the international council on medical & care compunetics


December, 2014


Health information technology and the collection of race, ethnicity, and language data to reduce disparities in quality of care

Haider AH, Pronovost PJ. Joint Commission Journal on Quality and Patient Safety, 37(10)

Racial disparities in health care delivery and patient outcomes exist and persist unabatedly in the health care system in the United States. One potentially modifiable mechanism for disparities attributed to health care is the quality of care provided to minorities. Minorities tend to receive lower-quality health care even when insurance status and income are controlled. Black patients receive less intensive hospital care, for example, receiving fewer cardiac procedures, lung resections for cancer, and kidney and bone marrow transplants.
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23 October 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , ,

Changes in Disparities Following the Implementation of a Health Information Technology-Supported Quality Improvement Initiative

Jean-Jacques M et al, Journal of General Internal Medicine, 2011

Health information technology (HIT)-supported quality improvement initiatives have been shown to increase ambulatory care quality for several chronic conditions and preventive services, but it is not known whether these types of initiatives reduce disparities.

To examine the effects of a multifaceted, HIT-supported quality improvement initiative on disparities in ambulatory care.
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9 September 2011 | No Comments »
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Use of an Electronic Patient Portal Among Disadvantaged Populations

Ancker JS et al, Journal of General Internal Medicine, 2011

Electronic patient portals give patients access to information from their electronic health record and the ability to message their providers. These tools are becoming more widely used and are expected to promote patient engagement with health care.

To quantify portal usage and explore potential differences in adoption and use according to patients’ socioeconomic and clinical characteristics in a network of federally qualified health centers serving New York City and neighboring counties.

Retrospective analysis of data from portal and electronic health records.
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9 June 2011 | No Comments »
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Health information seeking, diet and physical activity: An empirical assessment by medium and critical demographics

Beaudoin CE, Hong T. International Journal of Medical Informatics, 2011

Research over the past decade has conveyed a dramatic rise in health information seeking via the Internet and articulated various profiles and outcomes of health information seeking. In building upon this research, the current study is innovative in considering predictors of health information seeking by medium, as well as outcomes of health information seeking by medium and by critical demographics.

OLS regression and logistic regression are conducted on data from a telephone survey of American adults in 2007 (N = 700).
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6 June 2011 | No Comments »
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Disparities in Enrollment and Use of an Electronic Patient Portal

Goel MS et al, Journal of General Internal Medicine, 2011

With emphasis on the meaningful use of electronic health records, patient portals are likely to become increasingly important. Little is known about patient enrollment in, and use of, patient portals after explicit invitation from providers.

To examine enrollment in, and use of, an electronic patient portal by race/ethnicity, gender and age.

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5 May 2011 | No Comments »
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Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access

Sarkar U et al, J Am Med Inform Assoc, 18(3)

The authors investigated use of the internet-based patient portal, kp.org, among a well-characterized population of adults with diabetes in Northern California. Among 14 102 diverse patients, 5671 (40%) requested a password for the patient portal. Of these, 4311 (76%) activated their accounts, and 3922 (69%), logged on to the patient portal one or more times; 2990 (53%) participants viewed laboratory results, 2132 (38%) requested medication refills, 2093 (37%) sent email messages, and 835 (15%) made medical appointments.
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29 January 2011 | No Comments »
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Outcomes of Minimal and Moderate Support Versions of an Internet-Based Diabetes Self-Management Support Program

Glasgow RE et al, Journal of General Internal Medicine, 25(12)

Internet and other interactive technology-based programs offer great potential for practical, effective, and cost-efficient diabetes self-management (DSM) programs capable of reaching large numbers of patients. This study evaluated minimal and moderate support versions of an Internet-based diabetes self-management program, compared to an enhanced usual care condition.
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22 November 2010 | No Comments »
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A historical overview of health disparities and the potential of eHealth solutions

Gibbons MC. J Med Internet Res, 7(5)

Over the past decade, a rapidly expanding body of literature has demonstrated the existence of disparities in health and health care. While consensus has not emerged regarding the causes of disparities, they are generally thought to be related to sociocultural, behavioral, economic, environmental, biologic, or societal factors.
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29 August 2010 | No Comments »
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Disparities by race and ethnicity in cancer survivor stories available on the web

Eddens, Katherine S. et al, J Med Internet Res, 11(4)

The rapid growth of eHealth could have the unintended effect of deepening health disparities between population subgroups. Most concerns to date have focused on population differences in access to technology, but differences may also exist in the appropriateness of online health content for diverse populations.
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1 December 2009 | No Comments »
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Pediatric critical care telemedicine in rural underserved emergency departments

Heath, Barry et al, Pediatric Critical Care Medicine, 10(5)

A disparity in access to health care exists between rural and urban areas. Although 21% of children in the United States live in rural areas, only 3% of pediatric intensivists practice in rural areas. In an attempt to address this issue, we implemented a program of pediatric critical care telemedicine consultations in rural emergency departments (EDs) and report our results.
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18 September 2009 | No Comments »
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The state of emergency stroke resources and care in rural Arizona: a platform for telemedicine

Miley, Madeline L. et al, Telemedicine and e-Health, 15(7)

A rural-urban disparity exists in acute stroke management practices in Arizona. A proposed solution is a statewide acute stroke care plan centered on stroke telemedicine. Our purpose was to evaluate the emergency stroke resources available at and care provided by remote Arizona hospitals and to formulate a 5-year stroke telemedicine plan for Arizona rural residents. We used the Arizona Hospital and Healthcare Association Web site to identify all eligible institutions. Consenting personnel were mailed the survey on behalf of the Arizona Department of Health Services. To construct the 5-year telemedicine plan, we used survey data as well as our previously designed stroke telemedicine research trial.
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14 September 2009 | No Comments »
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Bridging the Gap: Knowledge Seeking and Sharing in a Virtual Community of Emergency Practice

Curran, Janet A. et al, Evaluation and the Health Professions, 32(3)

Disparities exist between rural and urban emergency departments with respect to knowledge resources such as online journals and clinical specialists. As knowledge is a critical element in the delivery of quality care, a web-based learning project was proposed to address the knowledge needs of emergency clinicians. One objective of this project was to evaluate the effectiveness of the online environment for knowledge exchange among rural and urban emergency clinicians.
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26 August 2009 | No Comments »
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Disparities in Use of a Personal Health Record in a Managed Care Organization

Roblin, Douglas W. et al, J Am Med Inform Assoc, 16(5)

Personal Health Records (PHRs) can increase patient access to health care information. However, use of PHRs may be unequal by race/ethnicity.

We conducted a 2-year cohort study (2005-2007) assessing differences in rates of registration with KP.org, a component of the Kaiser Permanente electronic health record (EHR).
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6 July 2009 | No Comments »
Categories: Journal Article, RA Research, Record Access | Keyword(s): , , , , , ,

Healthcare Disparities and the Role of Personal Health Records

Garvin, Jennifer et al, Journal of AHIMA, 80(6)

The Institute of Medicine defines disparities in healthcare as racial or ethnic differences in the quality of healthcare that are not due to access-related factors or clinical needs preferences, and appropriateness of intervention.
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5 June 2009 | No Comments »
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Are There Patient Disparities When Electronic Health Records Are Adopted?

Hing, Esther, and Catharine W. Bur, Journal of Health Care for the Poor and Underserved, 20(2)

Using nationally representative samples of visits from the 2005-2006 National Ambulatory Medical Care Surveys and the National Hospital Ambulatory Medical Care Surveys (N=39,343), this study examines whether electronic health record (EHR) systems have been adopted by primary care physicians or providers (PCPs) for poor minority patients at the same rate as by the PCPs for wealthier non-minority patients.
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27 April 2009 | No Comments »
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Electronic health records: use, barriers and satisfaction among physicians who care for black and Hispanic patients

Jha, Ashish K. et al, Journal of Evaluation in Clinical Practice, 15(1)

Electronic health records (EHRs) are a promising tool to improve the quality of health care, although it remains unclear who will benefit from this new technology. Given that a small group of providers care for most racial/ethnic minorities, we sought to determine whether minority-serving providers adopt EHR systems at comparable rates to other providers.
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18 February 2009 | No Comments »
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A review of telemedicine in China

Wang, Zhelong, and Hong Gu, J Telemed Telecare, 15(1)

Telemedicine in China began in the mid-1980s and the early Chinese telemedicine activities were mostly based on store-and-forward techniques as the telecommunication infrastructure required for realtime work was not available. In recent years, telemedicine in China has developed quickly with the rapid growth of telecommunication networks.
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13 January 2009 | No Comments »
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African American Health: A Webliography

Mongold, Susan, Journal of Consumer Health On the Internet, 12(3)

Health disparities are inequalities in the quality of health and health care across ethnic, racial, and socioeconomic groups.
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8 September 2008 | No Comments »
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Gibbons, M Chris, Medical and Care Compunetics 5, 2008

Increasing evidence suggests that socio-behavioral factors are more important determinants of healthcare outcomes than historically recognized. In addition, the US healthcare system is primarily oriented to acute, hospital based, disease treatment. As such, responding adequately to the health and healthcare needs of both non-hospitalized and hospitalized patients with chronic diseases is proving difficult. Improving population level health problems like healthcare disparities is also challenging, in part because of this complex interplay of socio-behavioral, community and biologic factors within the context of the current healthcare system.
Recent advances in the computer sciences and information technologies have spawned several methodologic advances in the biological, molecular and clinical sciences (eg, DNA chip technology and microarray analysis), enabled quantum leaps in molecular and submolecular medicine, and catalyzed the emergence of whole new fields of study such as proteomics, and genomics. With the emergence of Populomics, the behavioral and population sciences are on the verge of a similar information technology-based scientific revolution. Integrating knowledge from the molecular sciences to the population sciences has the potential to propel health and disease inquiry, treatments and interventions well beyond current limitations, to yield insights and advances not currently possible. This paper briefly discusses the conceptual origins, theoretic basis and the future potential of this field.

2 April 2008 | No Comments »
Categories: Book Article | Keyword(s): , , , ,

Expectations of Patients and Physicians Regarding Patient-Accessible Medical Records

Ross SE et al, J Med Internet Res, 7(2)

Middle class populations have supported shared medical records, including Internet-accessible medical records. The attitudes of lower income populations, and of physicians, are less clear.
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11 August 2006 | No Comments »
Categories: Journal Article, RA General, Record Access | Keyword(s): , , , , , , , ,

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