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

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.

Gambaran Penggunaan Teknologi Informasi Kesehatan Pada Pasien Tuberkulosis Paru

Long treatment for tuberculosis, which is 6 months, often makes patients feel bored and forgets to take medicine and causes non-compliance. The development of increasingly high use of smartphones, along with the use of information technology in health, especially for tuberculosis patients, makes many things accessible to patients. By using smartphones, the patients can access the MHealth application, DCC (Drugs Consumption Calendar), SMS gateway, voice calls, and video calls which provide health information and care for tuberculosis patients. It also can make patients obedient to taking medication to increase the TB cure rate. To describe the use of health information technology in pulmonary tuberculosis patients. The design of this study used a literature review of five articles from the PubMed database and Google Scholar. The instrument critical appraisal in this research used Strobe. There were 791 tuberculosis patients (76%) who used information technology in the form of mobile phones. The types of information used included Short Massage Service (SMS) (31% or 246 patients), using the telephone (17.4% or 221 tuberculosis patients), and using video calls (25, 1% or 199 patients). The health information. generally, were a schedule for taking medication and control, reminder to take medication, reporting if there were side effects that occur during treatment, prevention, transmission, food, and patient diet and counseling. The use of health information technology is very helpful in the treatment of TB patients starting from text messages, video calls, and voice calls to improve medication adherence in tuberculosis patients.Keywords: Mobile Health App, SMS, Tuberculosis, Information Technologv, Video Call AbstrakPengobatan tuberkulosis yang lama yaitu 6 bulan sering membuat pasien jenuh dan lupa untuk meminum obat serta menimbulkan ketidak patuhan. Perkembangan pengunaan smartphone yang semakin tinggi, diiringi dengan teknologi informasi dalam kesehatan khususnya pada pasien tuberculosis mulai banyak bermunculan yang dapat diakses menggunakan smartphone diantaranya adalah aplikasi M-Health, DCC (Drugs Consumption Calender), SMS gateway, pangilan suara, video call yang dapat memberikan informasi kesehatan serta perawatan bagi pasien tuberkulosis dan dapat membuat pasien TB patuh minum obat sehingga meningkatkan angka kesembuhan TB. Untuk mengetahui gambaran pengunaan teknologi informasi kesehatan pada pasien tuberculosis paru. Desain penelitian ini menggunakan literature review terhadap lima artikel dari data database PubMed dan Google Scholarinstrument critical appraisal penelitian ini menggunakan Strobe. Sebanyak 791 pasien tuberkulosis (76%) menggunakan teknologi informasi berupa handphone. Jenis informasi yang digunakan antara lain Short Massage Service (SMS) 246 pasien tuberkulosis (31%), penggunaan telefon 221 atau (17,4 %) pasien tuberkulosis, dan yang menggunkan video call sebanyak 199 pasien tuberculosis paru (25,1%). Informasi kesehatan yang diperoleh dari masing-masing artikel umumnya berisi jadwal pengambilan obat dan kontrol, menginggatkan minum obat, melaporkan jika ada efek samping yang timbul pada saat pengobatan, pencegahan, penularan, makanan dan diet pasien serta penyuluhan.Pengunaan teknologi informasi kesehatan sangat membantu dalam pengobatan pasien TB mulai dari pesanteks, pangilan video dan pangilan suara meningkatkan kepatuhan pengobatan pada pasien Tuberkulosis.Kata kunci: Mobile Health App; SMS, Tuberkulosis; Teknologi Informasi; Video Call

Stakes, positions and logics: An institutional field analysis of cross-border health IT policy

The concepts field and habitus are used widely and variably in institutional theory. The intellectual antecedents are found in the work of the French Sociologist, Pierre Bourdieu. This study presents a field-level analysis of pan-European policy on cross-border health information technology. Using field theory and institutional theory, we situate field as a multi-level concept which extends institutional and organizational levels of analysis. Empirical data is gathered from European policymakers, health professionals and patient advocacy groups on the diffusion of supra-national health information technology across European Member States. Findings reveal four scenarios depicting field tensions, as ideological and practical imperatives of supra-national health information technology policy mis-align with Member State health systems. This study has implications for policy-makers and other stakeholders, who seek to narrow the digital divide across health fields and sub-fields.

Developing Theoretical Underpinnings for Nursing Workaround Research Using a Mixed Method Approach

The use of health information technology (HIT) in acute care had an unexpected impact on nursing workflow. It often took a nurse extra steps or extra time to complete a process once documentation and medication administration was automated. In response to HIT problems, nurses developed workarounds. Research on workarounds has been hindered by a lack of variable definitions and research models. This paper presents results of a mixed methods study that proposes definitions for workarounds, associated variables and a multi-level model.

Performance of Accountable Care Organizations: Health Information Technology and Quality–Efficiency Trade-Offs

Under a traditional fee-for-service payment model, healthcare providers typically compromise the quality of care in order to reduce costs. Drawing on data from a national sample of accountable care organizations (ACOs), we study whether financial incentives offered under the Affordable Care Act led to fundamental changes in care delivery. Our research suggests that effective use of health information technology (IT) by ACO providers is critical in balancing competing goals of quality and efficiency. Unlike hospitals that did not participate in value-based care initiatives, ACOs were able to generate better quality outcomes while also improving overall efficiency. Furthermore, ACO providers that used health IT effectively demonstrated better patient health outcomes due to greater information integration with other providers. In other words, ACOs created value by not only reducing the cost of care but also improving patient outcomes simultaneously. Our research provides a roadmap for practitioners to succeed in a value-based healthcare environment and for policy makers to design better incentives to promote interorganizational information sharing across providers. Our findings suggest that healthcare policy needs to incorporate appropriate incentives to foster effective IT use for care coordination between healthcare providers.

Exploring Nursing Students’ Learning Experiences in Improving Their Health Information Technology Competency in Interdisciplinary Cooperation: An Innovative Pilot Study

This study aims to explore nursing students’ learning experiences in improving their health information technology competency in interdisciplinary cooperation. Through the nursing student training for designing thinking focused on smart health, we revealed the profound learning experience through interdisciplinary cooperation as well as the practice of problem solving, not only strengthens the students’ health information technology competency, but ignites their creative thinking and creativity, altogether enhances their competitiveness in health care industry.

Assessment of Turnover Intention and Associated Factors Among Health Information Technology Professionals Working in Public Health Institution, South Gondar Zone, Northwest Ethiopia

Background: Place of work turnover is critical to health information technology professionals (HIT) and health information systems as it indications dropping skilled and competent health information professionals. However, the progress of surviving plans requests a strong acceptance of the place of work variables that either inspire health information staff to persist active or principal them to dispensation their recent working organization.Objective: This study was deliberate to measure intention to leave and associated factors among health information technology professionals working in south Gondar zone public health institution, Amhara Region, EthiopiaMethods: A cross-sectional study was carried out among 122 health information technology professionals. Data were collected using structured pre-tested self-administered questionnaires from September 1 to October 1/2020. The collected data were entered into Epi-info Version 7 and exported to SPSS version 20 software for analysis. Bivariate and multivariable logistic regression was employed to detect influences associated with dependent and independent variables. Odds ratio (OR), with 95% CI and p< 0.05 were computed to determine the level of significance.Results: Based on the operational definition the total score of intent to leave health information technology professionals from the organization was 64.8% [95% CI: 56.6-72.9]. Among the applicant variables for multivariable analysis 3 variables like the marital status of the respondents [OR: 0.49(0.231-1.042)p: value 0.000], performance appraisal of the respondents [OR: 7.0(2.66-18.45) p: value 0.000] and recognition of the respondents [OR: .447(.783-3.513) p: value 0.002] had to have a significant association with intention to leave and performance appraisal of the respondents were significantly associated 8.29 times [AOR: 8.29(3.002-22.889)p: value 0.001] to leave of the respondents from the working organization.Conclusion and recommendation: The magnitude of health information professionals' intention to leave was found to be high, which can extremely affect the coverage and quality of information management and use of information for decisions in the zone. Health care policy-makers and hospital managers need to develop and institutionalize evidence-based retention strategies taking into consideration the predictors of health information professionals’ intention to leave.