In 2000–2001, investigators at the Centers for Behavioral and Preventive Medicine at Miriam Hospital, in Providence, R.I., conducted a study to test the feasibility of using a point-of-care computer system to assess patient risk of smoking or physical inactivity and assist physicians with appropriate counseling.
Under this grant, researchers:
- Developed content on smoking and physical activity for a 10-minute computer program.
- Met with physicians and office staff to integrate use of the computerized system into the office routine.
- Installed a laptop and a printer for a one-month trial in 10 practices.
- Recruited 15 patients at each site to pretest the intervention system.
- Subsequently monitored patients' unprompted use of the computer system. A total of 150 patients used the program and completed exit interviews during routine care.
- Conducted exit meetings with each practice to discuss problems.
Key Findings: The researchers reported the following findings to the Robert Wood Johnson Foundation (RWJF):
- The computer program was underutilized in routine care.
- Physicians and office staff reported four main barriers to incorporating the computer program into routine care.
- Overall, the program was viewed as inconsistent with the practice workflow.
- Staff were inexperienced with the program.
- Technical problems emerged with the computer and/or printer.
- The program placed an additional time burden on already overworked staff.
- Physicians and office staff made four recommendations to improve the program and its utilization.
- Shorten the program.
- Orient the program to a target patient population (e.g., those with hypertension).
- Include other conditions pertinent to primary care (e.g., screen for depression).
- Select patients to use the system rather than ask all patients to use it.
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
Progress and lessons learned from two programs that seek to advance the impact digital games can have on health.
Joint Commission Resources in Oak Brook Ill., oversaw development and testing of an online course and support materials to improve communica...
The rapid rise of antibiotic resistance can be tracked using ResistanceMap, an online tool that visually highlights regions of the country w...
Report examines, compares and contrasts Massachusetts and Utah health insurance exchanges.
Report examines issues states will face as they integrate Medicaid into the exchange.
This poll shows most Americans believe the quality of U.S. health care is average at best. More than half of American adults surveyed barely...
Want to improve health? Start with where we live, work, learn and play.
Health care reform may create incentives to spur the growth in HDHPs and CDHPs, a move that might help hold costs down?at least for a time.
The authors suggest repairing the health care system by realigning provider incentives, increasing the availability of information with whic...
While the ACA is aimed primarily at improving individual health by increasing access to health insurance, it also contains a number of provi...