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COMMENTARY Electronic Health Records in the Age of Social Networks and Global Telecommunications eracy levels, participation in self-care, health promotion, and Aviv Shachak, PhD disease prevention efforts by the public. Although by defi- Alejandro R. Jadad, MD, DPhil nition EHRs are controlled and managed by authorized cli- nicians and other staff of 1 or more health care organiza- N AUGUST 20, 2009, THE US GOVERNMENT AN- tions, an important element would be to allow patients access nounced $1.2 billion in new grants as part of to their own information online. the American Recovery and Reinvestment Act Oto promote “meaningful use” of electronic health Fully Integrated and Interoperable Components records (EHRs) by all individuals in 2011, and to support The development of standards to allow for data inter- the development of mechanisms for information sharing change, semantic interoperability, and data security has through EHRs in the United States. This investment is hap- been—and will continue to be—a major issue in the devel- pening at a time of massive reduction in the costs of data opment of health information technology. However, many collection, exchange, and storage; of convergence of tech- initiatives to date are at the local level. The current impe-
JAMA – American Medical Association
Published: Feb 3, 2010
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