000000411 001__ 411 000000411 005__ 20250424232521.0 000000411 0247_ $$2DOI$$a10.6083/M4RJ4GDV 000000411 037__ $$aETD 000000411 245__ $$aChange driven by the patient consumer a study of organizational behavior in the context of consumer health informatics 000000411 260__ $$bOregon Health and Science University 000000411 269__ $$a2009 000000411 336__ $$aCapstone 000000411 502__ $$bM.B.I. 000000411 502__ $$gBiomedical Informatics 000000411 520__ $$aOrganizations have become adept at initiating and managing change, but tend to enact change reactively. Patients are increasingly behaving as consumers, and are beginning to drive the process of organizational change. However, traditional models of initiating and transitioning change appear less relevant in this context. The personal health record (PHR) perhaps best exemplifies patient empowerment in their medical care. This paper examines the history, advantages, and limitations of personal health records, and delineates patient and provider perceptions. The impact of consumerism on clinical practice, organizational changes driven by patient requests, and the role of patients, providers, the media, and marketing are analyzed in this study. Tethered and untethered PHRs are compared and contrasted from the organizational perspective, and the safety and security implications of PHR use are discussed. 000000411 540__ $$fCC BY 000000411 542__ $$fIn copyright - single owner 000000411 650__ $$aOrganizational Innovation$$023274 000000411 650__ $$aMedical Records$$021947 000000411 650__ $$aChange Management$$012897 000000411 691__ $$aSchool of Medicine$$041369 000000411 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000000411 7001_ $$aMohan, Vishnu$$uOregon Health and Science University$$041354 000000411 7201_ $$aJimison, Holly$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor 000000411 8564_ $$9de04b8cc-dca6-4582-bb5a-601bcd136cfb$$s551346$$uhttps://digitalcollections.ohsu.edu/record/411/files/412_etd.pdf$$ePublic$$24bfb2cd53aeec5e835498468184ee9f1$$31 000000411 905__ $$a/rest/prod/3f/46/25/45/3f462545z 000000411 909CO $$ooai:digitalcollections.ohsu.edu:411$$pstudent-work 000000411 980__ $$aBiomedical Informatics