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Using your medical records to provide continuity of care

It is rare today to receive all of your healthcare needs from one healthcare provider in the same location. Many of us need to change doctors because we’re moving to another part of the country or because we have changed jobs and health plans. Often our health conditions necessitate being seen and treated by more than one physician. For example, an individual with diabetes and diabetes-related complications, such as diabetic renal failure and retinopathy will likely need three or four different physicians: a primary care physician to coordinate all care, an endocrinologist for the diabetes control, a nephrologist for the kidney failure and an ophthalmologist for the retinopathy.

Even for those of us who have maintained one consistent primary care physician for our entire adult lives, there can be challenges to the coordination of health information. For example, let’s say your primary care physician admits you to the hospital for a bout of pneumonia and she is the only physician treating you during the hospital stay. The information collected on you in the hospital stays in the hospital, not your physician’s office. Your physician will have access to the information, but the location of that information is the hospital. Some hospitals do provide their medical staff with access to scanned or imaged medical records of their patients via the Internet. While computerized access makes it easier for your physician to view your record, there are not yet any hospitals allowing patients computerized access to their own health information.

It is possible to rely upon the different physicians who may be treating you, your child or parent to communicate and coordinate all information. And most do a very good job of this. But the bottom line is that virtually no physician will have the same level of interest in keeping every piece of your health information as up to date and accessible as you may want or need it to be. Maintaining a comprehensive set of health information about you, in one location, accessible to you (and anyone you want to share the information with) is no one’s responsibility. No one, that is, except you.

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Ruthann Russo, PhD, JD, MPH, RHIT, is a healthcare expert with more than 20 years of experience working in and advising healthcare organizations.

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