Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ age(1611) year(1155) adult(843) }
{ chang(1828) time(1643) increas(1301) }
{ use(1733) differ(960) four(931) }
{ medic(1828) order(1363) alert(1069) }
{ time(1939) patient(1703) rate(768) }
{ record(1888) medic(1808) patient(1693) }
{ measur(2081) correl(1212) valu(896) }
{ perform(1367) use(1326) method(1137) }
{ research(1218) medic(880) student(794) }
{ model(2220) cell(1177) simul(1124) }
{ perform(999) metric(946) measur(919) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ can(774) often(719) complex(702) }
{ patient(2315) diseas(1263) diabet(1191) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ patient(2837) hospit(1953) medic(668) }
{ cost(1906) reduc(1198) effect(832) }
{ high(1669) rate(1365) level(1280) }
{ method(2212) result(1239) propos(1039) }
{ data(1737) use(1416) pattern(1282) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(1714) softwar(1251) tool(1186) }
{ general(901) number(790) one(736) }
{ system(1050) medic(1026) inform(1018) }
{ blood(1257) pressur(1144) flow(957) }
{ model(2656) set(1616) predict(1553) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

RPOSE: The purpose of this study was to evaluate HIV-related outcomes associated with use of a novel public health information exchange that was designed to identify out of care HIV-infected individuals seen within a large, integrated delivery network (IDN).METHODS: A novel, secure, bidirectional health care delivery-public health information exchange, the Louisiana Public Health Information Exchange (LaPHIE) was developed between a multi-geographical IDN and the Louisiana public health authority in response to the high proportion of out of care HIV-infected persons. The system provides real-time provider alerts when any HIV-infected person who has not had CD4 or HIV viral load (VL) monitoring in >1 year receives non-HIV care within the IDN, allowing immediate linkage to HIV specialty care. Persons identified over the first 30 months of the system's implementation were characterized using a case-cohort approach to compare out-of-care individuals with randomly sampled, time-matched in-care controls.RESULTS: Between 2/1/09 and 7/31/11, 549 alerts identified 419 unduplicated HIV-infected individuals without a CD4 count or VL in >1 year. Patients were identified at 60 clinics and alerts shown to 223 clinicians in 7 participating facilities. A quarter (24%) of those identified had not had a CD4 count or VL conducted since their initial diagnosis. Of the remaining 76% who had been in care previously, over half (55%) had been out of care for =18 months, with a median time of 19.4 months [IQR 15.0-32.5] since their previous visit. Following LaPHIE identification, 42% had CD4 counts<200 cells/mm(3) and 62% had VL>10,000 RNA copies/mL. Of the 344 patients with at least 6 months of follow up, 85% had at least one CD4 and/or VL test after being identified.CONCLUSIONS: The results of this study demonstrate that an information exchange can effectively facilitate engagement, re-engagement, and retention of out-of care HIV-infected persons in HIV specialty care. Within two years, we were able to observe significant improvements in HIV-related utilization and disease progression indices. Future programs should consider adopting this innovative strategy to improve HIV care at both the individual and population levels.

Resumo Limpo

rpose purpos studi evalu hivrel outcom associ use novel public health inform exchang design identifi care hivinfect individu seen within larg integr deliveri network idnmethod novel secur bidirect health care deliverypubl health inform exchang louisiana public health inform exchang laphi develop multigeograph idn louisiana public health author respons high proport care hivinfect person system provid realtim provid alert hivinfect person cd hiv viral load vl monitor year receiv nonhiv care within idn allow immedi linkag hiv specialti care person identifi first month system implement character use casecohort approach compar outofcar individu random sampl timematch incar controlsresult alert identifi undupl hivinfect individu without cd count vl year patient identifi clinic alert shown clinician particip facil quarter identifi cd count vl conduct sinc initi diagnosi remain care previous half care month median time month iqr sinc previous visit follow laphi identif cd count cellsmm vl rna copiesml patient least month follow least one cd andor vl test identifiedconclus result studi demonstr inform exchang can effect facilit engag reengag retent outof care hivinfect person hiv specialti care within two year abl observ signific improv hivrel util diseas progress indic futur program consid adopt innov strategi improv hiv care individu popul level

Resumos Similares

Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births. ( 0,812789248103655 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,803287186063838 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,801705790436158 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,796848542428925 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,795203573829603 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,789735356304665 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,783565007698282 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,781698255762023 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,781145528980184 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,779800934207917 )
Int J Health Geogr - Spatial modelling of healthcare utilisation for treatment of fever in Namibia. ( 0,779214435061441 )
AMIA Annu Symp Proc - Preparing for an aging population and improving chronic disease management. ( 0,765852617719425 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,765355097074803 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,75491453179127 )
J. Med. Internet Res. - Major infection events over 5 years: how is media coverage influencing online information needs of health care professionals and the public? ( 0,754263663425059 )
Methods Inf Med - Outcomes assessment of the regional health information exchange: a five-year follow-up study. ( 0,75393825159599 )
Perspect Health Inf Manag - Reasons for deficiencies in health information laws in Iran. ( 0,75231526978596 )
Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,749616669205018 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,749519299158284 )
Int J Health Geogr - Spatial access to residential care resources in Beijing, China. ( 0,747130378376482 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,745898148752255 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,743631196390181 )
Int J Med Inform - Achieving the integrated and smart health and wellbeing paradigm: a call for policy research and action on governance and business models. ( 0,738547791075887 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,73837259903618 )
Med Decis Making - Health technology assessment: an evidence-based medicine perspective. ( 0,738142147422662 )
Healthc (Amst) - Geographic variation in health IT and health care outcomes: A snapshot before the meaningful use incentive program began. ( 0,737771569079029 )
J Am Med Inform Assoc - The National Alliance for Medical Image Computing, a roadmap initiative to build a free and open source software infrastructure for translational research in medical image analysis. ( 0,736638313124195 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,73352267893006 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,733013489059589 )
J Am Med Inform Assoc - Shifts in the architecture of the Nationwide Health Information Network. ( 0,732058019868657 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,730644847601054 )
J. Med. Internet Res. - Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. ( 0,730347573058387 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,730110796060788 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,728317644646804 )
J Am Med Inform Assoc - Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state. ( 0,725712086395908 )
Int J Health Geogr - Geographical variation of unmet medical needs in Italy: a multivariate logistic regression analysis. ( 0,723732823784217 )
Int J Health Geogr - It's a long, long walk: accessibility to hospitals, maternity and integrated health centers in Niger. ( 0,721082427836194 )
J. Med. Internet Res. - Using online health communities to deliver patient-centered care to people with chronic conditions. ( 0,71999519761534 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,714602211012944 )
J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,713583195623099 )
Health Info Libr J - Monitoring or avoiding health information--the relation to inner inclination and health status. ( 0,712121944003431 )
J Telemed Telecare - Teledermatology in pharmacies: a pilot study. ( 0,710912579841712 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,709037121879782 )
BMC Med Inform Decis Mak - A scenario analysis of the future residential requirements for people with mental health problems in Eindhoven. ( 0,70899795910845 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,706498168150654 )
Healthc (Amst) - How it's done: Keys to implementation of delivery system reform. ( 0,705236025605582 )
J Biomed Inform - Scenario-based design: a method for connecting information system design with public health operations and emergency management. ( 0,704702253492937 )
J Biomed Inform - Consumer-mediated health information exchanges: the 2012 ACMI debate. ( 0,702858483553263 )
Int J Health Geogr - Accessibility to health care facilities in Montreal Island: an application of relative accessibility indicators from the perspective of senior and non-senior residents. ( 0,701792187457793 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,701751722335293 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,700811237203013 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,699781869923687 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,699050473066564 )
Int J Med Inform - A Public Health Grid (PHGrid): Architecture and value proposition for 21st century public health. ( 0,698307919818957 )
J Am Med Inform Assoc - The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. ( 0,698196216419746 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,698064602653629 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,693629714023129 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,693400754570091 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,692448149742014 )
Int J Health Geogr - Methods to measure potential spatial access to delivery care in low- and middle-income countries: a case study in rural Ghana. ( 0,691870267808816 )
J. Med. Internet Res. - Investigating the congruence of crowdsourced information with official government data: the case of pediatric clinics. ( 0,69135069078603 )
J Am Med Inform Assoc - Patient-centered care, collaboration, communication, and coordination: a report from AMIA's 2013 Policy Meeting. ( 0,691256968006304 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,689799100242688 )
Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams. ( 0,687997124117503 )
Perspect Health Inf Manag - Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers. ( 0,68775887533203 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,686624304688636 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,686356014044071 )
Spat Spatiotemporal Epidemiol - Investigating impacts of positional error on potential health care accessibility. ( 0,686173737072153 )
AMIA Annu Symp Proc - An evaluation of the rates of repeat notifiable disease reporting and patient crossover using a health information exchange-based automated electronic laboratory reporting system. ( 0,685936599981158 )
Int J Health Geogr - Geographic variations in access and utilization of cancer screening services: examining disparities among American Indian and Alaska Native Elders. ( 0,683980608926241 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,683884875231173 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,680157777674227 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,680107786798035 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,678380759763296 )
Telemed J E Health - Federal efforts to define and advance telehealth--a work in progress. ( 0,677498940239465 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,675734057915251 )
Int J Health Geogr - Mapping the capacities of fixed health facilities to cover people at risk of gambiense human African trypanosomiasis. ( 0,674199783252308 )
Health Info Libr J - Information needs of public health students. ( 0,67247159294121 )
Perspect Health Inf Manag - Evaluating the usability of a free electronic health record for training. ( 0,672167221605717 )
Int J Health Geogr - The impact of rural hospital closures on equity of commuting time for haemodialysis patients: simulation analysis using the capacity-distance model. ( 0,670556322315192 )
J Med Syst - Technologies to better serve the millions of diabetic patients: a holistic, interactive and persuasive ICT model to facilitate self care, in extremely poor rural zones of Central America. ( 0,668463939360178 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,668154702540398 )
Int J Med Inform - Characteristics of health IT outage and suggested risk management strategies: an analysis of historical incident reports in China. ( 0,666620473433424 )
Telemed J E Health - Realist review to inform development of the electronic advance care plan for the personally controlled electronic health record in Australia. ( 0,664869056106148 )
Int J Health Geogr - Optimization of preventive health care facility locations. ( 0,663475631020197 )
Int J Health Geogr - Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda. ( 0,66292947195153 )
AMIA Annu Symp Proc - Exploring local public health workflow in the context of automated translation technologies. ( 0,662430307089724 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,661802035258562 )
Med Decis Making - Improving the accuracy and comparability of model-based economic evaluations of health technologies for reimbursement decisions: a methodological framework for the development of reference models. ( 0,661519256772284 )
Int J Health Geogr - Catchments of general practice in different countries--a literature review. ( 0,660420440857936 )
J. Med. Internet Res. - Facilitating out-of-home caregiving through health information technology: survey of informal caregivers' current practices, interests, and perceived barriers. ( 0,65952494673437 )
Healthc (Amst) - A potential new data source for assessing the impacts of health reform: Evaluating the Gallup-Healthways Well-Being Index. ( 0,658454135865702 )
J Am Med Inform Assoc - The Regional Healthcare Ecosystem Analyst (RHEA): a simulation modeling tool to assist infectious disease control in a health system. ( 0,658371483633892 )
J Med Syst - Impact of technological innovation on a nursing home performance and on the medication-use process safety. ( 0,658092395671339 )
Int J Med Inform - User profiles and personas in the design and development of consumer health technologies. ( 0,654843013643666 )
J. Med. Internet Res. - Home care technology through an ability expectation lens. ( 0,654447122770762 )
Inform Health Soc Care - The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics. ( 0,653647414902196 )
AMIA Annu Symp Proc - Integrated multisystem analysis in a mental health and criminal justice ecosystem. ( 0,65013550119961 )
AMIA Annu Symp Proc - Applications of health information exchange information to public health practice. ( 0,650033563914633 )
Int J Med Inform - Comparing New Zealand's 'Middle Out' health information technology strategy with other OECD nations. ( 0,649866144310122 )