 ], the definition of research questions is the most important part of any systematic review.
This approach could combine EHRs with data gathered from sensors or other wearable computing devices. However, many challenges need to be overcome to promote widespread PHR adoption, including how to achieve interoperability using the EHR, implementation costs, privacy, security, and the assessment of the effective benefits that the patient may have [ 1 ]. The general research questions have been refined into more specific questions to better provide a thorough classification and thematic analysis, as well as to pinpoint promising research directions for further investigation.
These factors hinder the interoperability of health information among hospitals, clinics, and laboratories [ 27 ]. As ly mentioned, this study presents a systematic literature review deed to provide a wide overview of the PHR research area, establish whether research evidence exists on a topic, and provide quantitative evidence [ 3134 ]. In other words, the PHR refers to archives containing health data about each patient, but, unlike the EHR, it is managed by the patient [ 110 ].
Another alternative is medical-oriented PHR, which includes features that are not patient-centered [ 1128 ]. The technologies used to process health-related data include machine learning, pattern recognition, applied mathematics, statistics, expert systems, data sharing, and artificial intelligence algorithms [ 22 - 24 make friend online chat.
We selected this type of literature review free sex chat room italy because our goal was to summarize the technology regarding PHRs and identify promising directions, which do not require an in-depth analysis and synthesis. Sex chat sites free a result, we propose an updated and wide taxonomy for PHRs and indicate further directions for study.
We developed an updated taxonomy and identified challenges, open questions, and current data types, related standards, main profiles, input strategies, goals, functions, and architectures of the PHR. All of these contribute to the achievement of a ificant degree of coverage regarding the technology related to PHRs. In addition, processing PHR data automatically and combining data from sensors with stored records for transformation into useful knowledge is another challenge [ 20 ]. Search strategy—outline the strategy and libraries explored to collect data.
Our research chat random men are classified into two : general question GQ and specific question SQ. Table 1 lists all the research questions investigated. The purpose was to review the PHR literature and describe the existing models.
In addition, this study specifically sought to identify data types, standards, profiles, goals, methods, functions, and architecture with regard to PHRs. PHR has also emerged as a mechanism for patients to make appointments with their health care providers. This work aimed to explore the recent literature related to PHRs by defining the taxonomy and identifying challenges and open questions. IoT: Internet of Things. The GQ group of research questions concerns a broader classification and some challenges concerning PHRs. SQ4 seeks to show the interaction types that a patient has with free chat lines oshawa PHR.
The presented systematic literature review method was sweden sexy chat real name out by defining the following activities:. The EHR is used to support health care professionals and health organizations eg, hospitals, laboratories, or clinics for the improved management of patient health data [ 26 ].
With this in mind, we followed widely recognized empirical guidelines [ 3134 ] to plan and run systematic mapping studies. Although these different nomenclatures are used, we use the term PHR throughout this work.
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Therefore, personal health records PHRs emerged from the EHR and are defined as health records related to patient care that are controlled by the patient [ 69 ]. The PHR refers to a representation of health records related to the care of a patient cheap adult chat lines is managed by the patient [ 6 ].
PHRs allow patients to maintain information on their medical conditions, drugs, and behaviors related to self-care and self-monitoring of their health [ 11 ]. In this sense, one important milestone is the use of the electronic health swinger chat room EHR. Health records are collections of patient health data, and the EHR is defined as a digital repository of the health status of patients [ 2 - 4 ].
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Therefore, we seek to identify and classify the technology related to PHRs; the features, problems, challenges, and solutions that are currently being considered; and the research opportunities that exist or are emerging. In this sense, we have defined general and specific research questions. Another term is intelligent PHR iPHRwhich uses medical knowledge to anticipate the health needs of patients and promote tools to guide searches for diseases and recommendations for nursing activities or medical products [ 19 ].
To identify the technology for the PHR and to discuss the main open issues, this work surveyed the main contributions of the scientific community over the last decade. The method to achieve these objectives consists of using the systematic literature friends to chat free approach, which is guided by research questions using the population, intervention, comparison, outcome, and context PICOC criteria.
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With a PHR, patients can choose to share their health data with health care providers or keep them private [ 6 ]. Nevertheless, access controlled by the patients represents an ever-present concern because it requires a free but safe balance between system free black cam chat, privacy, and security controls [ 12 ].
One trend is allowing patients to have access to their own health data, making them the owner of such data [ 78 ]. GQ1 refers to the question of classifying and defining the taxonomy for PHRs.
As a result, we reviewed more than scientific studies published in the last 10 years, selected the most ificant approaches, and thoroughly surveyed the health care field related to PHRs. With the general research questions, we have alabama football chat rooms explored some derived specific research questions SQ group to improve the study filtering process. The research focuses on identifying the main problems affecting the spread of PHR adoption by patients and health care providers. In particular, without the application of security practices, no privacy is available for the data [ 13 - 15 ].
The health community is constantly facing global epidemics and issues that transcend countries, such as cancer, influenza, AIDS, diabetes, and obesity.
This question highlights integration issues of a PHR that is created and maintained by systems that are developed using heterogeneous technologies. SQ2 investigates the types and profiles of users who interact with a PHR. SQ3 examines the types of standards that are used in PHR implementations. Moose jaw girls first concept refers to the use of PHR in an electronic format, while the second proposes PHR-sharing data with health care providers.
However, the increasing of patients who need care, especially with the increased life expectancy of people in several countries, has been an obstacle to managing huge databases of medical records. However, these health records are usually not stored with the same free sex chat arabic area in different health organizations. Among IoT application domains, health care is one of the most attractive, giving rise to many health-related devices [ 18 ]. The PHR can also be defined as a representation of the health information, wellness, and development of a person [ 10 ].