scholarly journals Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018)

JMIR Diabetes ◽  
10.2196/27220 ◽  
2022 ◽  
Vol 7 (1) ◽  
pp. e27220
Author(s):  
Seamus Y Wang ◽  
Hsin-Chieh Yeh ◽  
Arielle Apfel Stein ◽  
Edgar R Miller
Keyword(s):  
United States ◽  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
National Health Interview Survey ◽  
The United States ◽  
Interview Survey ◽  
Ehealth Services ◽  
The Web

Background The use of health information technology (HIT) has been proposed to improve disease management in patients with type 2 diabetes mellitus. Objective This study aims to report the prevalence of HIT use in adults with diabetes in the United States and examine the factors associated with HIT use. Methods We analyzed data from 7999 adults who self-reported a diabetes diagnosis as collected by the National Health Interview Survey (2016-2018). All analyses were weighted to account for the complex survey design. Results Overall, 41.2% of adults with diabetes reported looking up health information on the web, and 22.8% used eHealth services (defined as filled a prescription on the web, scheduled an appointment with a health care provider on the web, or communicated with a health care provider via email). In multivariable models, patients who were female (vs male: prevalence ratio [PR] 1.16, 95% CI 1.10-1.24), had higher education (above college vs less than high school: PR 3.61, 95% CI 3.01-4.33), had higher income (high income vs poor: PR 1.40, 95% CI 1.23-1.59), or had obesity (vs normal weight: PR 1.11, 95% CI 1.01-1.22) were more likely to search for health information on the web. Similar associations were observed among age, race and ethnicity, education, income, and the use of eHealth services. Patients on insulin were more likely to use eHealth services (on insulin vs no medication: PR 1.21, 95% CI 1.04-1.41). Conclusions Among adults with diabetes, HIT use was lower in those who were older, were members of racial minority groups, had less formal education, or had lower household income. Health education interventions promoted through HIT should account for sociodemographic factors.

scholarly journals Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) (Preprint)

2021 ◽  
Author(s):  
Seamus Y Wang ◽  
Hsin-Chieh Yeh ◽  
Arielle Apfel Stein ◽  
Edgar R Miller
Keyword(s):  
United States ◽  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
National Health Interview Survey ◽  
The United States ◽  
Interview Survey ◽  
Ehealth Services ◽  
The Web

BACKGROUND The use of health information technology (HIT) has been proposed to improve disease management in patients with type 2 diabetes mellitus. OBJECTIVE This study aims to report the prevalence of HIT use in adults with diabetes in the United States and examine the factors associated with HIT use. METHODS We analyzed data from 7999 adults who self-reported a diabetes diagnosis as collected by the National Health Interview Survey (2016-2018). All analyses were weighted to account for the complex survey design. RESULTS Overall, 41.2% of adults with diabetes reported looking up health information on the web, and 22.8% used eHealth services (defined as filled a prescription on the web, scheduled an appointment with a health care provider on the web, or communicated with a health care provider via email). In multivariable models, patients who were female (vs male: prevalence ratio [PR] 1.16, 95% CI 1.10-1.24), had higher education (above college vs less than high school: PR 3.61, 95% CI 3.01-4.33), had higher income (high income vs poor: PR 1.40, 95% CI 1.23-1.59), or had obesity (vs normal weight: PR 1.11, 95% CI 1.01-1.22) were more likely to search for health information on the web. Similar associations were observed among age, race and ethnicity, education, income, and the use of eHealth services. Patients on insulin were more likely to use eHealth services (on insulin vs no medication: PR 1.21, 95% CI 1.04-1.41). CONCLUSIONS Among adults with diabetes, HIT use was lower in those who were older, were members of racial minority groups, had less formal education, or had lower household income. Health education interventions promoted through HIT should account for sociodemographic factors.

scholarly journals The Impact of the Health Information Technology for Economic and Clinical Health Act on Clinical Pharmacy and Computerized Provider Order Entry

2021 ◽  
Author(s):  
◽  
Bailey Deglow ◽  
Keyword(s):  
United States ◽  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Care Providers ◽  
Meaningful Use ◽  
The United States ◽  
Care Providers ◽  
Clinical Pharmacists

The Health Information Technology for Clinical and Economic Health (HITECH) Act of 2009 encouraged the meaningful use of the electronic health record (EHR) by health care providers in the United States. “Meaningful use” monetary incentives were offered by the Center for Medicare and Medicaid Services (CMS) for health care providers who met standards of documenting in and using the EHR. While clinical pharmacists typically work in clinics and hospitals in the United States, they were not considered eligible professionals who could receive incentives for using the EHR. There is a great deal of literature regarding the use of the EHR by eligible professionals, but not by ineligible professionals like clinical pharmacists. One way that clinical pharmacists assist in meaningful use criteria is by developing computerized provider order entries (CPOEs). The purpose of this study is to assess the perception and use of CPOEs by clinical pharmacists.

scholarly journals The Role of Health Information Technology in Care Coordination in the United States

Medical Care ◽  
2015 ◽  
Vol 53 (2) ◽  
pp. 184-190 ◽  
Author(s):  
Chun-Ju Hsiao ◽  
Jennifer King ◽  
Esther Hing ◽  
Alan E. Simon
Keyword(s):  
United States ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Care Coordination ◽  
The United States

Transportation Barriers to Health Care in the United States: Findings From the National Health Interview Survey, 1997–2017

2020 ◽  
Vol 110 (6) ◽  
pp. 815-822 ◽  
Author(s):  
Mary K. Wolfe ◽  
Noreen C. McDonald ◽  
G. Mark Holmes
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
National Health ◽  
National Health Interview Survey ◽  
The United States ◽  
Health Interview Survey ◽  
Transportation Barriers ◽  
Interview Survey ◽  
Barriers To Health

Objectives. To quantify the number of people in the US who delay medical care annually because of lack of available transportation and to examine the differential prevalence of this barrier for adults across sociodemographic characteristics and patient populations. Methods. We used data from the National Health Interview Survey (1997–2017) to examine this barrier over time and across groups. We used joinpoint regression analysis to identify significant changes in trends and multivariate analysis to examine correlates of this barrier for the year 2017. Results. In 2017, 5.8 million persons in the United States (1.8%) delayed medical care because they did not have transportation. The proportion reporting transportation barriers increased between 2003 and 2009 with no significant trends before or after this window within our study period. We found that Hispanic people, those living below the poverty threshold, Medicaid recipients, and people with a functional limitation had greater odds of reporting a transportation barrier after we controlled for other sociodemographic and health characteristics. Conclusions. Transportation barriers to health care have a disproportionate impact on individuals who are poor and who have chronic conditions. Our study documents a significant problem in access to health care during a time of rapidly changing transportation technology.

scholarly journals HIPAA, HIPAA, Hooray?: Current Challenges and Initiatives in Health Informatics in the United States

2008 ◽  
Vol 1 ◽  
pp. BII.S2007 ◽  
Author(s):  
Sanjaya Joshi
Keyword(s):  
United States ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Informatics ◽  
Information Technologies ◽  
The United States ◽  
Security And Privacy ◽  
Complex Data ◽  
Data Interoperability

A review of the current challenges, trends and initiatives around the various regulations as related to Health Informatics in the United States is presented. A summary of the functions in a workflow-based approach organized into the process and compliance for HIPAA, secure email and fax communications interfaces, e-prescriptions and patient safety and the health information technology savings claims versus costs follows: • HIPAA compliance is complex; data interoperability and integration remains difficult. • Email and faxing is possible with current over-the-shelf technologies within the purview of the HIPAA Security and Privacy rule. • Integration of e-prescribing and NPI data is an area where health informatics can make a real difference. • Medical errors remain high. • There are no real savings yet from the usage of health information technologies; the costs for implementation remain high, and the business model has not evolved to meet the needs. • Health Information Technology (Health IT) projects continue to have a significant failure rate; Open Source technologies are a viable alternative both for cost reduction and scalability. A discussion on the macro view of health informatics is also presented within the context of healthcare models and a comparison of the U.S. system against other countries.

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