Health systems should guard against exacerbating disparities by ensuring that the mHealth innovations they offer are cross-platform (Apple users average higher socioeconomic status than Android users43), come with sufficient user support, and are multilingual. PloS One. Health Aff (Millwood). Health information technology (HIT) can support care delivery by providing various degrees of coordination. Mendelson, a vice-president with The Lewin Group, is an expert on state health policy with a strong background in strategic and regulatory issues surrounding health information technology. Health communication and health information technology (IT) are central to health care, public health, and the way our society views health. 2020 Aug 20;4(8):e20679. 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. It is important to develop IT interventions and tools that can collect meaningful data without disrupting patientsâ daily lives. Using digital information and modern communication technologies effectively is vital to the future of our health system. Public health seeks to ensure that the benefits of medical advances are available to all, regardless of race/ethnicity or socioeconomic status. RFID (radio-frequency identification) technology also helps enhance patient care by providing information about the patient’s vital signs, and temperature. Widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and expand access to affordable health care. Outreach to diverse populations to collect novel dataâsuch as on sleep, stress, and physical activityâusing mHealth technologies should adhere to emerging data standards (eg, Open mHealth) that are compatible with EHR data standards. | Scholl I, Zill JM, HÃ¤rter M, et al. 2016;23:407â412. Information Technology (IT) has the potential to improve the quality, safety, and efficiency of healthcare. 2014;9:e107828. 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. Avilés-Santa ML, Hsu L, Lam TK, Arteaga SS, Artiles L, Coady S, Cooper LS, Curry J, Desvigne-Nickens P, Nicastro HL, Rosario A. Keyword Highlighting Can disability accommodation needs stored in electronic health records help providers prepare for patient visits? 2015;3:85â95. A focus on health disparities is needed at the beginning of health IT planning and implementation.2, Notably, limited interoperability between data bases (exacerbated by vendor data lock) results in a decreased ability to create longitudinal health records. Pew Research Center. Some error has occurred while processing your request. Technology in Healthcare Today, the technology is changing the landscape of the world and leading us towards a sophisticated technical world. Please enable scripts and reload this page. On May 11â12, 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, âAddressing Health Disparities with Health Information Technology,â with the goal of ensuring that future research guides potential health IT initiatives to address the needs of health disparities populations. Research should reflect the needs, priorities, interests, and cultural context of the target population as it relates to the delivery of health interventions. Zhang, Xinzhi MD, PhD*; Hailu, Benyam MD, MPH*; Tabor, Derrick C. PhD*; Gold, Rachel PhD, MPHâ ; Sayre, Michael H. PhD*; Sim, Ida PhD, MDâ¡; Jean-Francois, Beda PhD*; Casnoff, Cheryl A. MPHÂ§; Cullen, Theresa MD, MSâ¥; 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, â Center for Health Research, Kaiser Permanente, Denver, CO, â¡Department of Medicine, University of California, San Francisco, San Francisco, CA, Â§National Opinion Research Center (NORC) at the University of Chicago, Chicago, IL, â¥Department of Family and Community Medicine, Indiana University, Indianapolis, IN. A Digital Health Intervention for Weight Management for Latino Families Living in Rural Communities: Perspectives and Lessons Learned During Development. Gallego-Pérez DF, Abdala CVM, Amado DM, Carvalho de Sousa IM, Aldana-Martínez NS, Ghelman R. Rev Panam Salud Publica. Goetz Goldberg D, Kuzel AJ, Feng LB, et al. Venkatapuram S, Bell R, Marmot M. The right to sutures: social epidemiology, human rights, and social justice. 1993;36:18â1. Soc Sci Med. J Gen Intern Med. Over the last decade, health information technology (IT) has dramatically transformed medical practice in the United States. Australia has a secure online health record system called My Health Record. 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… 25. 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. J Diabetes Res. 2016 Aug;13(8):1231-8. doi: 10.1513/AnnalsATS.201601-054PS. Promote health IT research that addresses the scalability and sustainability of interventions to improve health equity. Researching reducing health disparities: mixed-methods approaches. 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. NIH The evidence is needed to determine how public-private partnerships could facilitate developing and using IT to enhance provider-patient interactions, and allow patients to self-report health data and participate in health care decisions.9 Research suggests that for such partnerships to succeed, authentic discussions of the objectives, roles, and expectations of all parties, along with potential conflicts of interest, are critical.10 All parties must be involved in a process of continuous learning and be willing to partner with others to meet the communityâs needs. For example, clinical decision support (CDS) systems can join information about evidence-based practices with digitized data on the patientâs 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. Improving communication with non-English speakers is another way that IT may be used to address health disparities.11 Computerized translation products might increase health literacy, safety, and patient engagement among non-English speakers. All registration fields are required. Zhang X, Perez-Stable EJ, Bourne PE, et al. USA.gov. 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. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Hosp Top. Participants noted the need for more research on how health IT can be used to evaluate and address the social determinants of health. Using electronic health record data for environmental and place based population health research: a systematic review. The rise of disparities is often due to differing implementation approaches. Community-level data might provide insights into these determinants. 4. The authors are grateful to all the speakers, discussants, and attendees of the workshop. 11. âCommunity vital signsâ: incorporating geocoded social determinants into electronic records to promote patient and population health. Novel, rapid-cycle, continuous evaluation research is needed to explore optimal approaches to collecting, integrating, and using social determinants data to effectively guide clinical care. Lippincott Journals Subscribers, use your username or email along with your password to log in. 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. 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. Andermann A. 2016 Nov-Dec;82(6):972-980. doi: 10.1016/j.aogh.2016.11.006. While health IT has traditionally focused on the EHR, personal and mobile technologies, such as the smartphone and wearables, are increasingly affecting health care. 800-638-3030 (within USA), 301-223-2300 (international) 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). N Engl J Med. 2018 Dec;101(12):2186-2194. doi: 10.1016/j.pec.2018.08.021. For immediate assistance, contact Customer Service: Ideas about health and behaviors are shaped by the communication, information, and technology that people interact with every day. health information technology; health disparity; Health Care. Am J Med Sci. 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/. Health Hum Rights. Technology must play a central role for proposed health care reform to contain costs, improve access, and save lives. Community-based Participatory Research Is Needed to Address Pulmonary Health Disparities. 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. The objectives in this topic area describe man… Brandon DT, Isaac LA, LaVeist TA. Encourage mixed-methods and participatory approaches to evaluating which health information is most relevant to clinicians and patients to improve health care decision-making. The positive impact of technology in healthcare is clear. 2020 Oct 16;20(1):958. doi: 10.1186/s12913-020-05808-z. The electronic health record and health it to decrease racial/ethnic disparities in care. 2020 Nov 11;44:e143. J Gen Intern Med. Demographics of internet and home broadband usage in the United States. Lower-income Americans still lag in tech adoption. Implementing successful IT solutions in clinics serving communities with health disparities has met with design challenges,18 including variability by population in the use of IT. (These definitions are in line with the definitions of the World Health Organization.) 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. Our ability to store, share and analyze health information is directly tied to improved technology. Registered users can save articles, searches, and manage email alerts. 2016;6:e009342. Registered users can save articles, searches, and manage email alerts. Data should be collected in a way that is not disruptive, and researchers should provide results and feedback that are useful to patients. Too little is known about the interplay between community characteristics and patient-reported social needs. Health technology in Australia. Residential, business and public premises are regularly monitored to ensure that there are no health nuisances. Easy accessibility of service : Internet based companies find that internet makes offer of … Reprints: Xinzhi Zhang, MD, PhD, Division of Clinical Innovation, National Center for Advancing Translational Sciences, 6701 Democracy Boulevard, Room 915, Bethesda, MD 20892-4874. Research must address this knowledge gap. 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