Highlights of research: *Usage more than doubled from 2.7% in 2008 to 7% in 2009. However, current users are not those who can use it the most (elderly, chronically ill, low-income) *Top barriers to use: privacy concerns, lack of physician support of phr use, patients not compelled to use phr (associated solutions offered) *Conclusions: Though many varying opinions, very little data to support clear concensus of direction of PHR industry. However, companies such as Google and Microsoft are continuing with PHR product. *Recommendations: PHR vendors should parter with fitness/medical device products and charge interface fee, Generate revenue through advertisements on home page of PHR record, Partner with insurance companies, hospitals, physician offices, employers as preferred PHR vendor. Please review poster for more details including differences between Google and MS Health Vault, a fee-based PHR model and risks.