Informatics systems to promote improved care for chronic illness: A literature review. Export

@article{citeulike:1071159, abstract = {OBJECTIVE To understand information systems components important in supporting team-based care of chronic illness through a literature search. DESIGN Systematic search of literature from 1996-2005 for evaluations of information systems used in the care of chronic illness. MEASUREMENTS The relationship of design, quality, information systems components, setting, and other factors with process, quality outcomes, and healthcare costs was evaluated. RESULTS In all, 109 articles were reviewed involving 112 information system descriptions. Chronic diseases targeted included diabetes (42.9\% of reviewed articles), heart disease (36.6\%), and mental illness (23.2\%), among others. System users were primarily physicians, nurses, and patients. Sixty-seven percent of reviewed experiments had positive outcomes; 94\% of uncontrolled, observational studies claimed positive results. Components closely correlated with positive experimental results were connection to an electronic medical record, computerized prompts, population management (including reports and feedback), specialized decision support, electronic scheduling, and personal health records. Barriers identified included costs, data privacy and security concerns, and failure to consider workflow. CONCLUSION The majority of published studies revealed a positive impact of specific health information technology components on chronic illness care. Implications for future research and system designs are discussed.}, address = {Oregon Health \& Science University, Department of Medical Informatics and Clinical Epidemiology, Portland, OR.}, author = {Dorr, David and Bonner, Laura M M. and Cohen, Amy N N. and Shoai, Rebecca S S. and Perrin, Ruth and Chaney, Edmund and Young, Alexander S S.}, citeulike-article-id = {1071159}, citeulike-linkout-0 = {http://dx.doi.org/10.1197/jamia.M2255}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17213491}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17213491}, day = {9}, doi = {10.1197/jamia.M2255}, issn = {1067-5027}, journal = {J Am Med Inform Assoc}, keywords = {barriers, chronic-care, informatics, management}, month = {January}, posted-at = {2007-01-27 15:29:47}, priority = {2}, title = {Informatics systems to promote improved care for chronic illness: A literature review.}, url = {http://dx.doi.org/10.1197/jamia.M2255}, year = {2007} }

TY - JOUR ID - citeulike:1071159 L3 - citeulike-article-id:1071159 N2 - OBJECTIVE To understand information systems components important in supporting team-based care of chronic illness through a literature search. DESIGN Systematic search of literature from 1996-2005 for evaluations of information systems used in the care of chronic illness. MEASUREMENTS The relationship of design, quality, information systems components, setting, and other factors with process, quality outcomes, and healthcare costs was evaluated. RESULTS In all, 109 articles were reviewed involving 112 information system descriptions. Chronic diseases targeted included diabetes (42.9% of reviewed articles), heart disease (36.6%), and mental illness (23.2%), among others. System users were primarily physicians, nurses, and patients. Sixty-seven percent of reviewed experiments had positive outcomes; 94% of uncontrolled, observational studies claimed positive results. Components closely correlated with positive experimental results were connection to an electronic medical record, computerized prompts, population management (including reports and feedback), specialized decision support, electronic scheduling, and personal health records. Barriers identified included costs, data privacy and security concerns, and failure to consider workflow. CONCLUSION The majority of published studies revealed a positive impact of specific health information technology components on chronic illness care. Implications for future research and system designs are discussed. JF - J Am Med Inform Assoc SN - 1067-5027 AD - Oregon Health & Science University, Department of Medical Informatics and Clinical Epidemiology, Portland, OR. TI - Informatics systems to promote improved care for chronic illness: A literature review. KW - barriers KW - chronic-care KW - informatics KW - management AU - Dorr, David AU - Bonner, Laura M AU - Cohen, Amy N AU - Shoai, Rebecca S AU - Perrin, Ruth AU - Chaney, Edmund AU - Young, Alexander S PY - 2007/01/09/ UR - http://dx.doi.org/10.1197/jamia.M2255 ER -