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Patient-centered Applications: Use of Information Technology to Promote Disease Management and Wellness. A White Paper by the AMIA Knowledge in Motion Working Group

^a University of Washington, Seattle, WA
^b Medical University of South Carolina, Charleston, SC
^c University of Minnesota, Minneapolis, MN
^d University of Pittsburgh, Pittsburgh, PA
^e Health Care Analytics Group, Boston, MA
^f Linköping University, Linköping, Sweden
^g University of Geneva, Geneva, Switzerland
^h Results4Care, Amsterdam, The Netherlands
ⁱ University of California, Davis, Davis, CA.

^_* Correspondence: George Demiris, PhD, University of Washington, BNHS-Box 357266, Seattle, WA 98195-7266 (Email: gdemiris{at}u.washington.edu).

Received for publication: 04/30/07; accepted for publication: 10/03/07.

Advances in information technology (IT) enable a fundamental redesign of health care processes based on the use and integration of electronic communication at all levels. New communication technologies can support a transition from institution centric to patient-centric applications. This white paper defines key principles and challenges for designers, policy makers, and evaluators of patient-centered technologies for disease management and prevention. It reviews current and emerging trends; highlights challenges related to design, evaluation, reimbursement and usability; and reaches conclusions for next steps that will advance the domain.