Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Introduction and History of Modern Health Care in the U.S.
Lecture:Core Values and Paradigm Shifts in U.S. Health Care
Slide content:Paradigm Shifts in Medicine: Physician-Kept Records to Personal Health Records F irst medical records were maintained by physicians as notes 1907 first individual records developed and centrally located in Mayo Clinic Advances in technology led to the electronic medical records Current trend is towards the personal health record, which is created and maintained by the patient 11
Slide notes:The next paradigm shift that we will examine is the shift from physician-kept patient records to personal health records. The first medical records were notes that were maintained by physicians. In 1907, Dr. Henry Stanley Plummer at the Mayo Clinic in Rochester, Minnesota, developed a system of medical records where each individual patient was assigned his or her own record. These records were stored in a centralized fashion in the Mayo Clinic, and any clinician who was taking care of a patient could access the patient record. Now current advances in technology have led to the electronic medical record, but these are still usually created, maintained, and updated by the provider or the system. The current trend is towards the personal health record, which is created and maintained by the patient. The patient has significant control over the content within the personal health record and can even assign different privileges to different providers. 11