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Invited Commentary
March 28, 2011

How Personal Is the Personal Health Record?Comment on “The Digital Divide in Adoption and Use of a Personal Health Record”

Author Affiliations

Author Affiliations: Division of General Internal Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California (Dr Rudd); and Business Process Transformation, Sutter Physician Services, Sacramento, California (Ms Frei).

Arch Intern Med. 2011;171(6):575-576. doi:10.1001/archinternmed.2011.35

In this era of high medical costs, constrained resources, and outcome accountability, the PHR has emerged as a potential organizing principle. The PHR may mean different things to different people. On one extreme, the PHR exists as a provider-centric extension of the electronic medical record that includes a physician-maintained problem list, medication and allergy list, upcoming appointments, and recent test result summary.1 On the other extreme, the PHR may comprise a patient-centric, patient-maintained summary of health-related matters, even specifying advanced directives.2

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