Integrating Technology Into Health Care What Will It Take?

Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
JAMA The Journal of the American Medical Association (Impact Factor: 29.98). 02/2012; 307(6):569-70. DOI: 10.1001/jama.2012.102
Source: PubMed

ABSTRACT Technology is in part responsible for increasing health care costs; however, new technology platforms, especially those from consumer electronics, have the potential to both decrease costs and increase the efficiency and quality of care. The benefits of electronic health records (EHRs) are well documented, yet their introduction has been greeted with reluctance and sometimes resistance. Indeed, current usage rates are quite low.1 Similarly, personalized health records (PHRs) for consumers, such as Google Health and Microsoft HealthVault, also have not achieved their predicted uptake. As such, Google shut down Google Health as of January 1, 2012, because “it is not having the broad impact that we hoped it would. . . . We haven't found a way to translate that limited usage into widespread adoption in the daily health routines of millions of people.”2

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    ABSTRACT: Objectives. The objectives of this article were (a) to describe prevalence of Internet and email access among parents of preterm infants attending high-risk follow-up, (b) to describe parent preference for completing developmental questionnaires online versus on paper, and (c) to examine predictors of access and preference. Design/Methods. We surveyed 270 parents of preterm infants attending a high-risk follow-up clinic about Internet and email access, preference for completing a developmental questionnaire online versus on paper. Results. Median (interquartile range) gestational age was 28 (26, 30) weeks, and birth weight was 970 (765, 1230) grams. Ninety-five percent of parents had Internet and email access, and 71% preferred completing a developmental questionnaire online versus on paper or were indifferent. Less maternal education, lower family income, and Hispanic ethnicity were associated with less Internet and email access. Conclusions. Most families attending a high-risk preterm infant follow-up clinic had Internet and email access and preferred completing developmental questionnaires online to on paper or were indifferent.
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    ABSTRACT: Research geared toward technology use to promote health-related behaviors has been rapidly expanding, yet evidence regarding the effectiveness of the proposed interventions is inconclusive. The proposed study builds on self-regulation theory, persuasive system design model, and task-technology fit model to propose design guidelines essential for translating intentions to engage in a desired health-related behavior into actual behavior. The current study proposes that mobile applications will have stronger potential to support their users in executing users' intended health-related behaviors if the applications are designed to (i) monitor and provide feedback to users about the discrepancy between their current and desired levels of behavior, (ii) encourage users to change their behavior, and facilitate the selection of strategies needed to execute the targeted changes, and (iii) ease the execution of selected strategies. The potential implications of the proposed guidelines for practice and research will be discussed.
    Proceedings of the 2014 47th Hawaii International Conference on System Sciences; 01/2014