Sridhar Health IT as a Tool for Prevention in Public Health Policies

1. Auflage 2014
ISBN: 978-1-4822-1475-8
Verlag: Taylor & Francis
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 292 Seiten

Health IT as a Tool for Prevention in Public Health Policies examines the current state of Health Information Technology (HIT) in the United States. It investigates the converging problems of chronic disease, societal welfare, childhood obesity, and the lack of healthcare for the economically disadvantaged in the U.S. It considers various providers of care for disadvantaged groups and outlines innovative public policy solutions to a wide range of community problems.

The book starts by detailing the major problems the U.S. has faced with its healthcare system. Next, it describes current federal efforts to solve these problems and unveils novel solutions to these challenges. Each chapter examines a different technological solution that the U.S. is currently investing in and allocating time, resources, and energy to.

Supplying a basic theoretical foundation on the Patient Protection and Affordable Care Act (PPACA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act, the book discusses the effects of geographic disparities and HIT at the meso, macro, and micro levels of society. It also demonstrates how individuals can use a range of HITs to improve prevention of health concerns, including mobile health apps, video games, self-management technologies, crowdsourcing, and other e-health technologies.

The book describes HIEs, RHIOs, and NHIN and explains how they connect to Community Health Centers (CHCs). It also explains how CHCs can use HIT to improve care for the disadvantaged and Medicaid population. It includes a case study of electronic health literacy and cancer patients and another on how equipping private practice physicians with EMRs can help them tackle prevention and improve organizational functioning.

The book concludes by providing a comparative perspective between the use of HIT in the U.S. and the United Kingdom and by suggesting the direction that the U.S. should take toward cloud-based solutions to its e-health infrastructure.

Autoren/Hrsg.

Sridhar, Divya Srinivasan

Fachgebiete

• Wirtschaftswissenschaften Wirtschaftssektoren & Branchen Dienstleistungssektor & Branchen
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Krankenhausmanagement, Praxismanagement

Inhaltsverzeichnis

INTRODUCTION

Theoretical Underpinnings: Comparing the PPACA and HITECH Acts
Introduction
Theoretical Perspectives
Social Cognitive Theory
Measuring Progress and Outcomes
Conclusion
References

GOVERNMENT AND TECHNOLOGY POLICIES

Impact of E-Government on Electronic Health Literacy
Introduction
Theory
Sources of E-Health Initiatives by E-Government
Mobile Health Initiatives
Initiatives to Reduce the Digital Divide
Legislation Impacting E-Health Literacy
Key Legislation for Furthering E-Health
Health Insurance Exchanges
RHIOs
Web Design and E-Health
Non-health-Related Legislation Furthering E-Health
Policy Analysis: Summary of Importance of E-Government on E-Health Literacy
Trust in Information Sources and Impacts on E-Health Literacy Outcomes
Methods
New Contribution to the Field: New E-Government Term
Interpretation and Results
Policy Recommendations and Conclusions
References

Financial, Social, and Environmental Impact of Government HIT Adoption Policies
Assessment of the Barriers to Health Information Technology (HIT) Adoption across Organizations and the U.S. Policy Solutions
Organizational Variation in EMR Adoption
Barriers to EMR Adoption
Economic Costs of EMR Adoption
Economic Policy Strategies to Help Organizations with Slow Rates of Adoption
Social Barriers to Technology Adoption
Social Policies to Help Organizations that Are Unable to Adopt EMRs
Environmental Barriers to Technology Adoption
Environmental Policy Strategies to Help Organizations with Slow Rates of Adoption
Conclusion
References

INDIVIDUALIZED TECHNOLOGICAL PREVENTIONSTRATEGIES FOR CHRONIC CONDITIONS

Self-Management Technologies and Type 2 Diabetes
The Effects of Self-Management Technologies on Type 2 Diabetes Patients
Purpose
Introduction and Background
Policy Relevance
Theoretical Backing
Web-Based Technologies
Mobile and Telephone Interventions
Video Games
Discussion
Conclusion
Limitation of the Chapter and Possible Sources of Bias
References

Individualized Prevention Solutions to Childhood Obesity
Underlying Causes and Consequences of Childhood Obesity
Consequences of Childhood Obesity
National Policy Solutions
State Policy Solutions
Local Policy Solutions
Environmental Policies
Physicians and Health Providers
Media Impacts
Economic Policies
Political Community Relationships/Partnerships
Child Care Policies
Technological Policies and Social Media
Political Impacts
Conclusion
References
Suggested Readings

NATIONAL AND INTERNATIONAL IMPACTS OF HIT ONTHECOMMUNITY

Health Information Technology in Community Health Centers
The Formation of Community Health Centers (CHCs)
Theory for the Design
Literature Review
Research Design
Research Experiment 1: Randomized Experimental Design
Research Experiment 2: The Survey Design
Conclusion
References

Small-Practice Physicians and HIT
Why HIT? What Is It and How Can It Help Small-Practice Physicians?
Physicians and Organizational Leadership
Literature and Theories Relating to Technology Diffusion
Technology Diffusion
Customer Service and Quality
Barriers to Adoption
Looking to the Future: New Research
How Do Small Practices Deal with Change and Regulation?
Methods
Hypotheses
Survey Findings
Results and Analysis
Conclusion and Recommendations
References

The Micro, Meso, and Macro Perspectives of HIT Adoption
Introduction
Macro-Level Policies and Considerations
Meso-Level Challenges to Electronic Medical Record (EMR) Adoption
Micro-Level Challenges to EMR Adoption
Conclusion
References

Geographic Disparities in Healthcare
Geographic Disparities in Health Resources
Geographic Disparities in Healthcare Professionals
Policy Solutions to Geographic Maldistribution of Resources and Care
Solutions to the Shortage of Health Resources and Services: Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs)
Solutions to the Shortage of Health Resources and Services: Telemedicine Resources
Solutions to the Shortage of Health Resources and Services: Concierge Medicine
Conclusion
References

International Comparisons: Differences in U.K. and U.S. Preventive Health
Applying the Reforms of the U.K. NHS to the U.S. Health System: A Comparative Perspective
Introduction
General Differences: The U.K. versus the U.S. Health System
Reforms to the U.K. Health System in the Early 2000s
The U.K.’s QOF System
Criticisms of the U.K. Health Reforms and the QOF Comparing and Applying the U.K. to the U.S. Health System
Comparisons and Additions of the U.K. QOF to Concierge Medicine
Conclusion
References

Conclusion
Putting It All Together

Index

Über Autor(innen)

Divya Srinivasan Sridhar works in the field of public policy. She has developed her knowledge and experience at a number of public policy organizations including the Institute for Women’s Policy Research (IWPR), National Housing Trust (NHT), Healthcare Information Management Systems Society (HIMSS), Verité Healthcare Consulting (VHC), and more. She has delved into a variety of public policy issues during her internships and graduate programs, and has published and written papers on electronic government, social policy, and healthcare, including health reform, healthcare IT, and health informatics. She completed her bachelor’s degree at Texas A&M University in Finance, her master’s degree in Public Policy from UT (University of Texas) Dallas, specializing in social policy/health policy research, and is now working on her PhD in Public Policy at George Mason University in Arlington, Virginia. Srinivasan is the author of Impact of Healthcare Informatics on Quality of Patient Care and Health Services (CRC Press, 2013).