Information technology as a tool to improve the quality of American Indian health care

Department of Health Care Policy, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02120, USA.
American Journal of Public Health (Impact Factor: 4.55). 01/2006; 95(12):2173-9. DOI: 10.2105/AJPH.2004.052985
Source: PubMed


The American Indian/Alaska Native population experiences a disproportionate burden of disease across a spectrum of conditions. While the recent National Healthcare Disparities Report highlighted differences in quality of care among racial and ethnic groups, there was only very limited information available for American Indians. The Indian Health Service (IHS) is currently enhancing its information systems to improve the measurement of health care quality as well as to support quality improvement initiatives. We summarize current knowledge regarding health care quality for American Indians, highlighting the variation in reported measures in the existing literature. We then discuss how the IHS is using information systems to produce standardized performance measures and present future directions for improving American Indian health care quality.

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    • "For example, communities are developing green energy technologies and practices (Carrasco & Acker, 2002), remote health care services and telemedicine (e.g. Becker et al., 2004; DeCourtney et al., 2003; Kokesh et al., 2011; Sequist et al., 2005), and new educational materials focused on simulations and traditional practices (Eglash, 2007; Inglebret, Banks, Pavel, Friedlander, & Stone, 2007; Neal et al., 2007; Robins, 2007). Language revitalization efforts 1 serve as a particularly robust context in which new technologies and new medias are being used toward critical community goals (Auld, 2007b; Bernard, 1992; Bowers, 1998; Hermes et al., 2012; Holton et al., 2007; Keegan, 2007; McKenny, Hughes, & Arposia, 2007; Warschauer, 1998, 1999, 2000). "
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    • "Au niveau du 4 ème axe : l'axe de l'apprentissage et l'innovation, les administrateurs doivent trouver l'infrastructure de base (technologie) nécessaire pour mettre en place, améliorer, créer la valeur afin de pouvoir réaliser la mission (Sequist, Cullen et Ayanian, 2005). D'où, la technologie affecte: -la structure hospitalière et l'efficacité organisationnelle en termes de créer "l'adaptation" entre la structure, la technologie et un environnement donné (Kumar, Si Ow et Prietula, 1993; Schoonhoven, 1981; Thomson, 1967). "
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    • "• Surveillance and disease tracking using technology and other methods [3] "
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