Report: HIT Enables Patient-Centered Care
AHRQ researchers reviewed citations to identify randomized controlled trials of PCC-related HIT interventions and studies. The report identified numerous positive effects and facilitators for the ability of HIT to enhance patient-centered care as well as many barriers.
PCC-related HIT was found to have positive effects on the following:
• Healthcare process outcomes.
• Disease-specific clinical outcomes — diabetes mellitus, heart disease and cancer.
• Responsiveness to the needs and preferences of patients.
• Shared decision-making.
• Patient-clinician communication.
• Access to medical information.
The study also reported facilitators for the utilization of HIT:
• Ease of use.
• Perceived usefulness.
• Efficiency of use.
• Availability of support.
• Comfort in use.
• Site location.
However, there were also a number of barriers:
• Lack of usability.
• Problems with access to the HIT application due to older age, low income, education, cognitive impairment and other factors.
• Low computer literacy in patients and clinicians.
• Insufficient basic formal training.
• Physicians' concerns about more work.
• Workflow issues.
• Incompatibility with current healthcare practices.
• Lack of standardization.
• Problems with reimbursement.
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