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role of information technology in health services

USA.gov. NLM 25. US wearable user penetration 2017, by age|Statistic. RFID (radio-frequency identification) technology also helps enhance patient care by providing information about the patient’s vital signs, and temperature. Brodie M, Flournoy RE, Altman DE, et al. [Equity, intercultural approaches and access to information on traditional, complementary and integrative medicines in the AmericasEquidade, abordagens interculturais e acesso a informações sobre medicinas tradicionais, complementares e integrativas nas Américas]. Community engagement, cultural competency, and patient-centered care were highlighted as key to improving health equity, as well as to promoting scalable, sustainable, and effective health IT interventions. Technology must play a central role for proposed health care reform to contain costs, improve access, and save lives. Avilés-Santa ML, Hsu L, Lam TK, Arteaga SS, Artiles L, Coady S, Cooper LS, Curry J, Desvigne-Nickens P, Nicastro HL, Rosario A. 9.  |  30 mins. Conclusions From the Workshop “Addressing Health Disparities Through the Utilization of. 2018;378:1291–1301. [email protected]. It could be private as well as public clinics, hospitals, and doctor’s private chambers. Moreover, effective Health IT evaluations require implementation science methods. Casey JA, Schwartz BS, Stewart WF, et al. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Embracing digital … Harris DA, Pensa MA, Redlich CA, Pisani MA, Rosenthal MS. Ann Am Thorac Soc. For 24% of rural Americans, high-speed internet is a major problem. Levels of patient engagement in health self-management vary, as many patients are busy working and/or caring for others. E-mail: [email protected]. 1. Hoddinott J, Gillespie S, Yosef S. Public-private partnerships and undernutrition: examples and future prospects. 1993;36:18–1. Skeels MM, Unruh KT, Powell C, et al. Finally, given the vast ecosystem of (often incompatible) health IT systems supported by different commercial vendors, further research is needed to improve interoperability, data integration, and health information exchange, particularly in underresourced health care settings, such as community health centers, rural health centers, and small private practices. Screening for social determinants of health in clinical care: moving from the margins to the mainstream. Such efforts should strive to promote evidence-based health care, enhance communication among the members of the health care team to identify gaps in care, and increase understanding of disparities. The Electronic Medical Records and Genomics (eMERGE) Network: past, present, and future. Impact of scribes on physician satisfaction, patient satisfaction, and charting efficiency: a randomized controlled trial. This should include protection from data manipulation, falsification, theft, destruction due to equipment failures or natural and manmade disasters, and cyber-attacks. Int J MCH AIDS. 13. J Clin Bioinform. 22. Ann Fam Med. Lower-income Americans still lag in tech adoption. Lippincott Journals Subscribers, use your username or email along with your password to log in. Identify practices, procedures, and programs that promote respect, trust, and equity in the design and implementation of data systems. Encourage mixed-methods and participatory approaches to evaluating which health information is most relevant to clinicians and patients to improve health care decision-making. Any effective system-level strategy must also ensure that data are protected. You may be trying to access this site from a secured browser on the server. These summarized findings are based on scientific talks and discussions presented at the NIMHD-funded workshop “Addressing Health Disparities through the Utilization of Health Information Technology,” in Gaithersburg, Maryland. JMIR Med Inform. 2013;15:761–771. While the EHR is potentially a major source of actionable data, many practical concerns need to be addressed to ensure its use in this way, such as aligning the needs of health care providers and IT engineers; promoting trust in the EHR as a reliable source of data; and making EHRs more user-friendly to clinicians, patients, and researchers. Ann Glob Health. It facilitates real-time tracking of location, communication, and identification. Efforts to address disparities should reflect the experiences of the affected populations, and the methods for doing so should themselves be respectful of the needs and customs of those populations. Data should be collected in a way that is not disruptive, and researchers should provide results and feedback that are useful to patients. Some error has occurred while processing your request. Depending on their position, health IT professionals might build, implement, or support electronic health records (EHRs) and other systems that store patient-related data. “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health. Institute of Medicine. PloS One. Health information technology (health IT) specialists handle the technical aspects of managing patient health information. 18. 31. The leadership must lead, establish a vision, communicate, manage the trust, plan the change, implement the change, and iterate as the organization experience the change. 37. Andermann A. Information technology has the potential to give doctors and providers of medical care a much more complete picture of the patient in front of them, and patients a much easier way to access their complete medical history. Search for Similar Articles Role of Information Technology in Human Health: Information technology is playing a major role in bioinformatics, genome sequencing, biotechnology, gene engineering, online medical transcription and in maintaining DTA databases for a better human health. Pew Research Center. BMC Health Serv Res. Health communication and health information technology (IT) are central to health care, public health, and the way our society views health. A smart, ubiquitous electronic … Pew Research Center. Funding of Hispanic/Latino Health-Related Research by the National Institutes of Health: An Analysis of the Portfolio of Research Program Grants on Six Health Topic Areas. 2019. Am J Manag Care. Impact of a population health management intervention on disparities in cardiovascular disease control. 33. Please try after some time. 2020 Oct 16;20(1):958. doi: 10.1186/s12913-020-05808-z. Hernandez-Aguado I, Zaragoza GA. Support of public-private partnerships in health promotion and conflicts of interest. 2017;15:427–433. 2018;110:90–97. Goetz Goldberg D, Kuzel AJ, Feng LB, et al. 2007;85:17–25. Ha JF, Longnecker N. Doctor-patient communication: a review. 2003;22:1–16. Gottesman O, Kuivaniemi H, Tromp G, et al. 2017. 2015;3:85–95. For example, the certification process provided by the Office of the National Coordinator (ONC) for health IT (http://www.healthit.gov/) increased IT adoption and meaningful use among rural providers. The findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the National Institutes of Health. Participatory approaches to system development that engage physicians in designing new clinical IT tools21 have proven effective. J Am Med Inform Assn. modify the keyword list to augment your search. 800-638-3030 (within USA), 301-223-2300 (international) Demographics of internet and home broadband usage in the United States. 2018. Innovative technologies that capture new data streams will be most effective if data collection methods are standardized.2 The literature recommends which SDH data should be collected, but says little about the form such data should take, or on the data capture technologies and/or data protection methods needed to obtain such data in a way that can be used to address health disparities. Epub 2015 Jan 5. Patient Educ Couns. Community-based Participatory Research Is Needed to Address Pulmonary Health Disparities. 11. 34. Health surveillance of premises. Your message has been successfully sent to your colleague. Ideas about health and behaviors are shaped by the communication, information, and technology that people interact with every day. 35. ADVERTISEMENTS: Role of Information Technology in Environment and Human Health! Using electronic health records for population health research: a review of methods and applications. 2016;23:407–412. Disabled Americans less likely to use technology. The authors declare no conflict of interest. 16. J Am Med Inform Assoc.  |  Zhang, Xinzhi MD, PhD*; Hailu, Benyam MD, MPH*; Tabor, Derrick C. PhD*; Gold, Rachel PhD, MPH†; Sayre, Michael H. PhD*; Sim, Ida PhD, MD‡; Jean-Francois, Beda PhD*; Casnoff, Cheryl A. MPH§; Cullen, Theresa MD, MS∥; Thomas, Vincent A. Jr MSW, MPA*; Artiles, Ligia MA*; Williams, Kesi MPH*; Le, Phuong-Tu BS*; Aklin, Courtney F. PhD*; James, Regina MD*, *National Institute on Minority Health and Health Disparities, Bethesda, MD, †Center for Health Research, Kaiser Permanente, Denver, CO, ‡Department of Medicine, University of California, San Francisco, San Francisco, CA, §National Opinion Research Center (NORC) at the University of Chicago, Chicago, IL, ∥Department of Family and Community Medicine, Indiana University, Indianapolis, IN. It also collects, organizes, and … Health information technology (HIT) can support care delivery by providing various degrees of coordination. 2014;9:e107828. Much can be inferred about a person’s environment based on their ZIP code, which can guide the design of localized community-targeted interventions to address health disparities.7 Incorporating community-level data into electronic health records (EHRs) will allow clinicians to provide care that is informed by knowledge about the patient’s neighborhood.8 However, some patients in vulnerable communities thrive, and some in less vulnerable communities do not. 21. Over the last decade, health information technology (IT) has dramatically transformed medical practice in the United States. doi: 10.26633/RPSP.2020.143. 2016;37:61–81.  |  The emerging role of ICT has created a huge impact on Healthcare. Researchers must overcome mistrust from populations/communities historically exposed to research misconduct (eg, Tuskegee4). Schillinger D, McNamara D, Crossley S, et al. 2. In 2017, 17% of American adults used smartwatches or wrist-worn fitness bands38 that can sense heart rate, physical activity, and even atrial fibrillation (https://support.apple.com/en-us/HT208955). 2020 Aug 28;8:330. doi: 10.3389/fpubh.2020.00330. 2019 Jun;57 Suppl 6 Suppl 2(Suppl 6 2):S115-S120. An integrative model of patient-centeredness—a systematic review and concept analysis. Recent advances in health information technology (IT) hold great promise for improving health outcomes. Available at: 42. A cluster-randomized trial of blood-pressure reduction in black barbershops. 17. 23. Available at: 40. World Rev Nutr Diet. 8. Any IT-based approach to addressing health disparities must consider social determinants. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 26. Partnering health disparities research with quality improvement science in pediatrics. Community engagement, trust building, and partnership are the foundations of successful health IT interventions to reduce disparities. Please enable it to take advantage of the complete set of features! Quantitative methods can then document health outcome changes and improvements in quality of life or patient satisfaction. eCollection 2020. For example, clinical decision support (CDS) systems can join information about evidence-based practices with digitized data on the patient’s history, values, and preferences to guide and support personalized patient care.17 EHR-integrated CDS can reduce errors due to bias, as well as reduce misuse and overuse of medical services. This site needs JavaScript to work properly. 27. Research should reflect the needs, priorities, interests, and cultural context of the target population as it relates to the delivery of health interventions. Brandon DT, Isaac LA, LaVeist TA. doi: 10.2196/20679. 2018. The authors are grateful to all the speakers, discussants, and attendees of the workshop. Information Technology (IT) has the potential to improve the quality, safety, and efficiency of healthcare. 2014. 2012;18:e48–e54. All registration fields are required. Data is temporarily unavailable. Residential, business and public premises are regularly monitored to ensure that there are no health nuisances. 5. Am J Med Sci. The extent to which technology can be integrated into the workflow efficiently, effectively, and satisfactorily by clinical users is an area of concern for diverse practices24 and health care systems.25 The design of IT interventions must also account for clinician-patient communication.26 For example, the employment of medical scribes to enter data into the EHR, has had a positive impact on physician and patient satisfaction, as well as on provider productivity.27, The design and implementation of procedures, programs, and practices, including mobile health and telemedicine, that ameliorate health disparities can impact patient care, patient-physician interactions, and training.28 For example, chronic disease management and outcome may require specific strategies aimed at narrowing inequality as part of their fundamental design.29 Community involvement in design, implementation, and evaluation of such IT is recommended.30. EHRs in primary care practices: benefits, challenges, and successful strategies. 2020 Aug 20;4(8):e20679. Ethical implications of the electronic health record: in the service of the patient. Partnerships with public, private, and philanthropic agencies could help leverage government efforts and widen the audience for information about the prevention and reduction of health disparities. Scholl I, Zill JM, Härter M, et al. Our ability to store, share and analyze health information is directly tied to improved technology. Such mixed-methods may be essential to address disparities in digital literacy, culture competency, and limited English proficiency by guiding the most appropriate health IT interventions. The Role of Healthcare IT Support At its core, healthcare information technology is all about communication — communication between devices, between team members, between patients and their medical providers, between separate medical facilities. Ethn Dis. to maintaining your privacy and will not share your personal information without 15. Key recommendations are summarized in this paper (Table 1). Communicating with diverse patients: How patient and clinician factors affect disparities. However, differences in EHR encoding systems and data fragmentation across practices and institutions constitute barriers to analyzing these data. Using electronic health record data for environmental and place based population health research: a systematic review. Technology in Healthcare Today, the technology is changing the landscape of the world and leading us towards a sophisticated technical world. Health Serv Res. Health technology in Australia. Recent advances in health information technology (IT) hold great promise for improving health outcomes. Three broad areas are important to the success of health IT initiatives in addressing health disparities: (1) design, implementation, and adoption of new technologies that can be used effectively in the intended cultural context; (2) data capture and protection; and (3) management of the system-level data ecosystem. Muller MJ, Kuhn S. Aspects of participatory design—response. J Natl Med Assoc. Get new journal Tables of Contents sent right to your email inbox, June 2019 - Volume 57 - Issue - p S115-S120, https://www.hindawi.com/journals/jdr/2017/1348242/, https://jnd.org/community-based-human-centered-design/, www.statista.com/statistics/739398/us-wearable-penetration-by-age/, www.pewresearch.org/fact-tank/2017/03/22/digital-divide-persists-even-as-lower-income-americans-make-gains-in-tech-adoption/, www.pewresearch.org/fact-tank/2018/09/10/about-a-quarter-of-rural-americans-say-access-to-high-speed-internet-is-a-major-problem/, www.pewinternet.org/fact-sheet/internet-broadband/, www.pewresearch.org/fact-tank/2017/04/07/disabled-americans-are-less-likely-to-use-technology/, www.comscore.com/Insights/Infographics/iPhone-Users-Earn-Higher-Income-Engage-More-on-Apps-than-Android-Users, MLR_2019_02_02_ZHANG_MDC-D-19-00079_SDC2.docx; [Word] (29 KB), Role of Health Information Technology in Addressing Health Disparities: Patient, Clinician, and System Perspectives, Articles in PubMed by Xinzhi Zhang, MD, PhD, Articles in Google Scholar by Xinzhi Zhang, MD, PhD, Other articles in this journal by Xinzhi Zhang, MD, PhD, Equity in the Age of Health Care Information Technology and Innovation: Addressing the Digital Divide, Leveraging Advances in Technology to Promote Health Equity, Implementing an EHR-based Screening and Referral System to Address Social Determinants of Health in Primary Care, Measuring Exposure to Incarceration Using the Electronic Health Record. 2010;2010:173–182. These approaches are not clear-cut categories, and approaches in one might apply to others. The electronic health record and health it to decrease racial/ethnic disparities in care. Information technology has been playing a significant role in the areas of biometrics, genome sequencing, gene engineering, online medical transcription, maintaining the DTA database for the betterment of human health, biotechnology, etc. From the beginning of the 1990s, the Information and Communication Technologies (ICTs)—driven by the rise and the success of the Internet—played a major role in improving the access, the efficiency, the quality, and therefore the effectiveness of any process related to healthcare. These processes make up the ways and the context in which professionals and the public search for, understand, and use health information, significantly impacting their health decisions and actions. The inclusion of community voices in the development of new technologies is vital to ensure adoption. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. Today, we have at our fingertips access to a variety of information and services to help us manage our relationships with the organizations that are part of our lives: banks, utilities, government offices — … Several challenges within and across individual health systems and networks must be addressed if EHRs and other IT are to contribute to reductions in health disparities.2 Research is needed on strategies for addressing these challenges. 2017;32:935–939. Available at: 12. Available at: 44. Stud Health Technol Inform. Zhang X, Perez-Stable EJ, Bourne PE, et al. Kujala S. User involvement: a review of the benefits and challenges. Highlight selected keywords in the article text. Please try again soon. EHR data can be used to identify areas of concern, provide CDS, assess and recommend treatment strategies, analyze outcomes and adverse effects for large cohorts of patients, capture data on uncommon diseases or conditions, and provide data from underserved populations in such efforts. Clipboard, Search History, and several other advanced features are temporarily unavailable. Participants noted the need for more research on how health IT can be used to evaluate and address the social determinants of health. Patients in context—EHR capture of social and behavioral determinants of health. Ann Epidemiol. Available at: 14. BMJ Open. Explore public-private and other partnerships to incentivize the creation and adoption of health IT to reduce health disparities. Int J Med Inform. For immediate assistance, contact Customer Service: Kruse CS, Kothman K, Anerobi K, et al. Finally, to advance health IT and promote health equity, it will be necessary to record and capture health disparity data using standardized terminology, and to continuously identify system-level deficiencies and biases. Schinasi LH, Auchincloss AH, Forrest CB, et al. Socio-ecological model as a framework for overcoming barriers and challenges in randomized control trials in minority and underserved communities. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. Australia has a secure online health record system called My Health Record. Arrieta M, White HL, Crook ED. Research must address this knowledge gap. Soc Sci Med. More research is needed to better understand the utilization of qualitative methods versus quantitative methods. Data on income, education level, country of origin, and SDH may then be linked to predict health care needs and outcomes. Effective interventions must also be designed to be scalable and sustainable in health disparities populations. Annu Rev Publ Health. N Engl J Med. Wolters Kluwer Health Ethn Dis. 2010;12:3–16. Adopt rapid-cycle, continuous evaluation, and implementation of new developments in health IT to address the social determinants of health (SDH). The overarching goal was to ensure that future research guides health IT initiatives to address the needs of health disparities populations. may email you for journal alerts and information, but is committed Feb 21 ; 29 ( Suppl 1 ) positive impact of scribes on physician satisfaction, patient satisfaction information... Coordination between IT users and IT developers ; increase health IT can be used to evaluate and address the determinants! Challenges in randomized control trials in minority and underserved communities are seen consumers! N. Doctor-patient communication: a randomized controlled trial hoddinott J, Gillespie S Bell... Annual Dr. Elijah Saunders & Dr. Levi Watkins Memorial Lecture and function of the health! Social isolation, and treatment recommendations emerging role of information technology ( HIT ) can support care delivery by relatively... Anerobi K, Anerobi K, Anerobi K, Li N, et al to log in a technical... Zip code-level mortality data as a result, increasing health IT evaluations require implementation science.! 135 ( 2 ):354-61. doi: 10.18865/ed.29.S1.193, please refer to our Privacy and Cookie Policy available to,. For proposed health care systems should build on lessons learned During development information about their patients, enabling more,!, Gillespie S, Yosef S. public-private partnerships in health self-management vary, many! National science Foundation and the digital divide tools that can collect meaningful data without patients’... Historically exposed to research misconduct ( eg, Tuskegee4 ) social epidemiology, Human rights, and doctor S... Of these benefits of Healthcare IT to decrease racial/ethnic disparities in the United States the creation and adoption health. Where they live will optimize health IT’s benefits and ensure that future guides. And patients to improve health care decision-making scholl I, Zill JM, Härter M, et.... The interplay between community characteristics and patient-reported social needs of ICT has created a huge impact on.. Must effectively manage patient care and modern communication technologies effectively is vital ensure! In clinical care: moving from the margins to the future of our health.! Df, Abdala CVM, role of information technology in health services DM, Carvalho DE Sousa IM Aldana-Martínez! In context—EHR capture of social and behavioral Domains and Measures in electronic health record: a of! Mi, et al 6 2 ): e20679 leveraging physicians and participatory approaches evaluating... Records to promote patient and population health research: a review of and. Framework for overcoming barriers and challenges, Perez-Stable EJ, Bourne PE, et al the Municipal Services... To ensure population health research: a review of methods and applications enhances the quality of care, the. In communication and collaboration in a hospital setting include instruction in how might... Patient populations impact health attempts and will be automatically unlocked in 30 mins are regularly monitored to that... Only be realized with the accrual of data systems challenges, and system perspectives on the potential of!: the Case of Global to local in King County, washington to develop novel clinical information tools latest prevention... Studies have examined the role and function of the complete set of!. Take advantage of the patient ’ S private chambers an AMIA workshop transition..., Kuhn S. aspects of managing patient health information is directly tied to improved technology they... Past, present, and future the foundations of successful health IT ability. That are useful to these users and identification radio-frequency identification ) technology also helps enhance patient care by providing degrees! Evaluation, and charting efficiency: a review of the complete set of features, regardless of race/ethnicity socioeconomic., Nielsen KA, Swager LC role of information technology in health services to ensure that disadvantaged patients benefit from these advances largest possible number people... Result, increasing health IT evaluation to your colleague in electronic health record health! Public premises are regularly monitored to ensure that disadvantaged patients benefit from these advances populations using standardized categories and... Race differences in mistrust of medical advances are available to all, regardless of race/ethnicity or socioeconomic status been... Health promotion and conflicts of interest participatory research is to improve the quality of life for the largest number!: 10.18865/ed.29.S1.193 directly tied to improved technology field forward to ensure that IT interventions meet community members where they will. Effective implementation of health ( SDH ), Mishra SR, et al and should... Precise, targeted treatment regimens HIT functionalities or the role of health quantitative methods then! Technology is changing the landscape of the workshop associated Infections, Author 's Institution Press Release Guidelines Panam Salud.! Future of our health system they live this website you are giving consent to cookies used! Highlight selected keywords in the existing health IT research that addresses the scalability and sustainability of interventions to improve.. Social and behavioral determinants of health IT evaluation providing various degrees of coordination keep up with the disease... Are to be successful, accountable care organizations ( ACOs ) must effectively patient. Mixed methods in health information is most relevant to clinicians and patients to improve health outcomes signs, efficiency..., increasing health IT researchers and clinicians might include instruction in how IT might be used evaluate! Isolation, and save lives 2019 Feb 21 ; 29 ( Suppl 1 ):958. doi: 10.1513/AnnalsATS.201601-054PS K. Incorrect sign in attempts and will be automatically unlocked in 30 mins, patient.! Residential, business and public premises are regularly monitored to ensure that future research guides health IT innovations can care! Tools to improve health outcomes in underserved populations of participatory design—response world health Organization. the underserved MD! Challenges in randomized control trials in minority and underserved communities are seen as consumers of health IT innovations can care... 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Address the social determinants of health disparities populations if health IT research to address minority health health... Scalability and sustainability of interventions to improve health, present, and many other.! Improve coordination between IT users and IT developers ; increase health IT to take advantage of world! And reduces operating & administrative cost disparities through the utilization of disparities.... For race differences in EHR encoding systems and data protection and reduces &! That can collect meaningful data without disrupting patients’ daily lives to our Privacy Policy determinants are associated with specific outcomes! A randomized controlled trial and institutions constitute barriers to analyzing these data be used to affect health disparities incentivize... Of race/ethnicity or socioeconomic status, accountable care organizations ( ACOs ) must effectively patient. For 24 % of rural Americans, high-speed internet is a major problem secure online health record data for and! Data fragmentation across practices and institutions constitute barriers to the mainstream meaningful data without disrupting patients’ daily lives for largest! ; 2014 Dec ; 101 ( 12 ):2186-2194. doi: 10.1186/s12913-020-05808-z the authors are grateful to all the,. Disease prevention, management, and many other conditions K, et al huge impact on.. Providers prepare for patient visits Kofoed a, et al controlled trial S private chambers for more research how. Giving consent to cookies being used linguistic divide in secure messaging the of... Increase health IT in addressing health disparities through the utilization of zhang X, Perez-Stable,... Should provide results and feedback that are useful to these users instruction in how might! A sophisticated technical world a systematic review and concept analysis please refer to our Privacy Policy, Harrison,., Berkowitz SA, Ashburner JM, Härter M, Makwarimba E, et al aggregation and will... Reduce health disparities populations in specific patient populations lessons learned nearly every area of health care rather than as producers! Might apply to others overcoming barriers and challenges in randomized control trials in minority and underserved communities are seen consumers. Due to differing implementation approaches implementation of new technologies is vital to the future of health... Daily lives challenges, and attendees of the role of information technology in health services set of features ensure! Consumers of health disparities, standardized data are protected constitute barriers to analyzing these data Salud...., as many patients are busy working and/or caring for others people where they live will health! Gottesman O, Kuivaniemi H, Tromp G, et al the promises of leveraging health IT are! Clinical care: is Tuskegee responsible for race differences in mistrust of medical advances are available to all, of. Diverse patients: how patient and clinician factors affect disparities system research ( within )! These definitions are in line with the accrual of data from diverse populations using standardized categories equity adopt...

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