Abstract B96: Increasing access and utilization of supportive cancer care activities through health information technology: A prostate cancer example

2010 ◽  
Author(s):  
David Victorson ◽  
Phoebe Block ◽  
Sarah Buono ◽  
Thomas Mason ◽  
Pete Thomas ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Cancer Care ◽  
Supportive Cancer Care

scholarly journals Racial Disparities in Clinically Significant Prostate Cancer Treatment: The Potential Health Information Technology Offers

2018 ◽  
Vol 14 (1) ◽  
pp. e23-e33 ◽  
Author(s):  
Nina A. Bickell ◽  
Jenny J. Lin ◽  
Sarah R. Abramson ◽  
Gerald P. Hoke ◽  
William Oh ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Information Technology ◽  
Racial Disparities ◽  
Health Information Technology ◽  
Health Information ◽  
Black Men ◽  
Cancer Care ◽  
White Men ◽  
System Failures ◽  
Clinically Significant

Purpose: Black men are more likely to die as a result of prostate cancer than white men, despite effective treatments that improve survival for clinically significant prostate cancer. We undertook this study to identify gaps in prostate cancer care quality, racial disparities in care, and underlying reasons for poorer quality care. Methods: We identified all black men and random age-matched white men with Gleason scores ≥ 7 diagnosed between 2006 and 2013 at two urban hospitals to determine rates of treatment underuse. Underuse was defined as not receiving primary surgery, cryotherapy, or radiotherapy. We then interviewed treating physicians about the reasons for underuse. Results: Of 359 black and 282 white men, only 25 (4%) experienced treatment underuse, and 23 (92%) of these were black. Most (78%) cases of underuse were due to system failures, where treatment was recommended but not received; 38% of these men continued receiving care at the hospitals. All men with treatment underuse due to system failures were black. Conclusion: Treatment rates of prostate cancer are high. Yet, racial disparities in rates and causes of underuse remain. Only black men experienced system failures, a type of underuse amenable to health information technology–based solutions. Institutions are missing opportunities to use their health information technology capabilities to reduce disparities in cancer care.

Implementing a User-Driven Online Quality Improvement Toolkit for Cancer Care

2015 ◽  
Vol 11 (3) ◽  
pp. e421-e427 ◽  
Author(s):  
Jeff Luck ◽  
Laura S. York ◽  
Candice Bowman ◽  
Randall C. Gale ◽  
Nina Smith ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Quality Improvement ◽  
Health Information Technology ◽  
Health Information ◽  
Health Care System ◽  
Cancer Care ◽  
Integrated Health Care ◽  
Integrated Health Care System ◽  
Disease Specific

A combination of user-driven tool creation and centralized toolkit development seems to be effective for leveraging health information technology to spread disease-specific quality improvement tools within an integrated health care system.

scholarly journals Protocol for a mixed-methods exploratory investigation into the role of health information technology for the provision of cancer care in Indonesia

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 904
Author(s):  
Aufia Espressivo ◽  
Herindita Puspitaningtyas ◽  
Susanna H. Hutajulu ◽  
Anis Fuad ◽  
Matthew J. Allsop
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Mixed Methods ◽  
Health Information Technology ◽  
Health Information ◽  
Cancer Care ◽  
Health Facilities ◽  
Theory Of Change ◽  
Referral System

Background: Cancer and its management can incur high costs, high risks and high demand. In Indonesia, there remains gap in the availability of national cancer data despite the establishment of a National Committee for Cancer Control. Multiple pilot projects have been developed by the Ministry of Health to improve the delivery of care, including interventions utilising digital health approaches and integrated referral information systems. However, it is not yet clear to what extent these approaches influence patient management or the experience of cancer patients themselves. This research aims to explore the current role of health information technology (HIT) in the provision of services and treatments for patients with cancer from primary to tertiary healthcare centres in Yogyakarta, Indonesia. Methods: The study will adopt an observational mixed-methods single case study design of health facilities involved in the delivery of cancer services in a sub-national health system. We will collect data through face-to-face interviews with a range of health professionals involved in the delivery of cancer care. Patients will be interviewed to share their views and experiences of the existing cancer referral system and communication with health facilities. Alongside interviews, we will undertake an analysis of routine data from participating health facilities to assess gaps in existing information systems. Data analysis will include framework analysis for qualitative data alongside descriptive analyses of quantitative data. Findings will be used to inform conceptual maps to be presented as part of Theory of Change workshops focused on understanding how the existing cancer referral system works, why and for whom, with a focus on future refinement and intervention development.  Conclusion: Our findings will inform critical thinking around the design, implementation, adaptation, and evaluation of existing systems. Through early engagement and participation of key stakeholders and project partners, we intend that findings will have immediate utility.

scholarly journals Valuing Cancer Care: Challenges and Opportunities

2013 ◽  
Vol 9 (3) ◽  
pp. 114-115 ◽  
Author(s):  
Steven J. Katz
Keyword(s):  
Information Technology ◽  
Managed Care ◽  
Health Information Technology ◽  
Health Information ◽  
Cancer Care ◽  
Challenges And Opportunities

Although payers are setting the pace with regard to innovations in health information technology and managed care techniques, they lack the power to apply them because of insufficient cost pressure on providers.

scholarly journals The impact of health information technology on cancer care across the continuum: a systematic review and meta-analysis

2015 ◽  
Vol 23 (2) ◽  
pp. 420-427 ◽  
Author(s):  
Will L Tarver ◽  
Nir Menachemi
Keyword(s):  
Decision Making ◽  
Information Technology ◽  
Beneficial Effect ◽  
Health Information Technology ◽  
Health Information ◽  
Cancer Care ◽  
Current Evidence ◽  
Future Research ◽  
Percentage Points ◽  
The Impact

Abstract Introduction Health information technology (HIT) has the potential to play a significant role in the management of cancer. The purpose of this review is to identify and examine empirical studies that investigate the impact of HIT in cancer care on different levels of the care continuum. Methods Electronic searches were performed in four academic databases. The authors used a three-step search process to identify 122 studies that met specific inclusion criteria. Next, a coding sheet was used to extract information from each included article to use in an analysis. Logistic regression was used to determine study-specific characteristics that were associated with positive findings. Results Overall, 72.4% of published analyses reported a beneficial effect of HIT. Multivariate analysis found that the impact of HIT differs across the cancer continuum with studies targeting diagnosis and treatment being, respectively, 77 ( P  = .001) and 39 ( P  = .039) percentage points less likely to report a beneficial effect when compared to those targeting prevention. In addition, studies targeting HIT to patients were 31 percentage points less likely to find a beneficial effect than those targeting providers ( P  = .030). Lastly, studies assessing behavior change as an outcome were 41 percentage points less likely to find a beneficial effect ( P  = .006), while studies targeting decision making were 27 percentage points more likely to find a beneficial effect ( P  = .034). Conclusion Based on current evidence, HIT interventions seem to be more successful when targeting physicians, care in the prevention phase of the cancer continuum, and/or decision making. An agenda for future research is discussed.

Understanding the drivers of cancer care at the regional, state, and local levels.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 142-142
Author(s):  
Ken Williams ◽  
Sarah Donovan ◽  
Eleanor Fitall ◽  
Tilithia McBride
Keyword(s):  
Information Technology ◽  
Quality Improvement ◽  
Health Information Technology ◽  
Health Information ◽  
Cancer Care ◽  
Urban Areas ◽  
Regional State ◽  
National Quality ◽  
Local Quality ◽  
State And Local

142 Background: Regional, state, and local variations in cancer care necessitate a more thorough understanding of the key drivers of quality at these levels. In this study, Avalere sought to understand how local quality and health information technology (HIT) infrastructures may influence the quality of care to which a cancer patient has access. Methods: Avalere conducted an analysis of the primary influencers of quality and value in each state, cataloguing over 500 public and private quality improvement organizations, including payers; employer groups; and hospitals and alternative care delivery models, such as accountable care organizations and patient-centered medical homes, among others. Recognizing the critical role that health information technology (HIT) plays in underpinning quality improvement efforts, Avalere also catalogued the primary HIT organizations in each state. From this, Avalere conducted a sub-analysis of those initiatives with a specific focus on cancer care to determine how the number of cancer-related initiatives relates to the sophistication of a region’s or state’s quality and HIT sophistication. Results: Avalere found that the sophistication of the quality and HIT infrastructures varied widely from state-to-state and region-to-region, with some areas being significantly less developed than others. Similarly, the number of cancer-related quality initiatives also varied widely, with fewer initiatives found in areas with less sophisticated quality and HIT infrastructures. In addition, major urban areas tend to have significantly more sophisticated infrastructures—and an associated higher number of cancer-related initiatives—than non-urban areas, regardless of regional or state quality or HIT trends, more generally. Conclusions: While national quality improvement efforts receive the most media attention and funding, patient care, including cancer care, is delivered at the local level. As such, in order to improve the quality and value of care cancer patients receive, it is imperative to understand and improve local quality and HIT infrastructures and the barriers to quality associated therewith. This is particularly important in locales without major urban access, such as found in large parts of the Midwest and West.

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