PHR v RHIO

MedicalQuack raise the issues of competing strategies and philosophies for health information exchange. One end of the spectrum is the PHR-movement, with Google Health and Microsoft’s HealthVault the front-runners. On the other end of the spectrum is the RHIO-movement, lead by insurers and governmental and non-governmental third-party providers. A fundamental question at play here is what should constitutes the individual’s health information silo? Should it reside in multiple entities relying on yet-to-be-build exchanges? Or should it reside in the individual’s silo where access is granted on a “need-to-know” basis? Aggregation and exchange versus distributed access, this will be an interesting and important contest to watch.