Patient-Reported Measures Of Psychosocial Issues And Health Behavior Should Be Added To Electronic Health Records

Recent legislation and delivery system reform efforts are greatly expanding the use of electronic health records. For these efforts to reach their full potential, they must actively involve patients and include patient-reported information about such topics as health behavior, preferences, and psych...

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Bibliographic Details
Published in:Health Affairs 2012-03, Vol.31 (3), p.497-504
Main Authors: Glasgow, Russell E., Kaplan, Robert M., Ockene, Judith K., Fisher, Edwin B., Emmons, Karen M.
Format: Article
Language:English
Subjects:
Alcohol
Alcohol use
American Recovery & Reinvestment Act 2009-US
Electronic health records
Exercise
Health behavior
Health care industry
Health care policy
Health literacy
Legislation
Medical records
Mental depression
Mental health
Patients
Personal health
Primary care
Quality of life
Smoking
Studies
Technology adoption
Tobacco
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Summary:Recent legislation and delivery system reform efforts are greatly expanding the use of electronic health records. For these efforts to reach their full potential, they must actively involve patients and include patient-reported information about such topics as health behavior, preferences, and psychosocial functioning. We offer a plan for including standardized, practical patient-reported measures as part of electronic health records, quality and performance indexes, the primary care medical home, and research collaborations. These measures must meet certain criteria, including being valid, reliable, sensitive to change, and available in multiple languages. Clinicians, patients, and policy makers also must be able to understand the measures and take action based on them. Including more patient-reported items in electronic health records would enhance health, patient-centered care, and the capacity to undertake population-based research. [PUBLICATION ABSTRACT]
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2010.1295