Abstract
Context:In order for patients to benefit from a multidisciplinary treatment approach, diverse providers must communicate on patient care. OBJECTIVE: We sought to examine the effect of information exchange across multidisciplinary human immunodeficiency virus (HIV) care providers on patient health outcomes. DESIGN: Randomized controlled trial, randomized at the patient level. SETTING: Six infectious disease clinics paired with 9 ancillary care settings (eg, HIV case management). PARTICIPANTS: Two hundred fifty-four patients with HIV receiving care at the infectious disease clinics. INTERVENTION: Health information was exchanged for 2 years per patient between medical and ancillary care providers using electronic health records and printouts inserted into charts. Medical care providers gave ancillary care providers HIV viral loads, CD4 values, current medications, and appointment attendance. Ancillary care providers gave medical providers the information on medication adherence and major changes (eg, loss of housing). MAIN OUTCOME MEASURES: We abstracted from medical records HIV viral loads, CD4 counts, and antiretroviral medication prescriptions before and during the intervention. From 0-, 12-, and 24-month patient surveys, we assessed hospitalizations, emergency department use, and health-related quality of life measured by the Medical Outcomes Study Short Form-36 (SF-36). RESULTS: No statistically significant differences between cases and controls were found across time for the following: proportion with suppressed viral load, changes in viral load or CD4 values, patients being prescribed antiretroviral medication, hospitalizations, emergency department visits, or any scale of the SF-36. Trends were mixed but leaned toward better health for control participants. CONCLUSIONS: The exchange of this specific set of information between HIV medical and ancillary care providers was neutral on a variety of patient health outcomes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 521-528 |
| Number of pages | 8 |
| Journal | Journal of Public Health Management and Practice |
| Volume | 16 |
| Issue number | 6 |
| DOIs | |
| State | Published - Nov 1 2010 |
| Externally published | Yes |
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Keywords
- electronic health records
- health information exchange
- HIV/AIDS
- information technology
- randomized controlled trial
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Health Policy
- Medicine(all)
Cite this
A randomized controlled trial of health information exchange between human immunodeficiency virus institutions. / Proeschold-Bell, Rae Jean; Belden, Charles M.; Parnell, Heather; Cohen, Sarah; Cromwell, Mark; Lombard, F.
In: Journal of Public Health Management and Practice, Vol. 16, No. 6, 01.11.2010, p. 521-528.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A randomized controlled trial of health information exchange between human immunodeficiency virus institutions
AU - Proeschold-Bell, Rae Jean
AU - Belden, Charles M.
AU - Parnell, Heather
AU - Cohen, Sarah
AU - Cromwell, Mark
AU - Lombard, F.
PY - 2010/11/1
Y1 - 2010/11/1
N2 - Context:In order for patients to benefit from a multidisciplinary treatment approach, diverse providers must communicate on patient care. OBJECTIVE: We sought to examine the effect of information exchange across multidisciplinary human immunodeficiency virus (HIV) care providers on patient health outcomes. DESIGN: Randomized controlled trial, randomized at the patient level. SETTING: Six infectious disease clinics paired with 9 ancillary care settings (eg, HIV case management). PARTICIPANTS: Two hundred fifty-four patients with HIV receiving care at the infectious disease clinics. INTERVENTION: Health information was exchanged for 2 years per patient between medical and ancillary care providers using electronic health records and printouts inserted into charts. Medical care providers gave ancillary care providers HIV viral loads, CD4 values, current medications, and appointment attendance. Ancillary care providers gave medical providers the information on medication adherence and major changes (eg, loss of housing). MAIN OUTCOME MEASURES: We abstracted from medical records HIV viral loads, CD4 counts, and antiretroviral medication prescriptions before and during the intervention. From 0-, 12-, and 24-month patient surveys, we assessed hospitalizations, emergency department use, and health-related quality of life measured by the Medical Outcomes Study Short Form-36 (SF-36). RESULTS: No statistically significant differences between cases and controls were found across time for the following: proportion with suppressed viral load, changes in viral load or CD4 values, patients being prescribed antiretroviral medication, hospitalizations, emergency department visits, or any scale of the SF-36. Trends were mixed but leaned toward better health for control participants. CONCLUSIONS: The exchange of this specific set of information between HIV medical and ancillary care providers was neutral on a variety of patient health outcomes.
AB - Context:In order for patients to benefit from a multidisciplinary treatment approach, diverse providers must communicate on patient care. OBJECTIVE: We sought to examine the effect of information exchange across multidisciplinary human immunodeficiency virus (HIV) care providers on patient health outcomes. DESIGN: Randomized controlled trial, randomized at the patient level. SETTING: Six infectious disease clinics paired with 9 ancillary care settings (eg, HIV case management). PARTICIPANTS: Two hundred fifty-four patients with HIV receiving care at the infectious disease clinics. INTERVENTION: Health information was exchanged for 2 years per patient between medical and ancillary care providers using electronic health records and printouts inserted into charts. Medical care providers gave ancillary care providers HIV viral loads, CD4 values, current medications, and appointment attendance. Ancillary care providers gave medical providers the information on medication adherence and major changes (eg, loss of housing). MAIN OUTCOME MEASURES: We abstracted from medical records HIV viral loads, CD4 counts, and antiretroviral medication prescriptions before and during the intervention. From 0-, 12-, and 24-month patient surveys, we assessed hospitalizations, emergency department use, and health-related quality of life measured by the Medical Outcomes Study Short Form-36 (SF-36). RESULTS: No statistically significant differences between cases and controls were found across time for the following: proportion with suppressed viral load, changes in viral load or CD4 values, patients being prescribed antiretroviral medication, hospitalizations, emergency department visits, or any scale of the SF-36. Trends were mixed but leaned toward better health for control participants. CONCLUSIONS: The exchange of this specific set of information between HIV medical and ancillary care providers was neutral on a variety of patient health outcomes.
KW - electronic health records
KW - health information exchange
KW - HIV/AIDS
KW - information technology
KW - randomized controlled trial
UR - http://www.scopus.com/inward/record.url?scp=78049460481&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78049460481&partnerID=8YFLogxK
U2 - 10.1097/PHH.0b013e3181df78b9
DO - 10.1097/PHH.0b013e3181df78b9
M3 - Article
C2 - 20885182
AN - SCOPUS:78049460481
VL - 16
SP - 521
EP - 528
JO - Journal of Public Health Management and Practice
JF - Journal of Public Health Management and Practice
SN - 1078-4659
IS - 6
ER -