PCHIT links for December 29th through December 30th:

• News Release: Electronic Health Records Still Not Routine Part of Medical Practice, Says New Study - Link to RWJF Report with best estimates of EHR adoption. No word on PHR adoption, but good framework for considering adoption of PCHIT, too.
• The Information Technology & Innovation Foundation: Mind the Gap - A very nice set of slides looking at differences in broadband and Internet use by income, ethnicity, gender and education.
• Oncologist Communication About Emotion During Visits With Patients With Advanced Cancer — Pollak et al. 25 (36): 5748 — Journal of Clinical Oncology - Oncologists infrequently responded with “continuers” when presented with empathetic opportunities by ill patients. How could the availability of a PHR impact this - what could an anlalysis of pre-visit/post visit secure e-mail show in terms of continuers for empathetic moments?

PCHIT links for December 19th through December 21st:

• RCHC Redwood Community Health Coalition chooses eClinicalWorks - A California Safety-Net system that is implementing an electronic health record.
• Racial Profiling: The Unintended Consequences of Coronary Artery Bypass Graft Report Cards — Werner et al. 111 (10): 1257 — Circulation - I am starting to dig a little into disparities research. The authors point out that the benefit of CABG is the same for diverse populations, yet the performance is not the same. Should we think of HIT in a similar way? I am worried about profiling in the
• How Do Physicians Use the Internet for Work-Related Activities? - iHealthBeat - 39 % say they e-mail online with patients, 20% in 2005, with NCI estimate at 10%.

PCHIT links for December 18th:

• Electronic Health Information among Community Health Centers … - Penetration of EHR’s in Community Health Centers
• Electronic Health Information among Community Health Centers: Adoption and Barriers - Information about adoption of EHR’s in community health centers, 2006
• Remarks to the National Association of Community Health Centers - Information about HIT deployment in community health centers, including large grants this year
• Massachusetts (Mass) Health Policy Forum - Title - Comprehensive view on the Health IT Landscape in MA
• Perceptions about computers and the internet in a …[Ambul Pediatr. 2005 Mar-Apr] - PubMed Result - Study from University of Washington showing impressive use of the Internet
• Use of the Internet to Communicate with Health Care Providers in the United States: Estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS) | Beckjord | Journal of Medical Internet Research - 10% communicate with health care providers; no association with education level or income which is significant.

PCHIT links for November 29th through December 4th:

• How to talk to a doctor - USATODAY.com - I wonder how much if the burden being placed on patients is necessary in the era of PCHIT?
• Delivering a new kind of care | IndyStar.com - Patient centered HIT starts with patient-centered care, from Indiana
• Benefits of Electronic Health Records Seen as Outweighing Privacy Risks - WSJ.com - Poll by WSJ/Harris: Consumers want interaction with their care providers online. Less agreement on reimbursement.

PCHIT links for November 9th through November 13th:

• JAMA: Soliciting the Patient’s Agenda: Have We Improved?, January 20, 1999, Marvel et al. 281 (3): 283 - Data often cited and here’s the source: patients redirected an average of 23 seconds while providing their history.
• The Center For Health Design Research - Pebble Project - Center for Health Design supports evidence based design of health environments. Have they done work in PHR/EHR enabled institutions?
• Life as a Healthcare CIO: Personal Health Records - John Halamka, MD, supports the idea that PHR adoption is not a technology issue. Consistent with my findings on our recent trip to Boston.
• A Model for Health Care That Pays for Quality - New York Times - NYT Reports on Patient Centered Primary Care Model promoted by ACP, IBM, and others
• E.H.R. Home - HL7 announces balloting for PHR standards