AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices.

Tópicos

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{ health(3367) inform(1360) care(1135) }
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{ model(3480) simul(1196) paramet(876) }
{ medic(1828) order(1363) alert(1069) }
{ survey(1388) particip(1329) question(1065) }
{ patient(2315) diseas(1263) diabet(1191) }
{ algorithm(1844) comput(1787) effici(935) }
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{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
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{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
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{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
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{ structur(1116) can(940) graph(676) }
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{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
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{ decis(3086) make(1611) patient(1517) }
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{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }

Resumo

While health IT is thought to be critical to the success of new models of care delivery, we know little about the extent to which those pursuing these models are relying on HIT. We studied a large patient-centered medical home (PCMH) demonstration project, a new model of care delivery that has received substantial policy attention, in order to assess which types of HIT were most widely used, and how adoption rates changed over time as PCMH practices matured. We found that clinically-focused HIT tools were both widely adopted, and increasingly adopted, in PCMH practices compared to non-PCMH practices. In contrast, HIT that supports patient-engagement, patient portals and personal health records, was neither in widespread use nor more likely to be adopted over time by PCMH practices compared to other practices. This suggests that these tools may not yet support the types of patient engagement and interactions that PCMH practices seek.

Resumo Limpo

health thought critic success new model care deliveri know littl extent pursu model reli hit studi larg patientcent medic home pcmh demonstr project new model care deliveri receiv substanti polici attent order assess type hit wide use adopt rate chang time pcmh practic matur found clinicallyfocus hit tool wide adopt increas adopt pcmh practic compar nonpcmh practic contrast hit support patientengag patient portal person health record neither widespread use like adopt time pcmh practic compar practic suggest tool may yet support type patient engag interact pcmh practic seek

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