1st Edition

Health IT as a Tool for Prevention in Public Health Policies

ISBN 9781482214741
Published January 14, 2014 by Productivity Press
292 Pages 3 B/W Illustrations

USD $67.95

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Book Description

Health IT as a Tool for Prevention in Public Health Policies examines the current state of Health Information Technology (HIT) in the United States. It investigates the converging problems of chronic disease, societal welfare, childhood obesity, and the lack of healthcare for the economically disadvantaged in the U.S. It considers various providers of care for disadvantaged groups and outlines innovative public policy solutions to a wide range of community problems.

The book starts by detailing the major problems the U.S. has faced with its healthcare system. Next, it describes current federal efforts to solve these problems and unveils novel solutions to these challenges. Each chapter examines a different technological solution that the U.S. is currently investing in and allocating time, resources, and energy to.

Supplying a basic theoretical foundation on the Patient Protection and Affordable Care Act (PPACA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act, the book discusses the effects of geographic disparities and HIT at the meso, macro, and micro levels of society. It also demonstrates how individuals can use a range of HITs to improve prevention of health concerns, including mobile health apps, video games, self-management technologies, crowdsourcing, and other e-health technologies.

The book describes HIEs, RHIOs, and NHIN and explains how they connect to Community Health Centers (CHCs). It also explains how CHCs can use HIT to improve care for the disadvantaged and Medicaid population. It includes a case study of electronic health literacy and cancer patients and another on how equipping private practice physicians with EMRs can help them tackle prevention and improve organizational functioning.

The book concludes by providing a comparative perspective between the use of HIT in the U.S. and the United Kingdom and by suggesting the direction that the U.S. should take toward cloud-based solutions to its e-health infrastructure.

Table of Contents


Theoretical Underpinnings: Comparing the PPACA and HITECH Acts
Theoretical Perspectives
     Social Cognitive Theory
     Measuring Progress and Outcomes


Impact of E-Government on Electronic Health Literacy
Sources of E-Health Initiatives by E-Government
     Mobile Health Initiatives
     Initiatives to Reduce the Digital Divide
Legislation Impacting E-Health Literacy
     Key Legislation for Furthering E-Health
Health Insurance Exchanges
Web Design and E-Health
     Non-health-Related Legislation Furthering E-Health
Policy Analysis: Summary of Importance of E-Government on E-Health Literacy
     Trust in Information Sources and Impacts on E-Health Literacy Outcomes
     New Contribution to the Field: New E-Government Term
Interpretation and Results
Policy Recommendations and Conclusions

Financial, Social, and Environmental Impact of Government HIT Adoption Policies
Assessment of the Barriers to Health Information Technology (HIT) Adoption across Organizations and the U.S. Policy Solutions
Organizational Variation in EMR Adoption
Barriers to EMR Adoption
     Economic Costs of EMR Adoption
          Economic Policy Strategies to Help Organizations with Slow Rates of Adoption
     Social Barriers to Technology Adoption
          Social Policies to Help Organizations that Are Unable to Adopt EMRs
     Environmental Barriers to Technology Adoption
          Environmental Policy Strategies to Help Organizations with Slow Rates of Adoption


Self-Management Technologies and Type 2 Diabetes
The Effects of Self-Management Technologies on Type 2 Diabetes Patients
     Introduction and Background
          Policy Relevance
          Theoretical Backing
          Web-Based Technologies
          Mobile and Telephone Interventions
          Video Games
Limitation of the Chapter and Possible Sources of Bias

Individualized Prevention Solutions to Childhood Obesity
Underlying Causes and Consequences of Childhood Obesity
Consequences of Childhood Obesity
National Policy Solutions
State Policy Solutions
Local Policy Solutions
     Environmental Policies
          Physicians and Health Providers
          Media Impacts
     Economic Policies
     Political Community Relationships/Partnerships
Child Care Policies
     Technological Policies and Social Media
     Political Impacts
Suggested Readings


Health Information Technology in Community Health Centers
The Formation of Community Health Centers (CHCs)
Theory for the Design
Literature Review
Research Design
     Research Experiment 1: Randomized Experimental Design
     Research Experiment 2: The Survey Design

Small-Practice Physicians and HIT
Why HIT? What Is It and How Can It Help Small-Practice Physicians?
Physicians and Organizational Leadership
Literature and Theories Relating to Technology Diffusion
     Technology Diffusion
     Customer Service and Quality
     Barriers to Adoption
Looking to the Future: New Research
     How Do Small Practices Deal with Change and Regulation?
          Survey Findings
          Results and Analysis
     Conclusion and Recommendations

The Micro, Meso, and Macro Perspectives of HIT Adoption
Macro-Level Policies and Considerations
Meso-Level Challenges to Electronic Medical Record (EMR) Adoption
Micro-Level Challenges to EMR Adoption

Geographic Disparities in Healthcare
Geographic Disparities in Health Resources
Geographic Disparities in Healthcare Professionals
Policy Solutions to Geographic Maldistribution of Resources and Care
     Solutions to the Shortage of Health Resources and Services: Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs)
     Solutions to the Shortage of Health Resources and Services: Telemedicine Resources
     Solutions to the Shortage of Health Resources and Services: Concierge Medicine

International Comparisons: Differences in U.K. and U.S. Preventive Health
Applying the Reforms of the U.K. NHS to the U.S. Health System: A Comparative Perspective
General Differences: The U.K. versus the U.S. Health System
Reforms to the U.K. Health System in the Early 2000s
     The U.K.’s QOF System
Criticisms of the U.K. Health Reforms and the QOF Comparing and Applying the U.K. to the U.S. Health System
Comparisons and Additions of the U.K. QOF to Concierge Medicine

Putting It All Together


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Divya Srinivasan Sridhar works in the field of public policy. She has developed her knowledge and experience at a number of public policy organizations including the Institute for Women’s Policy Research (IWPR), National Housing Trust (NHT), Healthcare Information Management Systems Society (HIMSS), Verité Healthcare Consulting (VHC), and more. She has delved into a variety of public policy issues during her internships and graduate programs, and has published and written papers on electronic government, social policy, and healthcare, including health reform, healthcare IT, and health informatics. She completed her bachelor’s degree at Texas A&M University in Finance, her master’s degree in Public Policy from UT (University of Texas) Dallas, specializing in social policy/health policy research, and is now working on her PhD in Public Policy at George Mason University in Arlington, Virginia. Srinivasan is the author of Impact of Healthcare Informatics on Quality of Patient Care and Health Services (CRC Press, 2013).


"There are many books on health systems and information technology, but none that are so easy to read. The illustrations/case studies add life to the book. The link with community health centers, which are growing in prominence in the U.S., is a unique feature of this book and is especially important as one considers health disparities and patient outcomes. The last section that compares and contrasts the use of technology in healthcare in the U.S. and the U.K. is important as some of the U.K.'s accomplishments may help the U.S. move forward in this area. The book concludes with a quick synopsis of each chapter, again helping readers understand key messages or decide which chapter is most pertinent for their work. This is a very good addition to health policy and healthcare systems books."
—Carole A. Kenner, PhD, RN, FAAN, Council of International Neonatal Nurses, writing in Doody’s Book Reviews