Improving Prevention Delivery Using an Interactive Information Technology System

使用交互式信息技术系统改善预防交付

• 批准号: 7110652
• 负责人: KEVIN J WILDENHAUS
• 金额: $ 10万
• 依托单位: HEALTHMEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7110652
• 关键词: clinical research; computer system design /evaluation; data management; disease /disorder prevention /control; focus groups; health behavior; health care facility information system; health care service evaluation; health insurance; health services research tag; human subject; information display; interactive multimedia; patient care management; patient care personnel relations; time resolved data

DESCRIPTION (provided by applicant): The general physical is the most important medical visit for the delivery of preventive services including cancer prevention and early detection. Unfortunately, using current office systems, physicians have difficulty delivering the preventive services patients are eligible to receive. Advances in interactive information technology offer great potential for improving the delivery of preventive services. In the Decisions About Preventive Services study, we found that time physicians and patients spend on assessing the patient's eligibility and preferences for preventive services during the general physical visit competes with time for prevention delivery. The goal of this research is to develop the PreventIT prototype, an interactive, IT-based system that will be useful for improving delivery of preventive services by minimizing the time of eligibility assessment and maximizing the time for prevention delivery. The PreventIT system will be tailored to: 1) information organization, and 2) display preferences of physicians and patients. The system will include access to post- visit health behavior change programs and relevant health information. Secondary aims are to assess patients', physicians', and office staffs' views on the preferred features of PreventIT prototype including access to appropriate behavior change programs and relevant health information. PreventIT will be developed by HealthMedia, Inc. using existing health risk assessment materials developed previously and prevention guidelines from the United States Preventive Services Task Force. Focus groups will be conducted with physicians and their staff, and with patients to develop and refine PreventIT systems, graphical images, and output. Using individual interviews with physicians and patients, the PreventIT prototype's value will be assessed as physicians and patients use the PreventIT prototype. After this Phase I project, in Phase II, we propose to develop fully the PreventIT functionality, and anticipate testing PreventlT's effectiveness in a randomized controlled trial. Ultimately, PreventIT will help maximize the time for delivering recommended prevention, while minimizing physician time spent in preventive services eligibility assessment and charting. As 16.8% of ambulatory visits (148 million in 2001) in the US are for general physical evaluations and physicians experience pressures to employ office IT systems, the proposed product has significant market and research potential.

描述（由申请人提供）：一般体检是提供预防服务（包括癌症预防和早期发现）的最重要的医疗访问。不幸的是，使用当前的办公系统，医生很难提供患者有资格接受的预防性服务。互动信息技术的进步为改进预防服务的提供了巨大潜力。在关于预防服务的决定研究中，我们发现，医生和患者在一般体检期间花在评估患者对预防服务的资格和偏好上的时间与预防服务的时间竞争。这项研究的目标是开发一个互动的、以信息技术为基础的原型系统，它将有助于通过最大限度地减少资格评估时间和最大限度地增加提供预防服务的时间来改善预防服务的提供。该系统将被定制为：1）信息组织，2）显示医生和患者的偏好。该系统将包括访问访视后健康行为改变计划和相关健康信息。次要目的是评估患者、医生和办公室工作人员对APDIT原型的首选功能的看法，包括获得适当的行为改变计划和相关的健康信息。该软件将由HealthMedia，Inc.使用之前开发的现有健康风险评估材料和美国预防服务工作组的预防指南。焦点小组将与医生及其工作人员以及患者一起进行，以开发和完善非接触式IT系统、图形图像和输出。通过与医生和患者的单独访谈，将在医生和患者使用PatientIT原型时评估PatientIT原型的价值。在这个第一阶段项目之后，在第二阶段，我们建议全面开发AktIT功能，并预计在随机对照试验中测试AktIT的有效性。最后，CRTIT将有助于最大限度地增加提供推荐预防的时间，同时最大限度地减少医生在预防服务资格评估和图表上花费的时间。由于美国16.8%的门诊访视（2001年为1.48亿次）是为了进行一般身体评估，并且医生面临使用办公室IT系统的压力，因此申报产品具有巨大的市场和研究潜力。

项目成果

Split-Session Focus Group Interviews in the Naturalistic Setting of Family Medicine Offices.

在家庭医学办公室的自然环境中进行分时段焦点小组访谈。

• DOI: 10.1370/afm.1881
• 发表时间: 2016
• 期刊: Annals of family medicine
• 影响因子: 4.4
• 作者: Fetters,MichaelD;Guetterman,TimothyC;Power,Debra;NeaseJr,DonaldE
• 通讯作者: NeaseJr,DonaldE