title: Holism, health and data - managing the person-centred digital haystack.
abstract: There is currently very legitimate pressure to change the function of health information systems to more explicitly serve and support the individual. Concurrently other support services to health, including condition monitoring, social care and intelligent housing, add to the complexity of patient health related data. A paradigm shift is needed, to recognize that many agencies and systems outside as well as within the health sector all work to support the citizen's health, yet the essential integrated view is not being provided, even though much needed not least by the citizen and their agents. Broker technologies can enable this new paradigm. Moreover, a move to identifying the patient's appointments and support services would enable a daily life dimension to be given due weight, and would recognize the patient's viewpoint in wanting to live an ordered life, not one subservient and reactive to the delivery of care by providers.
authors.affiliation: School of Public Policy and Professional Practice; and Public Policy and Management Research Institute, Keele University, Keele, Staffordshire, ST5 5BG, UK. m.j.rigby@keele.ac.uk
authors.forename: Michael
authors.initials: M
authors.lastname: Rigby
mesh_terms: D022126:Access to Information; D006694:Holistic Health; D006801:Humans; D019451:Information Management; D010358:Patient Participation; D006113:United Kingdom