The Impact of Health Information Technology on the Doctor-Patient Relationship in Child and Adolescent Psychiatry

2017 ◽  
Vol 26 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Rajeev Krishna
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
The Impact

scholarly journals A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014–2015

2016 ◽  
Vol 25 (01) ◽  
pp. 13-29 ◽  
Author(s):  
J. Abraham ◽  
L. L. Novak ◽  
T. L. Reynolds ◽  
A. Gettinger ◽  
K. Zheng
Keyword(s):  
Information Technology ◽  
Time Series ◽  
Health Information Technology ◽  
Health Information ◽  
Unintended Consequences ◽  
Adverse Outcomes ◽  
Future Research ◽  
Health It ◽  
Recorded Data ◽  
The Impact

SummaryObjective: To summarize recent research on unintended consequences associated with implementation and use of health information technology (health IT). Included in the review are original empirical investigations published in English between 2014 and 2015 that reported unintended effects introduced by adoption of digital interventions. Our analysis focuses on the trends of this steam of research, areas in which unintended consequences have continued to be reported, and common themes that emerge from the findings of these studies.Method: Most of the papers reviewed were retrieved by searching three literature databases: MEDLINE, Embase, and CINAHL. Two rounds of searches were performed: the first round used more restrictive search terms specific to unintended consequences; the second round lifted the restrictions to include more generic health IT evaluation studies. Each paper was independently screened by at least two authors; differences were resolved through consensus development.Results: The literature search identified 1,538 papers that were potentially relevant; 34 were deemed meeting our inclusion criteria after screening. Studies described in these 34 papers took place in a wide variety of care areas from emergency departments to ophthalmology clinics. Some papers reflected several previously unreported unintended consequences, such as staff attrition and patients’ withholding of information due to privacy and security concerns. A majority of these studies (71%) were quantitative investigations based on analysis of objectively recorded data. Several of them employed longitudinal or time series designs to distinguish between unintended consequences that had only transient impact, versus those that had persisting impact. Most of these unintended consequences resulted in adverse outcomes, even though instances of beneficial impact were also noted. While care areas covered were heterogeneous, over half of the studies were conducted at academic medical centers or teaching hospitals. Conclusion: Recent studies published in the past two years represent significant advancement of unintended consequences research by seeking to include more types of health IT applications and to quantify the impact using objectively recorded data and longitudinal or time series designs. However, more mixed-methods studies are needed to develop deeper insights into the observed unintended adverse outcomes, including their root causes and remedies. We also encourage future research to go beyond the paradigm of simply describing unintended consequences, and to develop and test solutions that can prevent or minimize their impact.

scholarly journals Information technology for child and adolescent psychiatry

1991 ◽  
Vol 15 (12) ◽  
pp. 742-744
Author(s):  
Patrick Byrne
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Working Paper ◽  
South West ◽  
It Systems ◽  
Management Of Resources

The purpose of this paper is to examine existing information technology (IT) options for child and adolescent psychiatry (CAP) and to propose a strategy for continuing developments in the light of current NHS policy and priorities. It is the outcome of discussions among a group of colleagues within the South West Thames Association for Child and Adolescent Psychiatry. I offer it for discussion as the issues facing us have obvious wider relevance to the profession. The case for investment in health care IT systems has been made most recently in Working Paper 11: Framework for Information Systems (HMSO, 1989). The priorities spelled out in the paper are for management of contracts, measurement of quality of care, costing of services and management of resources.

scholarly journals Health Policy Engagement Strategy for the Health Information Technology Policy Project of the Transdisciplinary Collaborative Center for Health Disparities Research

2019 ◽  
Vol 29 (Supp2) ◽  
pp. 377-384
Author(s):  
Tiffany Zellner Lawrence ◽  
Megan D. Douglas ◽  
Latrice Rollins ◽  
Robina Josiah Willock ◽  
Dexter L. Cooper ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Disparities ◽  
Health Policy ◽  
Health Information Technology ◽  
Health Information ◽  
Health Equity ◽  
Technology Policy ◽  
Primary Focus ◽  
The Impact ◽  
Policy Engagement

Rulemaking is one of the most important ways the federal government makes public policy. It frequently has significant impact on individuals, communities, and organizations. Yet, few of those directly affected are familiar with the rulemaking process, and even fewer understand how it works. This article describes a case study of the Transdisciplinary Collaborative Center for Health Disparities Research Health Information Technology (TCC HIT) Policy Project’s approach to health-policy engagement using: 1) social media; and 2) a webinar to educate stakeholders on the rulemaking process and increase their level of meaningful engagement with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule public comment submission. The webinar “Paying for Quality: What Is the Impact on Health Equity” was promoted through Twitter and held in June 2016. In total, we posted 19 tweets using two distinct hashtags (#MACRA4Equity, #MACRA2Equity) to raise awareness of the upcoming MACRA proposed rule and its possible effects on health equity. Overall, 252 individuals registered for the webinar, and more than half participated (n=133). Most (67%) registrants reported that health policy was not the primary focus of their current position. Based on information provided in the webinar, 95% agreed that their understanding of the topic improved. By the end of the webinar, 44% of participants indicated that they planned to submit public comments for MACRA, a 12% increase compared with those who planned to submit at the time of registration. The TCC health-policy engagement strategy demonstrates the feasibility of engaging a diverse audience around health policy issues, particularly those who are not typically engaged in policy work. Ethn Dis. 2019;29(Suppl 2): 377-384. doi:10.18865/ed.29.S2.377

scholarly journals A regulatory perspective on the influence of health information technology on organisational quality and safety in England

2019 ◽  
Vol 26 (2) ◽  
pp. 897-910
Author(s):  
Guy Martin ◽  
Sonal Arora ◽  
Nisha Shah ◽  
Dominic King ◽  
Ara Darzi
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Easy Access ◽  
Quality And Safety ◽  
Negative Effects ◽  
Risks And Benefits ◽  
Regulatory Perspective ◽  
The Impact ◽  
Future Practice

Health information technology can transform and enhance the quality and safety of care, but it may also introduce new risks. This study analysed 130 healthcare regulator inspection reports and organisational digital maturity scores in order to characterise the impact of health information technology on quality and safety from a regulatory perspective. Although digital maturity and the positive use of health information technology are significantly associated with overall organisational quality, the negative effects of health information technology are frequently and more commonly identified by regulators. The poor usability of technology, lack of easy access to systems and data and the incorrect use of health information technology are the most commonly identified areas adversely affecting quality and safety. There is a need to understand the full risks and benefits of health information technology from the perspective of all stakeholders, including patients, end-users, providers and regulators in order to best inform future practice and regulation.

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