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The findings raise questions about how eHealth programmes in

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pandora charms Three hundred tickets was the goal set for the workers by the executive committee. The campaign was pronounced a complete success and the workers were dismissed with thanks. Monday. Conceptualising such records dynamically (as components of a socio technical network) rather than statically (as containers for data) and employing user centred design techniques might improve their chances of adoption and use. The findings raise questions about how eHealth programmes in England are developed and approved at policy level.IntroductionIn Britain as in many other countries, the prevalence of long term conditions is increasing but the budget for providing services is falling in real terms.1 Patients’ involvement in their care is viewed by some as both inherently desirable (empowering) and potentially cost saving.2 The vision for informed, self managing patients as active partners in healthcare represents a major cultural shift from the paternalistic, disease focused models of the past (fig 1).3 4 Personal electronic health records, managed by patients and interfacing with clinician held records, are seen as having a key role in the new care model, by facilitating storage and exchange of information, promoting engagement with self management, and supporting continuity of care,5 6 7 8 9 although they raise practical, ethical, legal, clinical, technical, cultural, and financial challenges.6 10 11 12 13 14 15vision of specialist driven care shifting to patient driven care as information age replaces industrial age. Adapted from FergusonFig 1Policy vision of specialist driven care shifting to patient driven care as information age replaces industrial age pandora charms.

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