Caroline Lubick Goldzweig, M.D., M.S. Co-Investigators:
Paul G. Shekelle, M.D., Ph.D.
Ali Alexander Towfigh, M.D.
Neil M. Paige, M.D., M.S.H.S.
Greg Orshansky, M.D.
David A. Haggstrom, M.D., M.A.S.
Isomi Miake-Lye, B.A.
Jessica M. Beroes, B.S.
Evidence-based Synthesis Program (ESP) Center
West Los Angeles VA Medical Center
Washington (DC): Department of Veterans Affairs; July 2012
As the Veterans Health Administration (VHA) expands the capabilities of its personal health record
system, My HealtheVet (MHV), and places greater emphasis on encouraging its use, it is interested
in understanding how best to prioritize different functionalities and which of them will provide
the greatest benefits to Veterans. This systematic review was designed to evaluate the literature
surrounding secure messaging systems and electronic applications that give patients access to their
own medical records, specifically investigating the evidence that these systems improve health
outcomes, patient satisfaction, healthcare utilization and efficiency, and adherence. Additionally,
the review examined studies that evaluated attitudes, particularly regarding patients having online
access to their own medical information. The review distinguished between electronic systems that
were "tethered" or tied to existing healthcare institution systems similar to how MHV is tethered to
VHA's EHR, versus those that were "stand-alone."