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Behavioral Scientists and Consumer Informatics
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Behavioral Scientists and Consumer Informatics Presentation Transcript

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