Health IT as a Tool for Prevention in Public Health Policies: 1st Edition (Paperback) book cover

Health IT as a Tool for Prevention in Public Health Policies

1st Edition

By Divya Srinivasan Sridhar

Productivity Press

292 pages | 3 B/W Illus.

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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.


"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

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


About the Author

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).

Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Industries / Service Industries
MEDICAL / Administration