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“Ignorance is bliss. Except when, suddenly, you find yourself smack dab in the hospital and desperately in need of a working, easy to use PHR. Let’s hope the industry catches up with the need. Someone better start believing in unicorns. Someone else better start designing a rocketship.”
Article
Jen McCabe Gorman, Health Management Rx, 18 November 2008
“A very smart doctor told me, “there’s been a realization that the exam room is wherever the patient is.”
That simple, elegant and insightful remark was offered by Dr. Jay Sanders, one of the godfathers of telehealth. I quote him here from my report published this week by the California Health Care Foundation. It’s called Right Here Right Now: Ten Telehealth Pioneers Make It Work.
This report is coupled with another by Forrester, Delivering Care Anytime, Anywhere: Telehealth Alters the Medical Ecosystem. My colleagues at Forrester, Carlton Doty and Katie Thompson, have assembled a very current look into the state of telehealth and drivers for the future.”
Article
Jane Sarasohn-Kahn, Health Populi, 13 November 2008
“Even as the federal government and the AAFP focus their resources on ensuring that America’s physicians get onboard with electronic health records, or EHRs, some American consumers are wrestling with confidentiality concerns about the technology.”
Article
Sheri Porter, AAFP News, 12 November 2008
“Objectives: We reviewed the evidence on the barriers and drivers to the use of interactive consumer health information technology (IT) by specific populations, namely the elderly, those with chronic conditions or disabilities, and the underserved.
Data Sources: We searched MEDLINE®, CINHAHL®, PsycINFO®, the Cochrane Controlled Trials Register and Database of Systematic Reviews, ERIC, and the American Association of Retired Persons (AARP) AgeLine® databases. We focused on literature 1990 to present.
Methods: We included studies of all designs that described the direct use of interactive consumer health IT by at least one of the populations of interest. We then assessed the quality and abstracted and summarized data from these studies with regard to the level of use, the usefulness and usability, the barriers and drivers of use, and the effectiveness of the interactive consumer health IT applications.
Results: We identified and reviewed 563 full-text articles and included 129 articles for abstraction. Few of the studies were specifically designed to compare the elderly, chronically ill, or underserved with the general population. We did find that several types of interactive consumer health IT were usable and effective in multiple settings and with all of our populations of interest. Of the studies that reported the impact of interactive consumer health IT on health outcomes, a consistent finding of our review was that these systems tended to have a positive effect when they provided a complete feedback loop that included (a) monitoring of current patient status, (b) interpretation of this data in light of established, often individualized, treatment goals, (c) adjustment of the management plan as needed, (d) communication back to the patient with tailored recommendations or advice, and (e) repetition of this cycle at appropriate intervals.
Systems that provided only one or a subset of these functions were less consistently effective. The barriers and drivers to use were most often reported as secondary outcomes. Many studies were hampered by usability problems and unreliable technology, primarily due to the research being performed on early stage system prototypes. However, the most common factor influencing the successful use of the interactive technology by these specific populations was that the consumers’ perceived a benefit from using the system. Convenience was an important factor. It was critical that data entry not be cumbersome and that the intervention fit into the user’s daily routine. Usage was more successful if the intervention could be delivered on technology consumers used every day for other purposes. Finally, rapid and frequent interactions from a clinician improved use and user satisfaction.
Conclusions: The systems described in the studies we examined depended on the active engagement of consumers and patients and the involvement of health professionals, supported by the specific technology interventions. Questions remain as to (a) the optimal frequency of use of the system by the patient, which is likely to be condition-specific; (b) the optimal frequency of use or degree of involvement by health professionals; and (c) whether the success depends on repeated modification of the patient’s treatment regimen or simply ongoing assistance with applying a static treatment plan. However, it is clear that the consumer’s perception of benefit, convenience, and integration into daily activities will serve to facilitate the successful use of the interactive technologies for the elderly, chronically ill, and underserved.”
Report
AHRQ, November 2008
“So the conference ended yesterday, and I’ve had a night to sleep on the event and think about it.
What do I think about it? I’m still not sure. On one hand, there is some absolutely amazing technology coming out, on the other hand, DID ANYONE THINK ABOUT THE END USER?”
Article
Nathan Low, An Ozzie in Boston, 29 October 2008
“The State Alliance for e-Health, made up of governors and state officials from across the country, is calling on states to support e-prescribing and address medical privacy and security issues in order to boost healthcare IT.”
Article
Bernie Monegain, Healthcare IT News, 23 September 2008
“The newest edition of Health Affairs includes the story of Michelle Mayer, a patient whose odyssey seems to validate consumer-driven medicine—at least on the surface. But a closer look reveals that Mayer’s tale is no consumerist parable; in fact, it’s a great example of consumer-driven medicine’s shortcomings as a model for health care.”
Article
Niko Karvounis, Health Beat, 22 September 2008
“The NHS Confederation has identified new IT services that could change the behaviour of patients as one of the most disruptive innovations facing the health service.
In a paper for debate at its annual conference this week, the Confederation reviews a number of technologies that could have a significant impact on the NHS over the next ten to 15 years.”
Article
e-Health Insider, 18 June 2008
“Medical technology’s impact on doctors, insurance companies and hospitals is creating a revolution with far-reaching implications for how consumers are served and the industry performs in tomorrow’s healthcare market.
This revolution will be chronicled in “The Convergence of EMRs, PHRs, CDHC, Concierge Medicine, and Minute Clinics in Healthcare,” and “New Business Models for the Practice.” The two lectures will be presented by Steven M. Hacker, MD, Founder & CEO of PassportMD, Inc., and an expert in consumer directed healthcare, healthcare IT and electronic medical records, in the upcoming Toward Electronic Patient Records (TEPR) conference on May 20 in Fort Lauderdale, Florida.”
Article
Fox Business, 7 May 2008
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Scott Kozicki:
I agree with Jen that there’s patient “influence” but Lodewijk’s comment still...
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