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Providers, consumers, and policy makers alike stand to benefit from the further proliferation of HIT. Our research aligns with previous work that identified improvements achieved as the result of the adoption of HIT [ 1 , 2 , 11 ]. Although these findings are similar to the overall conclusions drawn by previous reviews, the adoption of HIT can have a positive impact on medical outcomes [ 1 , 2 , 11 ]. There are two key differences between our work and the three previous literature reviews.
We identified a number of studies that demonstrated no statistical improvement, but we did not identify any negative impacts as a result of the adoption of HIT. Buntin et al noted that the majority of their negative findings were associated with provider satisfaction with HIT. We chose to only include papers that demonstrated effects of efficiency and effectiveness in terms of medical outcomes; this could account for the difference in our findings.
Organizational factors related to the success of HIT implementation and improved medical outcomes is one area where further research is needed [ 1 , 2 , 11 ]. Second, the literature review conducted by Chaudhry et al in noted that the improved outcomes demonstrated were reported by a limited set of large benchmark organizations and cautioned on the ability to generalize positive findings to other institutions [ 2 ].
Goldzweig et al and Buntin and colleagues identified the emergence of more widespread research outside larger and more established organizations [ 11 , 1 ]. One important finding noted by Goldzweig et al was an increased focus on patient-focused HIT. We believe this trend has continued through We identified a greater variety in the types of HIT being studied than previous literature reviews; Web-based interventions being the most frequently researched.
This may be an indication of an increased rate of adoption of HIT and perhaps improved efficiency and effectiveness across a wider variety of health care settings. One common theme in all four literature reviews is the limited amount of research associated with HIE specifically [ 1 , 2 , 11 ]. HIE is at the forefront of technological advancement in the health care industry [ 4 ]. Only one study in our review of recent literature included HIE.
More research is needed to identify the outcomes associated with the adoption of HIT systems that are capable of information exchange. Our literature review did not identify any studies demonstrating a negative impact on medical outcomes as the result of HIT adoption. The absence of negative findings may be because of publication bias [ 1 ] and should be considered in the interpretation of these results.
Another limitation of this work is the diversity in types of medical outcomes examined and the uniqueness of each sample studied. This impacts the ability to generalize findings across the industry. HIT has the potential to improve the quality and safety of health care services.
Providers who leverage HIT to improve medical outcomes can position themselves for sustainability in the future. Further research is needed to continue to reveal and define the relationship between the adoption of HIT and medical outcomes. This will be especially true as the industry establishes new and innovative ways to integrate technological advances and works toward greater interoperability as the United States prepares for stage 3 of meaningful use, as all providers seek a link between the application of HIT in health care and its effect on outcomes, and as other nations such as Switzerland, Denmark, and Germany reconcile national medical programs such as a nationwide EHR, regional electronic patient record system, and national medical chip cards, respectively, against outcomes.
Edited by G Eysenbach; submitted Skip to Main Content Skip to Footer. Article Authors Cited by 50 Tweetations 48 Metrics. Table 1. The specific categories of health information technology HIT and their frequency of occurrence. Table 2. The specific categories of outcomes and their frequency of occurrence. Category of outcome Paper in which category occurred a Frequency Physical [ 15 - 17 , 23 - 26 , 28 , 30 - 35 , 37 , 39 , 41 , 42 , 44 , 45 , 48 , 49 , 51 ] 39 Psychological [ 17 - 19 , 21 , 27 , 40 , 47 ] 13 Continuity of care [ 20 , 22 , 23 , 25 , 27 , 29 , 36 , 39 , 40 , 43 , 46 , 50 ] 13 Total Multiple occurrences in same paper 65 a More than one occurrence was observed in the following papers in the categories of outcome; physical: , 23, 28, 37, 39, 41, 42; psychological: 18, 21, 27, 40; continuity of care: Table 3.
Outcome results and their frequency of occurrence. Multimedia Appendix 1 Summary of analysis. The benefits of health information technology: a review of the recent literature shows predominantly positive results. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med May 16; 10 N Engl J Med Feb 04; 5 Conn J. Modern Healthcare. Adoption of electronic health record systems among U. Clinical information technologies and inpatient outcomes: a multiple hospital study.
Arch Intern Med Jan 26; 2 The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.
Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. Int J Med Inform Jan;78 1 Costs and benefits of health information technology: new trends from the literature. The causal pathways linking health literacy to health outcomes. Phys Ther Sep;89 9 Comparison of robotic and laparoscopic colorectal resections with respect to day perioperative morbidity.
A randomized trial of telemedicine efficacy and safety for nonacute headaches. Results from a clinical yoga program for veterans: yoga via telehealth provides comparable satisfaction and health improvements to in-person yoga. Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods study.
The effect of interactive web-based monitoring on breastfeeding exclusivity, intensity, and duration in healthy, term infants after hospital discharge. A randomized controlled trial of personalized text message reminders to promote medication adherence among HIV-positive adolescents and young adults.
A telehealth behavioral coaching intervention for neurocognitive disorder family carers. Int J Geriatr Psychiatry ;31 2 Clinical decision support and palivizumab: a means to protect from respiratory syncytial virus. Scalable hospital at home with virtual physician visits: pilot study.
Mortality benefits of antibiotic computerised decision support system: modifying effects of age. Electronic Stroke CarePath: integrated approach to stroke care. Electronic ordering system improves postoperative pain management after total knee or hip arthroplasty. Feasibility and acute care utilization outcomes of a post-acute transitional telemonitoring program for underserved chronic disease patients.
Telemed J E Health Sep;21 9 An electronic tool for the evaluation and treatment of sepsis in the ICU: a randomized controlled trial. Effect of a computer-guided, quality improvement program for cardiovascular disease risk management in primary health care: the treatment of cardiovascular risk using electronic decision support cluster-randomized trial.
Expert advice provided through telemedicine improves healing of chronic wounds: prospective cluster controlled study. Using electronic health record clinical decision support is associated with improved quality of care. Comparison of community health worker-led diabetes medication decision-making support for low-income Latino and African American adults with diabetes using e-health tools versus print materials: a randomized, controlled trial.
Integrating real-time clinical information to provide estimates of net clinical benefit of antithrombotic therapy for patients with atrial fibrillation. Implementation and evaluation of an integrated computerized asthma management system in a pediatric emergency department: a randomized clinical trial. The Utah Remote Monitoring Project: improving health care one patient at a time. Improving adherence for management of acute exacerbation of chronic obstructive pulmonary disease.
Impact of nurse-led remote screening and prompting for evidence-based practices in the ICU. Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders. Effects of an individually tailored Web-based chronic pain management program on pain severity, psychological health, and functioning. Development and pilot testing of a mobile health solution for asthma self-management: asthma action plan smartphone application pilot study.
Reliable individualized monitoring improves cholesterol control in kidney transplant recipients. Web-based intervention to promote physical activity by sedentary older adults: randomized controlled trial. Practice-based versus telemedicine-based collaborative care for depression in rural federally qualified health centers: a pragmatic randomized comparative effectiveness trial.
Internet-delivered cognitive-behavioural therapy v. Efficacy of a clinical decision-support system in an HIV practice: a randomized trial. Hospital implementation of health information technology and quality of care: are they related? The outcomes of statistical analyses and interpretation of the results must be in evidence-based scientific language [ Editors of Heart Group journals.
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