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Published byJames Doyle Modified over 9 years ago
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Manya Magnus, Ph.D., M.P.H., Jane Herwehe, M.P.H., Laura Andrews, M.P.H., R.N., Laura Gibson, M.B.A., Nathan Daigrepont, Jordana M. De Leon, M.P.H., Newton E. Hyslop, Jr., M.D., Steven Styron, M.B.A., M.P.H., Ronald Wilcox, M.D., Ph.D., Michael Kaiser, M.D., and Michael K. Butler, M.D., M.H.A., C.P.E.1 2009 AIDS PATIENT CARE and STDs
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Health information Technology: increase adherence and ultimate patient care outcomes identify patients out of care or non-adherent to medication refills improve routine preventive care
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Provider satisfaction – one barrier to maximal benefit of HIT inability to integrate HIT into clinic flow confusion regarding the intended user of the HIT alteration in social norms related to the HIT perception that the system and its tools are not correctly applied to each patient system characteristics
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Customized version of Lab Tracker(LSU HCSD) – an HIV-specific, electronic clinical management and reporting system improve the quality of HIV outpatient care being delivered improve morbidity and mortality outcomes
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Survey characterize provider perception of the system Satisfaction perception of its association with care delivery and outcomes three time points preimplementation, and two within 1 year postimplementation
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Provider self-reports of time to complete critical functions decreased for all tasks find current CD4 count – 3.9 [SD 5.8], 2.9 [2.3], 2.1 [2.6] current viral load – 4.0 [SD 5.6], 2.9 [2.5], 1.8 [2.6] current antiretroviral status – 3.9 [SD 4.7], 2.9 [3.7], 1.5 [1.1] history of antiretroviral – 15.1 [SD 21.9], 6.0 [5.4], 5.4 [7.2] average 16.1 minutes per patient visit
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physicians were less likely to agree with some statement no significant increase in statements which indicate a negative effect of the HIT
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Overall satisfaction with systems in place to track patient information improved Physicians reported less satisfaction with the system on several indicators than non- physicians LT use was associated with time-savings on five common patient-related tasks
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The two follow-up time points had lower-than- expected response rates As respondents were self-selected, there may be volunteer bias in this study
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Providers in publicly funded, statewide, HIV- clinics can be satisfied with HIT and perceive an association between HIT use and improvements in patient care delivery HIT may be successfully adopted by HIV care providers in the future
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