New Technologies Fostering Self-Care Source: The Advisory Board Company Interviews and Analysis, 2013.
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CMS initiated a pilot PHR program in 2009 for clients to add supplemental information to their health record, authorize access to third parties such as family members, and track and view claims. The evaluation of this pilot showed the preferences of consumers to include download- able data, direct on-line communication between client and provider, simplified log-ins, and strong technical support.
Nursing clinics, community health centers, and primary care centers are using EHRs, PHRs, and/or cell phone technology to offer comprehensive resources, including easily cus- tomized and self-managed online portfolios (see Figure 4–3). The smartphone, named one of the top medical trends for 2013, increases greatly the option of clients’ involvement in their health care. Governmental approval of mobile software applications such as ones that help clients monitor potential skin cancers, or that provide doctors with a mobile electrocar- diogram, are being promoted as ways to fight disease and get health care costs under control (ANA, SmartBrief, 2012).
Social media such as Facebook and Twitter optimize communications with clients. Tai- lored health information, delivered through these new informatics interventions, has the poten- tial for enhancing self-efficacy, improving decision making, increasing healthy behaviors, and fostering self-care. The potential for consumers to be involved in the ownership and mainte- nance of their health record with “cradle-to-grave” information is especially relevant for com- puter users and technology-savvy consumers who interface with providers and health systems. Age, race, and culture are significant discriminators of computer/Internet home usage, with 65 and older people’s usage at 29.8% and all other age groups’ usage ranging from 55.2% to 62.6%. Whites (56.1%) are more likely to use a home computer to connect to the Internet than Blacks (41.7%) and Hispanics (35.4%) are.