Meeting people where they live will optimize health IT’s benefits and ensure that disadvantaged patients benefit from these advances. (These definitions are in line with the definitions of the World Health Organization.) Z99 TR999999/ImNIH/Intramural NIH HHS/United States. Public Health Rev. 2018;28:493–502. All registration fields are required. 2016;222:139–151. Community-based Participatory Research Is Needed to Address Pulmonary Health Disparities. 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 — … Yin Z, Errisuriz VL, Evans M, Inupakutika D, Kaghyan S, Li S, Esparza L, Akopian D, Parra-Medina D. JMIR Form Res. Over the last decade, health information technology (IT) has dramatically transformed medical practice in the United States. 2018. Venkatapuram S, Bell R, Marmot M. The right to sutures: social epidemiology, human rights, and social justice. Using digital information and modern communication technologies effectively is vital to the future of our health system. Big data science: opportunities and challenges to address minority health and health disparities in the 21st century. Kujala S. User involvement: a review of the benefits and challenges. Available at: 12. Available at: 14. Health Hum Rights. Brodie M, Flournoy RE, Altman DE, et al. Taking National Action to Prevent & Eliminate Healthcare Associated Infections, Author's Institution Press Release Guidelines. 11. 2015 Feb;135(2):354-61. doi: 10.1542/peds.2014-2982. 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. Attendees were asked to identify and discuss various health IT challenges that confront underserved communities and propose innovative strategies to address them, and to involve these communities in this process. To reduce health disparities, health IT must address SDH—the conditions in which people are born, grow, live, work, and age.6 These include, but are not limited to, factors such as socioeconomic status, education, the built environment, employment, social support networks, and access to health care. It could be private as well as public clinics, hospitals, and doctor’s private chambers. Int J Med Inform. Especially, the authors thank Urmimala Sarkar, MD, MPH and Diane L. Adams, MD, MPH for their critical comments. 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 committee on professional development of AHIMA states that health information management (HIM) professionals are responsible for improving “the quality of healthcare by insuring that the best information is available for making any healthcare decision” by managing healthcare data and information resources.12 The professionals can be in charge of the services in “planning, collecting, aggregating, analyzing, and disseminating individual patient and aggregate clinical data.”13In summary, HIM profess… On May 11–12, 2017, the National Institute on Minority Health and Health Disparities in partnership with the National Science Foundation and the National Health IT Collaborative for the Underserved, convened a scientific workshop: “Addressing Health Disparities with Health Information Technology.” This workshop brought together nearly 50 participants (see Appendix document, Supplemental Digital Content 1, http://links.lww.com/MLR/B733 which includes the list of participants), including health care workers, researchers, and other stakeholders, to discuss how advances in health IT can serve to reduce health disparities. Ideally, the IT designer and health care team will develop such products together.12 Participatory, human-centered design allows clinicians and patients alike to take an active role in the development process.12,13 User involvement in health IT development yields higher clinician acceptance of applications.12,14,15 There are, however, challenges to achieving this in practice: lack of time, disagreement between clinician users, inability to reach consensus, and clinicians’ lack of necessary technical skill.12,14 These challenges must be considered and addressed. 4. Your message has been successfully sent to your colleague. 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. 21. Residential, business and public premises are regularly monitored to ensure that there are no health nuisances. 20. J Gen Intern Med. Health information technology, or HIT, refers to a system designed to store, share, and analyze the data collected in any healthcare facility. 33. Technology’s role in healthcare has expanded exponentially over the last 20 years and figures to increase in conjunction with our societal technological advancements. It is also important to examine existing diverse data types, including EHR and nontraditional data sources, to see whether the data produced are biased in a way that may affect or limit our understanding of, or ability to intervene in, disparities reduction. Schinasi LH, Auchincloss AH, Forrest CB, et al. 2015;372:698–701. 2005;97:951–956. Health information technology (health IT) specialists handle the technical aspects of managing patient health information. Avilés-Santa ML, Hsu L, Lam TK, Arteaga SS, Artiles L, Coady S, Cooper LS, Curry J, Desvigne-Nickens P, Nicastro HL, Rosario A. Using zip code-level mortality data as a local health status indicator in Mobile, Alabama. 15. These approaches are not clear-cut categories, and approaches in one might apply to others. 2018. 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. Encourage mixed-methods and participatory approaches to evaluating which health information is most relevant to clinicians and patients to improve health care decision-making. 31. Uniting the Vision for Health Equity through Partnerships: The 2nd Annual Dr. Elijah Saunders & Dr. Levi Watkins Memorial Lecture. 29. Making the move promises a higher calibre of care across the board. 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. 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. 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. Norman D, Spencer E. Community-based, human-centered design. Khatri N, Gupta V. Effective implementation of health information technologies in U.S. hospitals. 2000;19:255–265. It facilitates real-time tracking of location, communication, and identification. Few studies have examined the role of HIT functionalities or the role of different levels of coordination enabled by HIT on care management processes. Social determinants such as food insecurity, social isolation, and financial stress significantly impact health. Search for Similar Articles Encouraging the participation of affected communities by inviting community members’ ideas and solutions is highly recommended. More research is needed to better understand the utilization of qualitative methods versus quantitative methods. Bringing Global Health Home: The Case of Global to Local in King County, Washington. 2018 Dec;101(12):2186-2194. doi: 10.1016/j.pec.2018.08.021. Patients also increasingly use IT to track and manage their own health, and to participate in shared decision-making, although a substantial digital divide continues to characterize health IT use.1 Given the persistence of health disparities, it is critical to ensure that the benefits of advances in health IT serve to reduce, rather than inadvertently exacerbate, such disparities.2. Demographics of internet and home broadband usage in the United States. 2017;32:935–939. 2016;23:407–412. 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. 27. Hospitals that make a digital transition experience all of these benefits of healthcare technology, trends and innovation. Researchers may achieve more useful results employing mixed-methods that develop both qualitative and quantitative data.19,20 Qualitative methods can provide an in-depth exploration of the underlying causes of inequities in IT adoption and impact. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2. doi: 10.2196/20679. Information Technology (IT) has the potential to improve the quality, safety, and efficiency of healthcare. Ideas about health and behaviors are shaped by the communication, information, and technology that people interact with every day. JMIR Med Inform. 25. Health IT innovations can give care providers more detailed information about their patients, enabling more precise, targeted treatment regimens. Levels of patient engagement in health self-management vary, as many patients are busy working and/or caring for others. 2017;27:95–106. Screening for social determinants of health in clinical care: moving from the margins to the mainstream. 6. The emerging role of ICT has created a huge impact on Healthcare. 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/. 1. Health IT researchers and health care systems should build on lessons learned. 22. to maintaining your privacy and will not share your personal information without Sulmasy LS, Lopez AM, Horwitch CA. Any effective system-level strategy must also ensure that data are protected. 2018;378:1291–1301. 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. Partnering health disparities research with quality improvement science in pediatrics. 2016;2016:1030–1039. Ann Fam Med. Expanding public-private partnerships was emphasized, as was the importance of clinicians and IT developers partnering and using novel methods to learn how to improve health care decision-making. J Natl Med Assoc. Impact of scribes on physician satisfaction, patient satisfaction, and charting efficiency: a randomized controlled trial. Epub 2018 Aug 22. 2018;110:90–97. RFID (radio-frequency identification) technology also helps enhance patient care by providing information about the patient’s vital signs, and temperature. Attendees were asked to identify and discuss various health IT challenges that confront underserved communities and propose innovative strategies to address them, and to involve these communities in this process. 2016;6:e009342. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. 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. The workshop was a collaboration between the National Science Foundation and the National Health IT Collaborative for the Underserved. Rumball-Smith J, Bates DW. Adoption factors of the electronic health record: a systematic review. Stud Health Technol Inform. Stewart M, Makwarimba E, Barnfather A, et al. doi: 10.26633/RPSP.2020.143. Health surveillance of premises. Available at: 42. The positive impact of technology in healthcare is clear. Can disability accommodation needs stored in electronic health records help providers prepare for patient visits? 2013;48 (pt 2):2125–2133. Moreover, effective Health IT evaluations require implementation science methods. Pew Research Center. Key recommendations are summarized in this paper (Table 1). Andermann A. Improve coordination between IT users and IT developers; increase health IT training in primary care settings. Adler NE, Stead WW. USA.gov. Health information technology (HIT) is the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making.  |  Patients in context—EHR capture of social and behavioral determinants of health. Attendees were asked to identify and discuss various health IT challenges that confront underserved communities, to propose innovative strategies to address them, and to find ways to involve members of these communities in this process. Technology must play a central role for proposed health care reform to contain costs, improve access, and save lives. Health Serv Res. US wearable user penetration 2017, by age|Statistic. Identify deficiencies in the existing health IT system’s ability to support health equity and adopt stakeholder-centered approaches to address these deficiencies. Clinician/patient involvement in development processes is essential if health IT applications are to be successful. 800-638-3030 (within USA), 301-223-2300 (international) This workshop highlights the promises of leveraging health IT to improve health outcomes in underserved populations and reduce health disparities. E-mail: [email protected]. The Electronic Medical Records and Genomics (eMERGE) Network: past, present, and future. Skeels MM, Unruh KT, Powell C, et al. The electronic health record and health it to decrease racial/ethnic disparities in care. Pew Research Center. 23. 2010;12:3–16. Using electronic health record data for environmental and place based population health research: a systematic review. 2018;39:19. 30 mins. 1993;36:18–1. An integrative model of patient-centeredness—a systematic review and concept analysis. Commun ACM. Ethn Dis. Hoddinott J, Gillespie S, Yosef S. Public-private partnerships and undernutrition: examples and future prospects. Having a My Health Record means your important health information including allergies, … Easy accessibility of service : Internet based companies find that internet makes offer of … Behav Inform Technol. Recent advances in health information technology (IT) hold great promise for improving health outcomes. Health IT (health information technology) is the area of IT involving the design, development, creation, use and maintenance of information systems for the healthcare industry. 32. The authors are grateful to all the speakers, discussants, and attendees of the workshop. J Gen Intern Med. Historically, however, vulnerable communities have been slow to benefit from technological advances in health care.1 The needs and interests of health disparities populations point to the types of data that are most important to collect, and the types of study designs and IT interventions most suitable to these populations.3 Therefore, it is critical that researchers engage with community members early in research processes, and study designs should reflect community concerns. 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. For more information, please refer to our Privacy Policy. Community engagement, trust building, and partnership are the foundations of successful health IT interventions to reduce disparities. Available at: 43. comScore Inc. iPhone users earn higher income, engage more on apps than android users. Health information, the Internet, and the digital divide. J Diabetes Res. For immediate assistance, contact Customer Service: For information on cookies and how you can disable them visit our Privacy and Cookie Policy. 2003;22:1–16. Muller MJ, Kuhn S. Aspects of participatory design—response. 2010;2010:173–182. Taken together, the recommendations emerging from this workshop will help move the health IT research field forward to ensure population health equity. Disabled Americans less likely to use technology. 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. health information technology; health disparity; Health Care. 26. Explore public-private and other partnerships to incentivize the creation and adoption of health IT to reduce health disparities. Casey JA, Schwartz BS, Stewart WF, et al. Kruse CS, Kothman K, Anerobi K, et al. 2019. Research is needed to assess which patient-level versus community-level data are most useful to providers to decrease health disparities, understand community resiliency, and improve health outcomes. 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. 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. NIH eCollection 2019. Communicating with diverse patients: How patient and clinician factors affect disparities. Ann Glob Health. 8. It is more likely that such endeavors will succeed if patients feel fully engaged and respected and realize value from their experience with health IT. A stakeholder-centered approach is warranted to address barriers to the ability of IT systems to enhance equity.44. Conclusions From the Workshop “Addressing Health Disparities Through the Utilization of. 2016;37:61–81. PD-atricians: leveraging physicians and participatory design to develop novel clinical information tools. For example, barbershop-based health intervention (a pharmacist in collaboration with a barber) proved to be effective in lowering high blood pressure among African American men.5 Planning for such interventions should involve culturally appropriate strategies for dissemination and implementation, and involve stakeholders from the targeted community to identify resources in the targeted communities. The role of technology and physical aids in service delivery system are summarized below: 1. Data is temporarily unavailable. Wolters Kluwer Health The leadership of health care organizations plays an essential role in managing the change that invariably accompanies the implementation of an IT application. 2019 Feb 21;29(Suppl 1):193-200. doi: 10.18865/ed.29.S1.193. Designers, researchers, and clinicians should keep in mind that technology-based, health-promoting approaches need to function in real-life settings and appreciate the social context and physical environment in which IT is used. Schillinger D, McNamara D, Crossley S, et al. 24. your express consent. The role of the radiologist should be redefined as that of the manager and service provider that is making optimal use of information technology to align his or her operations and workflow to a modifying environment in which radiology is more actively involved in the process of … Electronic records to promote patient and clinician factors affect disparities participatory design to develop IT interventions to improve health and! Oct 16 ; 20 ( 1 ) the Vision for health equity new data on income, level. In underserved populations and reduce health disparities must consider social determinants of health IT research is needed better! Lb, et al provide results and feedback that are useful to patients inclusion community!, Harrison MI, et al new technologies is vital to ensure that IT interventions community..., Pisani MA, Rosenthal MS. Ann Am Thorac Soc IT evaluations require implementation science methods improvements in of. Evaluating which health information technology ( IT ) has dramatically transformed medical practice in the Service of the ’. 21 ; 29 ( Suppl 1 ):193-200. doi: 10.1186/s12913-020-05808-z casey JA, Schwartz BS, stewart,. A review of the complete set of features RE, King LM, et al equity and stakeholder-centered... Programs that promote respect, trust building, and charting efficiency: a systematic and... Identification ) technology also helps enhance patient care: to be scalable and sustainable health! Grateful to all, regardless of race/ethnicity or socioeconomic status is often due to differing implementation approaches the needs role of information technology in health services... 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