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. 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. World Rev Nutr Diet. 13. 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. Background: To be successful, accountable care organizations (ACOs) must effectively manage patient care. 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. While health IT has traditionally focused on the EHR, personal and mobile technologies, such as the smartphone and wearables, are increasingly affecting health care. USA.gov. 9. As a result, increasing health IT training for clinicians, especially in primary care settings, is of critical importance. Mudrick NR, Breslin ML, Nielsen KA, Swager LC. Victor RG, Lynch K, Li N, et al. 2016;4:e19. A qualitative study. 20. Pew Research Center. For immediate assistance, contact Customer Service: Using zip code-level mortality data as a local health status indicator in Mobile, Alabama. Technology’s role in healthcare has expanded exponentially over the last 20 years and figures to increase in conjunction with our societal technological advancements. A cluster-randomized trial of blood-pressure reduction in black barbershops. Castaneda C, Nalley K, Mannion C, et al. 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. 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. Research must address this knowledge gap. Outreach to diverse populations to collect novel data—such as on sleep, stress, and physical activity—using mHealth technologies should adhere to emerging data standards (eg, Open mHealth) that are compatible with EHR data standards. 2015 Feb;135(2):354-61. doi: 10.1542/peds.2014-2982. 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. The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care? 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. However, differences in EHR encoding systems and data fragmentation across practices and institutions constitute barriers to analyzing these data. Yin Z, Errisuriz VL, Evans M, Inupakutika D, Kaghyan S, Li S, Esparza L, Akopian D, Parra-Medina D. JMIR Form Res. Avilés-Santa ML, Hsu L, Lam TK, Arteaga SS, Artiles L, Coady S, Cooper LS, Curry J, Desvigne-Nickens P, Nicastro HL, Rosario A. Ethn Dis. Data should be collected in a way that is not disruptive, and researchers should provide results and feedback that are useful to patients. Available at: 43. comScore Inc. iPhone users earn higher income, engage more on apps than android users. N Engl J Med. Data is temporarily unavailable. BMJ Open. Impact of scribes on physician satisfaction, patient satisfaction, and charting efficiency: a randomized controlled trial. Schillinger D, McNamara D, Crossley S, et al. Proc SIGCHI Conf Hum Factor Comput Syst. Hoddinott J, Gillespie S, Yosef S. Public-private partnerships and undernutrition: examples and future prospects. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in Conclusions From the Workshop “Addressing Health Disparities Through the Utilization of. Ann Fam Med. Registered users can save articles, searches, and manage email alerts. 2017;27:95–106. Pediatrics. 17. Big data science: opportunities and challenges to address minority health and health disparities in the 21st century. 2016;37:61–81. Clipboard, Search History, and several other advanced features are temporarily unavailable. To some degree, pharmacists are interested in information technology because we can envision it increasing efficiency in our daily tasks and improving our access to vital information. 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. Especially, the authors thank Urmimala Sarkar, MD, MPH and Diane L. Adams, MD, MPH for their critical comments. Ultimately, the goal of health IT research is to improve the quality of life for the largest possible number of people. NLM 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. Ann Glob Health. Catalyzing social support for breast cancer patients. The leadership of health care organizations plays an essential role in managing the change that invariably accompanies the implementation of an IT application. 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. Participants noted the need for more research on how health IT can be used to evaluate and address the social determinants of health. 30. 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. Identify deficiencies in the existing health IT system’s ability to support health equity and adopt stakeholder-centered approaches to address these deficiencies. Researching reducing health disparities: mixed-methods approaches. 2018. Please try again soon. Adopt rapid-cycle, continuous evaluation, and implementation of new developments in health IT to address the social determinants of health (SDH). Adoption factors of the electronic health record: a systematic review. Ideas about health and behaviors are shaped by the communication, information, and technology that people interact with every day. Brodie M, Flournoy RE, Altman DE, et al. Z99 TR999999/ImNIH/Intramural NIH HHS/United States. Please enable scripts and reload this page. 5. Open and continuous communication and shared decision-making between clinicians and patients through a health IT system is desirable. 2019 Jun;57 Suppl 6 Suppl 2(Suppl 6 2):S115-S120. Few studies have examined the role of HIT functionalities or the role of different levels of coordination enabled by HIT on care management processes. Reprints: Xinzhi Zhang, MD, PhD, Division of Clinical Innovation, National Center for Advancing Translational Sciences, 6701 Democracy Boulevard, Room 915, Bethesda, MD 20892-4874. 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. 32. Taking National Action to Prevent & Eliminate Healthcare Associated Infections, Author's Institution Press Release Guidelines. The inclusion of community voices in the development of new technologies is vital to ensure adoption. The workshop examined patient, clinician, and system perspectives on the potential role of health IT in addressing health disparities. Muller MJ, Kuhn S. Aspects of participatory design—response. 29. 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. NIH Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2. 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/. 800-638-3030 (within USA), 301-223-2300 (international) Five constants of information technology adoption in healthcare. Clinician/patient involvement in development processes is essential if health IT applications are to be successful. Annu Rev Publ Health. Research should reflect the needs, priorities, interests, and cultural context of the target population as it relates to the delivery of health interventions. 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. 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. Lower-income Americans still lag in tech adoption. Health Serv Res. eCollection 2019. Quantitative methods can then document health outcome changes and improvements in quality of life or patient satisfaction. 15. Explore public-private and other partnerships to incentivize the creation and adoption of health IT to reduce health disparities. James A, Berkowitz SA, Ashburner JM, et al. 30 mins. Keyword Highlighting Gidwani R, Nguyen C, Kofoed A, et al. 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. This goal should guide what, how, and by whom standardized data are collected and what interventions are adopted. COVID-19 is an emerging, rapidly evolving situation. PloS One. Health information technology (HIT) can support care delivery by providing various degrees of coordination. 2003;22:1–16. It could be private as well as public clinics, hospitals, and doctor’s private chambers. The authors declare no conflict of interest. Front Public Health. It facilitates real-time tracking of location, communication, and identification. Rumball-Smith J, Bates DW. 2012;18:e48–e54. 2017. Venkatapuram S, Bell R, Marmot M. The right to sutures: social epidemiology, human rights, and social justice. The workshop was a collaboration between the National Science Foundation and the National Health IT Collaborative for the Underserved. Bell R, Marmot M. the right to sutures: social epidemiology, Human rights, and lives. In addressing health disparities through the utilization of for Latino Families Living in rural communities perspectives! And population health research: a systematic review technology in Healthcare is clear ( mHealth ) technologies could reduce by! To patients by whom standardized data collection in EHRs and develop innovative technologies to capture new data income. 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