Avoidable mortality: The mediating role of communication in health IT

Buckman, Joseph; Woutersen, Tiemen; Hashim, Matthew J.

doi:10.1016/j.dss.2022.113764

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Concerns about the digital divide in health care have risen, as both patients and providers are increasingly relying on the internet and digital technologies [ 30 ]. Over the past decade, medical providers have promoted the use of patient portals, which help patients access health care services and information such as their laboratory results, medical histories, appointment schedules, and prescriptions [ 31 , 32 ]. Portals also provide both synchronous and asynchronous electronic communication between patients and physicians.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Accelerated Digitization on Patient Portal Use by Underprivileged Racial Minority Groups During COVID-19: Longitudinal Study

Mai¹,

Ko²,

Shan³

et al. 2023

J Med Internet Res

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Background Prior research on the digital divide has documented substantial racial inequality in using web-based health resources. The recent COVID-19 pandemic led to accelerated mass digitization, raising alarms that underprivileged racial minority groups are left further behind. However, it is unclear to what extent the use of health information and communications technology by underprivileged racial minority groups is affected. Objective We have considered the COVID-19 disruption as a rare exogenous shock and estimated the impact of the accelerated digitization on the quantity and variety of patient portal use. In this study, we aimed to answer the following 2 key research questions. Did patients alter their use of health information and communications technology owing to COVID-19–induced digital acceleration? Does the effect differ across racial lines? Methods We used a longitudinal patient portal use data set gathered from a large urban academic medical center to explore the effect of accelerated digitization on the racial digital gap in health care. We limited the sample period of our study to 2 same periods (March 11 to August 30) in 2019 and 2020. Our final sample consisted of 25,612 patients belonging to 1 of the 3 racial groups: Black or African American (n=5157, 20.13%), Hispanic (n=253, 0.99%), and White (n=20,202, 78.88%) patients. We estimated the panel data regression using 3 different models: pooled ordinary least squares (OLS), random effect (RE), and fixed effect (FE). Results Our study yielded 4 findings. First, we confirmed that the racial digital divide remains a significant issue for telehealth; underprivileged racial minority group patients had lower patient portal use than White patients before the pandemic (Minority: OLS, β=−.158; P<.001; RE, β=−.168; P<.001). Second, we found that the digital gap regarding patient portal use frequency between underprivileged racial minority groups and White patients is shrinking rather than widening after the COVID-19 pandemic started (COVID_Period×Minority: OLS, β=.028; P=.002; RE, β=.037; P<.001; FE, β=.043; P<.001). Third, the shrinking gap is foremost driven by access through mobile (vs desktop) devices (COVID_Period×Minority: web, β=−.020; P=.02; mobile, β=.037; P<.001). Finally, underprivileged racial minority groups expanded their use of a variety of portal functionalities faster than White patients during the pandemic (COVID_Period×Minority [for functionality]: OLS, β=−.004; P<.001; RE, β=−.004; P<.001; FE, β=−.003; P=.001). Conclusions Using the COVID-19 pandemic as a natural experiment, we offer empirical evidence that accelerated digitization has shrunk the racial digital divide in telehealth, and the trend is mostly driven by mobile devices. These findings provide new insights into the digital behaviors among underprivileged racial minority groups during accelerated digitization. They also offer policy makers an opportunity to identify new strategies to help close the racial digital gap in the postpandemic world.

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Section: Introductionmentioning

confidence: 99%

The Impact of Accelerated Digitization on Patient Portal Use by Underprivileged Racial Minority Groups During COVID-19: Longitudinal Study

Mai¹,

Ko²,

Shan³

et al. 2023

J Med Internet Res

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“…Patient SatisfactionAs for patient satisfaction, studies show positive effects of HIT use on patient satisfaction and patient loyalty[1] [16][42] [43][48]. However, some HIT functions, such as documentation and health information exchange improve patient outcomes, whereas clinical decision support functions negatively affect these outcomes[32]. Meyerhoefer, Sherer, Deily et al(2018)…”

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confidence: 99%

The Impact of Health Information Technology on Hospital Performance: A Systematic Integrative Literature Review

Westerhof,

Hilhorst,

Bos

2024

Health

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Objective: To review, categorise, and synthesise findings from literature on health information technology (HIT) functionalities, HIT use, and the impact of HIT on hospital performance. Materials and Methods: We conducted a systematic integrative literature review based on a comprehensive database search. To organise, categorise and synthesise the existing literature, we adopted the affordance actualization theory. To align the literature with our research framework, we used four categories: 1) the functionalities of HIT and how these functionalities are measured; 2) use and immediate outcomes of HIT functionalities; 3) different performance indicators and how HIT functionalities affect them; and 4) what hospital characteristics influence the outcome of hospital performance. Results: Fifty-two studies were included. We identified four types of HIT. Only ten studies (19.2%) define the use of HIT by explicitly measuring the use rate of HIT. We identified five dimensions of hospital performance indicators. Every dimension showed mixed results; however, in general, HIT has a positive impact on mortality and patient readmissions. We found several hospital characteristics that may affect the relationship between HIT and hospital-level outcomes. Discussion: Further efforts should focus on embedded research on HIT functionalities, use and effects of HIT implementations with more performance indicators and adjusted for hospital characteristics. Conclusion: The proposed framework could help hospitals and researchers make decisions regarding the functionalities, use and effects of HIT implementation in hospitals. Given our research outcomes, we suggest future research opportunities to improve understanding of how HIT affects hospital performance.

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Blockchain innovation for consent self-management in health information exchanges

Anderson

Carvalho

Kaul

et al. 2023

Decision Support Systems

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Avoidable mortality: The mediating role of communication in health IT

Cited by 4 publications

References 37 publications

The Impact of Accelerated Digitization on Patient Portal Use by Underprivileged Racial Minority Groups During COVID-19: Longitudinal Study

The Impact of Accelerated Digitization on Patient Portal Use by Underprivileged Racial Minority Groups During COVID-19: Longitudinal Study

The Impact of Health Information Technology on Hospital Performance: A Systematic Integrative Literature Review

Blockchain innovation for consent self-management in health information exchanges

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