Methods Inf Med 1999; 38(04/05): 274-278
DOI: 10.1055/s-0038-1634414
Original Article
Schattauer GmbH

Health Informatics and Community Health: Support for Patients as Collaborators in Care

P. F. Brennan
1   School of Nursing and College of Engineering, University of Wisconsin-Madison, USA
› Author Affiliations
Further Information

Publication History

Publication Date:
07 February 2018 (online)

Abstract

Health informatics has much to offer community health care. Computer networks and telecommunications provide particular support that can enhance the collaboration among clinicians, care providers and patients. Special-purpose computer tools referred to as Consumer Health Informatics (CHI) represent the application of computer and information technologies specifically to support the health information and communication needs of patients and lay persons. Research projects like ComputerLink and CHESS demonstrate that CHI is acceptable to patients and promotes self-care and disease management. Three grand challenges must be faced to insure realization of the promise of health informatics to community health care: development of knowledge management and information discovery tools for patients, insurance of health information literacy for all persons, and re-engineering clinical practice to capitalize on patients as full partners in health care.

 
  • REFERENCES

  • 1 Vasen HF. et al. Molecular genetic tests as a guide to surgical management of familial adenomatous polyposis. Lancet 1996; 348 9025 433-5.
  • 2 Burnes Bolton L, Georges CA, Hunter V, Long O, Wray R. Community health collaboration models for the 21st century. Nrsg Admin Qrtly 1998; 22 (Suppl. 03) 6-17.
  • 3 Brennan PF, Schneider SJ, Tornquist E. (Eds). Community Health Information Networks,. 1996. New York: Springer-Verlag.;
  • 4 Kasper JF, Mulley Jr AG, Wennberg JE. Developing shared decision-making programs to improve the quality of health care. Qrtly Rev Bltn 1992; 18 (Suppl. 06) 183-90.
  • 5 Day JL. Why should patients do what we ask them to do?. Pt Edu Counslng 1995; 26 1-3 113-6.
  • 6 Hakim RB. et al. Factors associated with donot-resuscitate orders: patients’ preferences, prognoses, and physicians’ judgments. SUPPORT (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment) Investigators. Ann Int Med 1996; 125 (Suppl. 04) 284-93.
  • 7 Brennan PF. A computer network home care support demonstration: a randomized trial in persons living with AIDS. Comput in Bio Med 1998; 28 (Suppl. 05) 489-508.
  • 8 Brennan PF, Moore SM, Smyth KA. The effects of a special computer network on caregivers of persons with Alzheimer’s disease. Nrsg Res 1995; 44 (Suppl. 03) 166-72.
  • 9 Bass DM, McClendon MJ, Brennan PF, McCarthy C. The buffering effect of a computer support network on caregiver strain. J Aging Hlth 1998; 10 (Suppl. 01) 20-43.
  • 10 Gustafson DH. et al. Impact of a patient-centered, computer-based health information/support system. Am J Prev Med 1999; 16 (Suppl. 01) 1-9.
  • 11 Alemi F. et al. A randomized trial of a telecommunications network for pregnant women who use cocaine. Med Care (suppl); 34 (Suppl. 10) OS10-20.
  • 12 Kastens JM. Integrated care management: aligning medical call centers and nurse triage services. Nurs Econ 1998; 16 (6): 320-2: 329.
  • 13 Wang K, van Wingerde FJ, Bradshaw K, Szolovitz P, Kohane I. A Java-based multi-institutional medical information retrieval system. In: Proceedings, AMIA Annual Fall Symposium; 1997: 538-42.
  • 14 Halamka JD, Safran C. Virtual consolidation of Boston’s Beth Israel and New England Deaconess Hospitals via the world wide web. In: Proceedings, AMIA Annual Fall Symposium; 1997: 349-53.
  • 15 Masys DR, Baker DB. Patient-centered access to secure systems online (PCASSO): a secure approach to clinical data access via the world wide web. JAMIA. (suppl) 1997: 340-3.
  • 16 Jadad AR, Gagliardi A. Rating health information on the Internet: navigating to knowledge or to Babel?. JAMA 1998; 279 (Suppl. 08) 611-4.
  • 17 Robinson TN, Patrick K, Eng TR, Gustafson D. An evidence-based approach to interactive health communication: a challenge to medicine in the information age. Science Panel on Interactive Communication and Health. JAMA 1998; 280 (Suppl. 04) 1264-9.
  • 18 Boyer C, Selby M, Scherrer Jr, Appel RD. The health on the net code of conduct for medical and health websites. Comput in Bio Med 1998; 28 (Suppl. 05) 603-10.