期刊名称：Communications of the Association for Information Systems
印刷版ISSN：1529-3181
出版年度：2012
卷号：30
期号：1
页码：6
出版社：Association for Information Systems
摘要：Health care reform requires an information-system paradigm shift. We present an innovative implementation involving an unbound, interoperable PHR platform that enforces patient permissions while exchanging structured data via Web services with certified EHRs. We draw on a strategic health information technology framework and a disruptive-innovation argument for the underlying conceptual basis. We describe how the platform’s three-tier architecture supports rights–managed care coordination. Finally, we discuss future observational and experimental research on the platform’s cost-effectiveness.
关键词：care plan; care coordination; disruptive innovation; health care reform; interoperability; meaningful use; patient privacy; personal health record; PHR
