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Final paper for technology and public health


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Final paper for technology and public health

  1. 1. RUNNING HEAD: FINAL PAPER 1 Final Paper for Technology and Public Health Sandie Castillo HHS440: Technology in Health Services (CGK1341A) Instructor: Angelia Terrell-Newman November 11, 2013
  2. 2. Technology and Public Health 2 Introduction The topic, I wish to analyze and discuss are "Technology and Public Health." According to our text, it states that "the field of public health is very broad. It concludes the care of the environment (water, earth, and air). Public health informatics supports public health practice and research with information technology. Public health also includes the health issue to tobacco use, planning for natural disaster, protecting food supply, and the identification and prevention or containment of epidemics." (Burke & Weill, 2009, p.86). Health information technology has the potential to improve patient safety, health care quality, efficiency, data collection and may also help to restrain the rising cost. Health communication and health information technology (IT) are central to health care, public health, and the way our society views health. In the doctor's office we see so many files accumalating and wondering what happens when there is no more room left to add more files where does the rest go. Advance technology involved managing and sharing patient information electronically, rather than through paper records. Another challenge is protecting patient privacy. Once confidential patient information has been stored electronically, only those with a legitimate need to know should have access to it. "Use of electronic health records (EHRs) is becoming more and more common. It is anticipated that their use will improve patient-care, decrease practice cost, and increase provider productivity and revenue."(Chin & Sakuda, 2012).
  3. 3. Technology and Public Health 3 In today's world of advance technology, we will face some negatives and some positive along the way. The one most significant and positive impact, that I see is the greater use of how computers has made our everyday work and task easy, simple and convenient. The negative side of it is, the practical problems we experience and face today is privacy and safety, personal information is no longer safe and secured in today's society. Another is social media which has taken over our young children and adult's lives, less face-toface interaction with family members. Technology can be most effective in the use of health communication, and to increase the efficiency of health care and public health service delivery which we know is critically important. The development through technology has proven some areas to work effectively for the health care industry today, by way of medicines, surgery for people to live long lives, provides food and shelter, educate families for better health. "One advantage embracing technology as it pertains to public health is registries, which are organized systems that has information on people with diseases, exposing to anything that may cause illness and a predisposition towards a disease. Information in registries can help with a problem and it's size and examines trends over time. A disadvantage is if there is a pandemic outbreak, much of the world's population will need medical care which we cannot provide, becuase our health care system lacks surge of medication and hospital beds, and there may or may not be a vaccine in the beginning of the pandemic."(Burke & Weill, 2009).
  4. 4. Technology and Public Health 4 "Public health is the science and art of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research for disease and injury prevention. Public health helps improve the health and well being of people in local communities and around the globe. Public health works to prevent health problems before they occur." By providing new ways for providers and their patients to readily access and use health information, information technology (IT) has the potential to improve the quality, safety, and efficiency of health care. Effective use of communication and technology by health care, and public health professionals can bring about an age of patient and public centered health information and services. Improve health care quality and safety, increase the efficiency of health care and public health service delivery, improve the public health information infrastructure, support care in the community and at home, facilitate clinical and consumer decision-making, and build health skills and knowledge. In addition to technology how does it impact this area of health care as it relates to the provision of services such as; supporting shared decision-making between patient's and providers. Providing personlized self-management tools and resources. Building social support networks, delivering accurate accessible, and actionable health information that is targeted or tailored, facilitating the meaningful use of health (IT) and exchange of health information among health care and public health professionals, enabling quick and informed action to health risks and public health emergencies.
  5. 5. Technology and Public Health 5 Increasing health literacy skills, providing new opportunities to connect with culturally diverse and hard-to-reach populations. Providing sound principles in the design of programs and interventions that result in healthier behaviors and increasing internet and mobile access especially for the elderly's in their type of situation and condition. The effective use of communication and technology by health care and public health professionals can bring about an age of patient-and public-centered health information and services. By strategically combining health (IT) tools and effective health communication processes. "Primary Care is increasingly geared toward standardized care and decision-making for common chronic conditions, combinations of medical and mental health conditions, and the behavioral aspects of care for those conditions. Patinet complexity is defined here as interference with standard care and decisionmaking by symptom severity or impairments, diagnostic uncertainty, difficult engaging care, lack of social safety or participation, disorganization of care, and difficult patient clinician relationships.' (Ebsco/Host, Peek, Baird & Coleman, 2009). The rising cost in today's economy for healthcare insurance is effecting many American's especially those who don't have a job to support themselves and or their families, let alone the high cost of food, shelter, raising the amount of children in the home, the ageing population is living longer than expected that is costing them a bundle for hospital care, the nursing facility assisted living care, or the patient care in their own home.
  6. 6. Technology and Public Health 6 "Despite the recent public attention to e-health as a solution to rising healthcare costs and an ageing population, there have been relatively few studies examining the geographical pattern of e-health usage." (Ebsco/Host, Jung, Sunderland, 2010). "Presents surveys results depicting the strong support among Americans adults for government sponsored health coverage in the U.S. Consideration of health care as a necessity that should be regulated by the government; levels of assistance for extensive health care reform in the face of worsening crisis in rising medical costs; reduction of the prescription doses to extend the medication." (Anonymous, 2004). "The general public believes that technology will improve health care efficiency, quality, safety, and cost. However, few people consider that these same technologies may also introduce errors and adverse events. Given that nearlt 5,000 types of medical devices are used by millions of health care providers around the world, device related problems are inevitable. While technology holds much promise, the benefits os a specific technology may not be realized due to four common pitfalls: (1) poor technology design that does not adhere to human factors and ergonomic principles, (2) poor technology interface with the patient or environment (3) inadequate plan for implementing a new technology into practice, and (4) inadequate maintenance plan." (Cope, Nelson, & Peterson, 2008).
  7. 7. Technology and Public Health 7 "Lenders at health care organizations across the country are finding innovative ways to use video conferencing devices to meet the specialty care needs of rural patients. A look at the Health Resources and Services Administration (HRSA) Office of Advancement of Telehealth (OAT) grantees shows that these organization are making clear headway in linking their physicians and patients remotely, but work still needs to be done to digitally collect and document the remote consult within the electronic health record (EHR)." (Prestigiacomo, 2012). "Medical and public health groups are banding together to explain warming has threaten a toll on human health and will continue to cause food-borne illnesses, respiratory problems, and deaths unless policy changes are enacted." And also, the spread of disease due to a natural disaster that comes from areas of nearby streams, low line areas and from the flow of water coming down from the mountains where people and animals live. The conteminated waters that has debree, animal feces, bacteria and even people that might be carrying some kind of bacteria or disease that is very contagous will spread quicker and faster to others in no time. "Global public health surveillance is critical for the identification and prevention of emerging and reemerging diseases, both for infectious and non-communicable diseases that account for the greatest burden of diseases, even in very poor countries."(St. Louis, MD, 2012). "Health emergencies pose some of the greatest threats to our nation, because they can be difficult to prepare for, detect, and contain. Important progress has been made to improve emergency preparedness since Sept. 11, 2001, the subsequent anthrax attacks, and Hurricane Katrina; three events that put severe stress on our public health system."
  8. 8. (Aonymous, 2013). Technology and Public Health 8 "Trust for America's Health (TFAH), publishes an annual report on public health preparedness called-Ready or Not? Protecting the Public's Health from Diseases, Disasters and Bioterrorism, which examines American's ability to respond to health threats and help identify areas of vulnerability."(Anaymous, 2013). "The New International Health Regulations adopted by the World Health Assembly in may 2005 (IHR 2005) represents a major development in the use of international law for public health purposes. One of the most important aspects of IHR 2005 is the establishment of a global serveillance system for public health emergencies of international concern." (Baker, 2006). Using technology to advance in public's health. According to, Riegelman and Persilypurpose revising the core curriculum in schools of public health to include applied research and technology. The concepts Riegelman and Persily present have more than 30 years'historical support their position is further strengthened by the technologic revolution of the decade. At present, relatively low-cost and powerful personal computers (PCs) and PC-based statistical research packages may be used to access databases from private, state, and federal agencies. These databases include health care ecounters at the patient level and individual responses to national surveys of, for example, nutrition and health."(Arons, 2001).
  9. 9. Technology and Public Health 9 Health care professionals need to be familiar with the most current computer hardware, and software, networking, wireless technology, and to maintain a high level of computer literacy. With any up to date knowledge of computer hardware and software, networking, wireless technology of today, and to maintain a high level of computer literacy then, the health care professional would not be able to provide the quality of health care service needed for his or her patient/clients. The important goal of a health care professionals in the health care sector is being able to know how to function and operate programs, access resources through the use of technology and to keep up with new and ever changing world of technology. "Health information technology (health IT), involves the exchange of health information in an eletronic environment. Widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and expand access to affordable health care."(HIPAA, 2012). "When you are not computer literate or do not have the resources that you need then it world take longer for treatment. Technology helps to provide the faster treatment, which can help physicians and nurses to promote care for more patients at a given time. Without the best resources many physicians would not be able to see the disease, viruses, and cancer. There have been less medication errors with the use of technology. This usually happens during order transcription or administration of medication." (Anonymous,2012).
  10. 10. Technology and Public Health 10 With technology being used to prevent such errors by verifying medication with barcodes verification within an electronic medication administration system. The future research or applications of technology for the public health looks at electronic health records (EHR) reason is no more paper records every patient/client information is now stored in a computer data systems which makes it a lot easier and simpler to keep an office space free from record files every where. New technology to predict future appearence, such as manufacturing, transportation and communication. One day soon patients will interact with their doctor via remote telepresence either by: video conferencing, video telephony, hand-held mobile devices, sound and telerobotics. Thr future inventions including the robotic surgery which now is here and another is medical nanobots that target specific cancer cells and other diseased cells. Earlier, I mentioned robotic surgery which also includes the use lasers, frequency sound waves, computer-assisted surgery, telepresence surgery and nanotechnology.
  11. 11. Technology and Public Health 11 Conclusion..... This concludes my part 1: final paper for technology and public health. One advancement of technology for public health and many others that involves the use of technology. It all started from the beginning and has developed more over time is the internet. The internet has changed all of us in so many questionable ways. How could we have made it this far, if it wasn't for the internet that kept us going in our day to day work, school and play. Healthcare technologies have been employed to extend human life, reduce pain, disease risk, and to improve patient's quality of life. Today, society turn to technology to keep them informed and entertained.
  12. 12. Technology and Public Health 12 References: Anonymous, (2012). Health Information Technology U.S. Department of.... Retrieved from: Anonymous, (2013). Bioterrorism and Public Health Preparedness. TFAH-Issues (Trust for America's Health). Retrieved from: Arons, R. R., (2001). Using Technology to Advance in Public's Health. American Journal of Public Health Association. Washington DC. Retrieved from: Baker, M. G., (2006). Global Public Health Surveillance Under New Informational Health Regulations. Retrieved from Burke, L., & Weill, B., (2009). Information Technology for the Professionals. (3rd ed.). Upper Saddle River, NJ. Pearson Education, Inc. Chin, B. J., MBA, MPH & Sakuda, C.M., MBA (2012). Transforming & Improving Health Care through meaning use of Health Information Technology. Hawaii Journal of Medicine & Public Health. Retrieved from:
  13. 13. Technology and Public Health 13 References: Cope, G. P., Nelson, A. L., & Peterson, E. S., (2008). Patient Care Technology and Safety-Patient Safety. Retrieved from: Prestigiacomo, J., (2012). Warning Threatens Public Health. Integrating Telehealth and the EHR-Health Care informatics.... Retrieved from: St. Louis, M., MD (2012) Global Health Surveillance. Center for Global Health CDC. Retrieved from: Walker, E.P., (2011). Warning Threatens Public Health, Groups War. Retrieved from: