scholarly journals Are we ready for Telemedicine?: Trends in Health Information Technology (HIT) use among the U.S population with and without Cardiovascular Risk Factors 2012-2018 (Preprint)

Author(s):  
Nikhila Gandrakota ◽  
Mohammed K Ali ◽  
Megha K Shah
2021 ◽  
Author(s):  
Nikhila Gandrakota ◽  
Mohammed K Ali ◽  
Megha K Shah

BACKGROUND The pandemic forced clinicians to pivot to offering services via telehealth, but it is unclear whether and which patients (users of care) were equipped to use digital health. This is especially pertinent for those adults managing chronic diseases, such as obesity, hypertension, and diabetes, which require regular follow medication management, and self-monitoring. OBJECTIVE To measure the trends and assess factors affecting Health Information Technology Use among US population with and without cardiovascular risk factors. METHODS We used serial cross-sectional National Health Interview Survey (NHIS) data from the years 2012 and 2018 was used to assess trends in health information technology (HIT) use among adults, stratified by age and cardiovascular risk factor status. A linear trend analysis was performed to observe the annual percentage change (APC) in HIT use from the years 2012 to 2018 by age, education, and cardiovascular risk status. We developed multivariate logistic regression models adjusted for age, sex, race, insurance status, marital status, geographic region, and perceived health status to assess the likelihood of HIT use among patients with and without cardiovascular disease risk factors. RESULTS 14,304 (44.6%) and 14,644 (58.7%) participants reported using HIT in 2012 and 2018, respectively. When comparing the rates of HIT use for the years 2012 and 2018 respectively, among participants without cardiovascular risk factors, the HIT use proportion increased from 51.1% to 65.8%, with one risk factor increased from 43.9% to 59%, and with more than one risk factor increased from 41.3% to 54.7%. Increasing trends in HIT use were highest among adults aged >65 years (APC: 8.3%), who had more than one CVD risk factors (APC: 5%), and among those who did not have high school graduation (APC: 8.8%). Likelihood of HIT use was significantly higher in younger, female, non-Hispanic white, higher education and income, married, and individuals reporting very good or excellent health status. In 2018, college graduates were 7.18 (95% CI: 5.86,8.79), 6.25 (5.02,7.78), 7.80 (5.87,10.36) times more likely to use HIT compared to adults without high school education among people with multiple, one, or no cardiovascular risk factors, respectively. CONCLUSIONS Over 2012-2018, HIT use increased nationally, with greater use noted among younger and higher educated U.S. adults. Targeted strategies are needed to engage a wider age-, race-, education-, and socioeconomic groups through lowering barriers to HIT access and utilization.


2017 ◽  
Vol 27 (6) ◽  
pp. 126-128 ◽  
Author(s):  
Theofanis Fotis

According to the U.S. Food and Drug Administration ‘the broad scope of digital health includes categories such as mobile health (mHealth), health information technology (IT), wearable devices, telehealth and telemedicine, and personalised medicine, and is used by providers and other stakeholders in their efforts to reduce inefficiencies, improve access, reduce costs, increase quality, and make medicine more personalised for patients (FDA 2016). More recently, Paul Sonier, a digital health strategist and founder of the Linkedin Digital Health Group with more than 40,000 members, defined digital health as ‘the convergence of the digital and genomic revolutions with health, healthcare, living, and society’ ( storyofdigitalhealth.com 2016).


2011 ◽  
pp. 393-401
Author(s):  
Abirami Radhakrishnan ◽  
Dessa David ◽  
Jigish Zaveri

The challenges faced by U.S. health care system are vividly explained in the U.S. Government’s health information technology plan, The U.S. health care system faces major challenges. Health care spending and health insurance premiums continue to rise at rates much higher than the rate of inflation. Despite spending over $1.6 trillion on health care, there are still serious concerns about preventable errors, uneven health care quality, and poor communication among doctors, hospitals, and many other health care providers involved in the care of any one person. The Institute of Medicine estimates that between 44,000 and 98,000 Americans die each year from medical errors. Many more die or have permanent disability because of inappropriate treatments, mistreatments, or missed treatments in ambulatory settings. It has been found that as much as $300 billion is spent each year on health care that does not improve patient outcomes – treatment that is unnecessary, inappropriate, inefficient, or ineffective. All these problems – high costs, uncertain value, medical errors, variable quality, administrative inefficiencies, and poor coordination – are closely connected to inadequate use of health care information technology. (U.S. Federal Government Health Information Technology Plan, 2004).


2010 ◽  
Vol 29 (4) ◽  
pp. 629-638 ◽  
Author(s):  
Colene M. Byrne ◽  
Lauren M. Mercincavage ◽  
Eric C. Pan ◽  
Adam G. Vincent ◽  
Douglas S. Johnston ◽  
...  

Author(s):  
Abirami Radhakrishnan ◽  
Dessa David ◽  
Jigish Zaveri

The challenges faced by U.S. health care system are vividly explained in the U.S. Government’s health information technology plan, The U.S. health care system faces major challenges. Health care spending and health insurance premiums continue to rise at rates much higher than the rate of inflation. Despite spending over $1.6 trillion on health care, there are still serious concerns about preventable errors, uneven health care quality, and poor communication among doctors, hospitals, and many other health care providers involved in the care of any one person. The Institute of Medicine estimates that between 44,000 and 98,000 Americans die each year from medical errors. Many more die or have permanent disability because of inappropriate treatments, mistreatments, or missed treatments in ambulatory settings. It has been found that as much as $300 billion is spent each year on health care that does not improve patient outcomes – treatment that is unnecessary, inappropriate, inefficient, or ineffective. All these problems – high costs, uncertain value, medical errors, variable quality, administrative inefficiencies, and poor coordination – are closely connected to inadequate use of health care information technology. (U.S. Federal Government Health Information Technology Plan, 2004).


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1465-P
Author(s):  
SHARON SAYDAH ◽  
CARLA MERCADO ◽  
KAREN R. SIEGEL ◽  
EDWARD W. GREGG ◽  
GIUSEPPINA IMPERATORE

Author(s):  
Jolie Dobre ◽  
Tippy Carter ◽  
Jennifer Herout ◽  
Amanda Cournoyer

There is little guidance in the literature on how health information technology (HIT) interfaces should be designed to inform clinicians of data availability. As the industry focuses on interoperability between systems and devices, and as more HIT products aggregate data from external sources, it becomes increasingly critical to identify methods to alert clinicians of the availability of data without negatively impacting clinician workflow or contributing to alert fatigue. This paper reports on a case study of a usability study done on the U.S. Department of Veteran’s Affairs (VA) Joint Legacy Viewer (JLV) to provide guidance to developers on communication of connection errors and interface status. The issue, process to explore the issue, and findings are discussed. As publicly developed software, the efforts behind VA’s JLV design choices and images of design solutions can be shared to further the field’s understanding.


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