Addressing Disparities in Health Information through an FQHC-Library Partnership

通过 FQHC-图书馆合作伙伴关系解决健康信息的差异

• 批准号: 8729008
• 负责人: Kevin Fiscella
• 金额: $ 4.2万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8729008
• 关键词: Achievement; Address; Age; American Indians; Attitude; Caring; Chronic Disease; Client satisfaction; Collaborations; Computers; Decision Making; Devices; Disadvantaged; Ensure; Failure; Familiarity; Federally Qualified Health Center; Goals; Hand; Health; Health Personnel; Health Science Library; Healthcare; Improve Access; Information Resources; Internet; Jordan; Knowledge; Latino; Libraries; Literature; Low income; MedlinePlus; Methods; Minority; Modeling; Online Systems; Patients; Population; Primary Health Care; Reporting; Research Personnel; Resources; Self Management; Site; Social Network; Surveys; Training; United States National Institutes of Health; United States National Library of Medicine; Universities; base; design; digital; experience; health disparity; improved; interest; literacy; medical schools; member; patient oriented; point of care; satisfaction; skills; social; success; web-enabled

DESCRIPTION (provided by applicant): Disparities in health information contribute to healthcare disparities and ultimately contribute to health disparities. The digital divide in use of internet to obtain health information relevant to health care decision making and chronic disease self management represents a critical national challenge to the national goal of addressing health care disparities. Growing use of "The Web" for health information raises the prospect that the digital divide will be converted into a health chasm between the haves and have nots. Social disadvantage, including low educational attainment, low income, being Black, Latino or American Indian, and older age are associated with lower use of The Web to seek health information. Poor access to reliable and accurate health information by members of disparity groups impedes effective health and health care decision making and contributes to health disparities. Patient barriers to Web-based health information include physical access (lack of computer and/or internet connection), attitude (technophobia or limited interest), knowledge and skills (lack of knowledge about high quality sites and low computer and Web literacy), social networks, and failure by busy health care providers to use high quality health information at the point of care. Little is known in how to bet address this digital divide in health information or to improve access to the rich resources offered through the National Library of Medicine (NLM). We propose to address disparities in health information among patients through a unique partnership between a leading Federally Qualified Health Center (FQHC) and a major health sciences library. Specifically, the Anthony Jordan Health Center which delivers primary care to 30,000 largely poor and minority patients, will partner with the Edward G Miner Library at the University of Rochester Medical School to implement a national demonstration project to improve access to NLM health information resources among underserved patients. To our knowledge, this project will represent the first collaboration between an FQHC and a health sciences library explicitly designed to make Web-based NLM resources available to patients at point of care. The project, directed by a nationally recognized disparity researcher, Dr Fiscella, will target key barriers that contribute to the digitl divide in health information through a simple, multipronged strategy that will ensure access to relevant health information at the point of care. Our three inter-related aims address key barriers using feasible methods that can be readily replicated by others. These are: 1) Improve web-access to high quality health information for poor/minority patients within a federally qualified health center; 2) Improve patients' knowledge, attitude and skills relevant to accessing health information from the Web; and 3) Improve patient access to targeted high quality information at the point of care. We will evaluate our success in achieving our project aims based on patient and staff use of health information and patient satisfaction with information needs. We will disseminate our findings and experience among FQHCs through existing networks and relationships.

描述（由申请人提供）： 健康信息的差异导致医疗保健差异，并最终导致 健康差距。利用互联网获取与卫生保健决策和慢性病自我管理相关的健康信息的数字鸿沟是对解决卫生保健差距的国家目标的一个关键的国家挑战。越来越多地使用“网络”获取健康信息，这就产生了这样一种前景：数字鸿沟将转变为富人和穷人之间的健康鸿沟。社会劣势，包括教育程度低，收入低，是黑人，拉丁美洲人或美洲印第安人，以及年龄较大，与较少使用网络寻求健康信息有关。差距群体成员难以获得可靠和准确的健康信息，阻碍了有效的健康和保健决策，并助长了健康差距。患者获取基于Web的健康信息的障碍包括物理访问（缺乏计算机和/或互联网连接）、态度（技术恐惧症或兴趣有限）、知识和技能（缺乏关于高质量网站的知识以及计算机和Web素养低）、社交网络以及忙碌的医疗保健提供者未能在护理点使用高质量的健康信息。如何更好地解决健康信息中的数字鸿沟或改善对国家医学图书馆（NLM）提供的丰富资源的访问，人们知之甚少。我们建议通过一个领先的联邦合格的健康中心（CIMHC）和一个主要的健康科学图书馆之间的独特伙伴关系，以解决患者之间的健康信息的差异。具体来说，安东尼·乔丹健康中心为30，000名主要是贫困和少数民族患者提供初级保健，将与罗切斯特医学院大学的爱德华·G·迈纳图书馆合作实施一个国家示范项目，以改善服务不足的患者获得NLM健康信息资源的机会。据我们所知，该项目将代表一个CNOHC和健康科学图书馆之间的第一次合作，明确设计，使基于Web的NLM资源提供给病人在护理点。该项目由全国公认的差距研究人员Fiscella博士指导，将通过一项简单、多管齐下的战略，确保在护理点获得相关健康信息，从而消除造成健康信息数字鸿沟的主要障碍。我们的三个相互关联的目标解决了主要障碍 使用其他人可以轻易复制的可行方法。这些是：1）在联邦合格的卫生中心内改善贫困/少数民族患者对高质量健康信息的网络访问; 2）改善患者从网络访问健康信息的相关知识，态度和技能;以及3）改善患者在护理点获得有针对性的高质量信息的机会。我们将根据患者和工作人员对健康信息的使用以及患者对信息需求的满意度来评估我们在实现项目目标方面的成功。我们将通过现有的网络和关系，在区域卫生协调委员会中传播我们的调查结果和经验。