disparities
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): Data Collection, Disparities, Health Information Technology, United States
Jean-Jacques M et al, Journal of General Internal Medicine, 2011
BACKGROUND
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.
OBJECTIVES
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 »
Categories: Bibliography, Journal Article | Keyword(s): Ambulatory Care, Disparities, Health Information Technology, Quality of Health Care, United States
Ancker JS et al, Journal of General Internal Medicine, 2011
BACKGROUND:
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.
OBJECTIVE:
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.
DESIGN:
Retrospective analysis of data from portal and electronic health records.
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9 June 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): Chronic Diseases, Disparities, Electronic Health Records, Health Information Technology, Insurance, Personal Health Records, Portal, United States
Beaudoin CE, Hong T. International Journal of Medical Informatics, 2011
Purpose
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.
Methods
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 »
Categories: Bibliography, Journal Article | Keyword(s): Diet, Disparities, Information seeking, Lifestyle, Obesity, Physical Activity, United States
Goel MS et al, Journal of General Internal Medicine, 2011
BACKGROUND:
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.
OBJECTIVES:
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 »
Categories: Bibliography, Journal Article | Keyword(s): Disparities, Electronic Health Records, ethnicity, patient portals, United States
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 »
Categories: Bibliography, Journal Article | Keyword(s): Diabetes Mellitus, Digital Divide, Disparities, Internet, patient portals, United States
Glasgow RE et al, Journal of General Internal Medicine, 25(12)
OBJECTIVE:
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 »
Categories: Bibliography, Journal Article | Keyword(s): Behaviour, Diabetes Mellitus, Disparities, Internet, Self Management, United States
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 »
Categories: Journal Article | Keyword(s): Access to Information, Disparities, e-Health, Internet, Medical Informatics, Minority Groups, United States
Eddens, Katherine S. et al, J Med Internet Res, 11(4)
Background:
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 »
Categories: Journal Article | Keyword(s): Disparities, Ethnic Disparities, Narrative, Oncology, United States, Web
Heath, Barry et al, Pediatric Critical Care Medicine, 10(5)
Objective:
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 »
Categories: Journal Article | Keyword(s): Disparities, Emergency Department, Feasibility Studies, Pedriatics, Rural, Telemedicine, United States, Urban
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 »
Categories: Journal Article | Keyword(s): Disparities, Rural, Stroke, Telemedicine, United States, Urban
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 »
Categories: Journal Article | Keyword(s): Canada, Clinical Information, Disparities, Emergency Clinician, Internet, Knowledge Exchange, Rural, Urban
Roblin, Douglas W. et al, J Am Med Inform Assoc, 16(5)
Objective
Personal Health Records (PHRs) can increase patient access to health care information. However, use of PHRs may be unequal by race/ethnicity.
Design
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): Access, Disparities, Electronic Health Records, Ethnic Disparities, Patient Record Access, Personal Health Records, United States
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 »
Categories: Journal Article | Keyword(s): Consumer, Disparities, Electronic Health Records, Personal Health Records, Telehealth, Telemedicine, United States
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 »
Categories: Journal Article | Keyword(s): Compunetics, Disparities, Electronic Health Records, Minorities, Patient, Poor, Primary Care Providers, United States
Jha, Ashish K. et al, Journal of Evaluation in Clinical Practice, 15(1)
Objectives:
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 »
Categories: Journal Article | Keyword(s): Adoption, Barriers, Digital Divide, Disparities, Electronic Health Records, Racial Disparities, United States
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 »
Categories: Journal Article | Keyword(s): China, Computer Communication Networks, Disparities, Rural Health Services, Telemedicine
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 »
Categories: Journal Article | Keyword(s): Disparities, Ethnic Disparities, Health Information, Internet, United States
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.
(Presentation)
2 April 2008 | No Comments »
Categories: Book Article | Keyword(s): Behaviour, Behavioural Compunetics, Disparities, Genetics, Medical Informatics
Ross SE et al, J Med Internet Res, 7(2)
Background:
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): Disparities, Elderly, Electronic Medical Records, Internet, Patient Record Access, Patients, Physician-Patient Relationship, Physicians, United States
