The value of personal health record (PHR) systems

Personal health records (PHRs) are a rapidly growing area of health information technology despite a lack of significant value-based assessment.Here we present an assessment of the potential value of PHR systems, looking at both costs and benefits.We examine provider-tethered, payer-tethered, and th...

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Bibliographic Details
Published inAMIA ... Annual Symposium proceedings Vol. 2008; pp. 343 - 347
Main Authors Kaelber, David, Pan, Eric C
Format Journal Article
LanguageEnglish
Published United States American Medical Informatics Association 06.11.2008
Subjects
Cost-Benefit Analysis
Health Care Costs - statistics & numerical data
Health Records, Personal - economics
Medical Records Systems, Computerized - economics
Models, Economic
United States
United States
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Summary:Personal health records (PHRs) are a rapidly growing area of health information technology despite a lack of significant value-based assessment.Here we present an assessment of the potential value of PHR systems, looking at both costs and benefits.We examine provider-tethered, payer-tethered, and third-party PHRs, as well as idealized interoperable PHRs. An analytical model was developed that considered eight PHR application and infrastructure functions. Our analysis projects the initial and annual costs and annual benefits of PHRs to the entire US over the next 10 years.This PHR analysis shows that all forms of PHRs have initial net negative value. However, at the end of 10 years, steady state annual net value ranging from$13 billion to -$29 billion. Interoperable PHRs provide the most value, followed by third-party PHRs and payer-tethered PHRs also showing positive net value. Provider-tethered PHRs constantly demonstrating negative net value.
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ISSN:1559-4076