Role of Health Information Technology in Addressing Health Disparities Patient, Clinician, and System Perspectives
Role of Health Information Technology in Addressing Health Disparities Patient, Clinician, and System Perspectives
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DOI：
10.1097/mlr.0000000000001092
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发表时间：
2019-06-01
期刊：
影响因子：
3
通讯作者：
James, Regina
中科院分区：
文献类型：
--
作者：
Zhang, Xinzhi;Hailu, Benyam;James, Regina
在过去的十年中，健康信息技术（IT）极大地改变了美国的医疗实践。2017年5月11日至12日，国家少数民族健康和健康差异研究所与国家科学基金会和国家卫生信息技术合作组织合作，召开了一次科学研讨会，“用健康信息技术解决健康差异”，目的是确保未来的研究指导潜在的健康信息技术举措，以解决健康差异人群的需求。研讨会从患者、临床医生和系统的角度探讨了卫生信息技术在解决卫生差距方面的潜在作用。与会者被要求确定和讨论服务不足社区面临的各种卫生信息技术挑战，并提出解决这些挑战的创新战略，并让这些社区参与这一进程。强调社区参与、文化能力和以患者为中心的护理是改善卫生公平以及促进可扩展、可持续和有效的卫生IT干预措施的关键。与会者指出，需要更多地研究如何利用保健信息技术来评价和处理健康的社会决定因素。会议强调了扩大公私伙伴关系的重要性，强调了临床医生和信息技术开发人员建立伙伴关系并使用新方法学习如何改进保健决策的重要性。最后，为了推进卫生信息技术和促进卫生公平，有必要使用标准化术语记录和获取卫生差异数据，并不断发现系统层面的缺陷和偏见。
Over the last decade, health information technology (IT) has dramatically transformed medical practice in the United States. On May 11-12, 2017, the National Institute on Minority Health and Health Disparities, in partnership with the National Science Foundation and the National Health IT Collaborative for the Underserved, convened a scientific workshop, " Addressing Health Disparities with Health Information Technology," with the goal of ensuring that future research guides potential health IT initiatives to address the needs of health disparities populations. The workshop examined patient, clinician, and system perspectives on the potential role of health IT in addressing health disparities. Attendees were asked to identify and discuss various health IT challenges that confront underserved communities and propose innovative strategies to address them, and to involve these communities in this process. Community engagement, cultural competency, and patient-centered care were highlighted as key to improving health equity, as well as to promoting scalable, sustainable, and effective health IT interventions. Participants noted the need for more research on how health IT can be used to evaluate and address the social determinants of health. Expanding public-private partnerships was emphasized, as was the importance of clinicians and IT developers partnering and using novel methods to learn how to improve health care decision-making. Finally, to advance health IT and promote health equity, it will be necessary to record and capture health disparity data using standardized terminology, and to continuously identify system-level deficiencies and biases.