Difference between revisions of "Google Health"

Revision as of 10:36, 22 May 2010

Introduction

Google launched Google Health (1) in early 2008 as a web based personal health record (PHR) system for consumers to store their own health records. Members are allowed to maintain, store and update their own health care records, as well as limited ability to upload medical records from partner hospitals, providers, and pharmacies. The service is currently free, although members must have a Google account. The main competitor in this arena is Microsoft HealthVault (2), which offers similar features. The benefits of a PHR are perceived to be patient centered control of one’s own health information, as well as improved access to this information across a multitude of settings. (3) Consumers can manually enter their own health information such as medications, allergies, immunizations, procedures, medical conditions, and test results. Existing paper medical records can be converted and imported by third party websites for a fee. It is possible to electronically import medical records from a handful of major health plans such as the Cleveland Clinic, Beth Israel Deaconess Medical Center, and Harvard Pilgrim Healthcare among others. Many major pharmacies as well as the CVS MinuteClinic also provide access to patient information via Google Health.

Security and Privacy

Google advises users that the individual controls access to their health information unless the user specifically authorizes others to do so. Google has a detailed health information privacy policy; however it is not subject to the Health Insurance Portability and Accountability Act (HIPAA). (4)

Additional Features

In addition to the personal health record, Google Health offers a variety of links to online health services, predominantly focused on laboratory and prescription medication providers. General health and wellness links, as well as specialized cardiac and diabetic health websites are also available.

Future of Google Health and other PHRs

The future of PHRs is unknown. PHRs provide the greatest degree of individual control However, many enterprise electronic medical record (EMR) systems now offer patient portals (5) which provide patient access to an individual’s medical record in a secure fashion. In addition, the developing Regional Health Information Organizations (RHIOs) (6) offer an alternative means to aggregate an individual’s health information from a variety of sources . The security and privacy of PHRs will likely remain a concern.

References

1 http://www.google.com/intl/en/health/about/index.html

2 http://www.healthvault.com/Personal/index.aspx

3 http://www.citl.org/_pdf/CITL_PHR_Report.pdf

4 http://www.google.com/intl/en/health/privacy.html

5 Healthcare Informatics 2009 February;25(14):45-49

6 http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_028980.hcsp?dDocName=bok1_028980

Submitted by Joel D Lafleur MD