An overall health and well-being data model for employer-sponsored personal health records

With the need for employee-directed health management in organisations, employers have started to utilise personal health records' (PHRs) potential to shift health management responsibility to employees. Whilst the overall well-being of employees in organisations has become the trend in wellness activities at work, existing literature has paid less attention to identifying proper data organisation and management in employer-sponsored personal health records (ESPHRs) for overall health and well-being management of employees. We conducted three focus group discussions with 26 participants comprised of employees and employers to identify information concerns in occupational health and well-being management. We found that health and well-being data can be organised into six main domains when considering the overall health and well-being of employees. Consequently, a survey was conducted among 360 respondents to identify employees' and employers' perception of the usefulness of having overall health and well-being information in ESPHRs. We found that both parties accept the importance of all health and well-being information domains in ESPHRs. However, employees believe there is more usefulness in having physical health and healthy behaviour information in ESPHRs, while employers see the importance of work environment, emotional health, basic access and life evaluation information as more useful to have in ESPHRs. Information concerns identified through a thematic analysis were then used to develop an overall health and well-being data model for ESPHRs. These findings suggest that a new data organisation in ESPHRs when profiling employee health and well-being data has a high chance of achieving effective ESPHR system use in organisations

Personal health record architectures: Technology infrastructure implications and dependencies

The existing literature in relation to electronic personal health records (PHRs) has typically focused on the discussion of several key issues—namely, their design, functional evaluation, privacy, security and architecture. The benefits of PHRs and barriers preventing their adoption are also widely discussed. These issues are affected by technology infrastructure, and current and planned technology infrastructure deployment will be key determinants in the selection and design of PHR architectures. Assumptions about the community-wide deployment of required technologies such as hardware and internet accessibility are implicit in the architectural selection of PHRs and these dependencies have not been fully appreciated or addressed in the existing literature. This review article introduces and describes two infrastructural drivers—ubiquitous technology baseline for PHRs and connectivity coverage—and examines their inter-relationships with the selected PHR architectures. Eleven functional capabilities are also described, providing a basis for the analysis of the relationships between the two infrastructural drivers and architectural selection