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Ferguson8Open in the new tabProvision personal electronic health records as a part of a wider package of care can reduce the clinician workload and overall health costs. The US health maintenance organization Kaiser Permanente, for example, montblanc greta garbo gif meaning offers an electronic records system, which includes 'My health manager,' a customizable portal where members can have access to parts of their central record holder, y including lab results, medications, allergies, immunizations, past clinical visit and important diagnoses; patients can send their doctor by a secure connection.16 17 by mid-2008, 2.4 million Kaisers 8,700,000 members had registered with My Health Manager, usually for repeat prescriptions. Use of the system has been associated with up to 10% fewer visits to the doctor and a significant reduction in phone calls.18 A survey of members who have been actively using this technology have shown that most perceived as helpful and easy to use.16Other studies, however, have shown slow absorption of using personal electronic health records by patients and montblanc ingrid bergman la donna black & gold rollerball pen clinicians, low levels of awareness and unrealistic expectations.10 19 properties of materials and functionality technology montblanc pen warranty 4ever appear to be important factors that determine admission and 20 use.13 Some doctors have expressed concern that personal electronic health records 'free range' (that is, those montblanc pen zapper meaning that are not related to the required clinical records or included in a broader package of care) can montblanc pen zapper meaning promote unhealthy consumption rather than empowerment.21 Microsoft and Google each recently launched an electronic personal health record (Health Vault and Google Health, respectively), raises questions about how whose use by people of these documents can occur regardless of package.HealthSpace professional clinical care leads an accessible Internet personal electronic journal, was introduced in the National Health Service in English in montblanc pen zapper meaning 2007, inspired by Kaiser model .22 This is an evolving technology; various functions have been commissioned at different times, and more changes are planned (Box 1).
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