Using Health Information Technology: the Consumer Perspective<br />Susan Woods, MD, MPH<br />Portland VA Medical Center<br...
New Information Access & Delivery<br />
Adults Who Use the Internet<br />74% of adults in U.S.<br />87% ages 18-29; 72% ages 50-64<br />41% age 65 and older<br />...
% Ever Looked for Health or Medical Information Online, 2002 and 2007<br />
% Ever Looked for Health or Medical Information Online, 2002 and 2007<br />Age Group<br />
6<br />
7<br />
How often Internet Users with a chronic condition go online<br />81% of Internet users with chronic disease go online for ...
Internet Access and Health Information Seeking<br />Continues to increase<br />But not for everyone<br />Information seeki...
Access 	-> beyond web connection              		-> eHealth literacy, usability</li></ul>                   -> meaningful u...
10<br />
Complementary Tools: EHR & PHR<br />VA Electronic<br />Health Record<br />(EHR)<br />My HealtheVet <br />Personal Health <...
At all care sites
Decision support
Clinical reminders
Patient safety
Secure web-based portal
Patient & family centered
Information and services
Multiple levels of access
Increasing offerings over time</li></li></ul><li>12<br />
13<br />
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Behavioral Scientists and Consumer Informatics

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  • STOP TO TAKE A QUESTION?
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  • Behavioral Scientists and Consumer Informatics

    1. 1. Using Health Information Technology: the Consumer Perspective<br />Susan Woods, MD, MPH<br />Portland VA Medical Center<br />Oregon Health & Science University<br />susan.woods@va.gov<br />
    2. 2. New Information Access & Delivery<br />
    3. 3. Adults Who Use the Internet<br />74% of adults in U.S.<br />87% ages 18-29; 72% ages 50-64<br />41% age 65 and older<br />64% living in rural areas<br />35% if less than High School education<br />57% if < $30,000 per year<br />3<br />Pew Internet & American Life Project http://www.pewinternet.org<br />
    4. 4. % Ever Looked for Health or Medical Information Online, 2002 and 2007<br />
    5. 5. % Ever Looked for Health or Medical Information Online, 2002 and 2007<br />Age Group<br />
    6. 6. 6<br />
    7. 7. 7<br />
    8. 8. How often Internet Users with a chronic condition go online<br />81% of Internet users with chronic disease go online for health-related information so less often than once a week<br />10% say they do once a week.<br />5% say they do so every few days.<br />Only 3% say they do once a day or more.<br />8<br />
    9. 9. Internet Access and Health Information Seeking<br />Continues to increase<br />But not for everyone<br />Information seeking happens when needed<br />For oneself or for someone else<br /><ul><li>How to narrow access gap and avoid growing disparities?
    10. 10. Access -> beyond web connection -> eHealth literacy, usability</li></ul> -> meaningful usage<br />
    11. 11. 10<br />
    12. 12. Complementary Tools: EHR & PHR<br />VA Electronic<br />Health Record<br />(EHR)<br />My HealtheVet <br />Personal Health <br />Record (PHR)<br /><ul><li>Comprehensive record
    13. 13. At all care sites
    14. 14. Decision support
    15. 15. Clinical reminders
    16. 16. Patient safety
    17. 17. Secure web-based portal
    18. 18. Patient & family centered
    19. 19. Information and services
    20. 20. Multiple levels of access
    21. 21. Increasing offerings over time</li></li></ul><li>12<br />
    22. 22. 13<br />
    23. 23.
    24. 24. 15<br />Patient + Doctor<br />
    25. 25. 16<br />Patients + Information + Experts + Each Other<br />
    26. 26. New “Usual Care”<br />
    27. 27. 18<br />
    28. 28. Expand concept of patient information from care team, plus support from community<br />Patients connect with health information systems and contribute<br />User becomes part of the intervention<br /><ul><li>Need for experts will persist
    29. 29. How best to modify roles and leverage these shifts?</li></ul>19<br />Modifying Dynamics of Interactions<br />
    30. 30. Interactive health IT provides high patient satisfaction<br />Evidence for effects on care processes, behaviors, outcomes<br /><ul><li>Need definitions, standards for measurement
    31. 31. Need to connect information/services to where people go</li></ul>New Models & Development<br />
    32. 32. 21<br />
    33. 33. P4P: Pay for Participation<br />Younger patients want virtual access<br />Providers will need to use consumer-facing IT tools<br />Patients will vote with their feet<br />P4P: Must go beyond clinical measures<br />

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