Evaluating health information technology: provider satisfaction with an HIV-specific, electronic clinical management and reporting system

AIDS Patient Care and STDs
Manya MagnusMichael K Butler

Abstract

Health information technology (HIT) offers the potential to improve care for persons living with HIV. Provider satisfaction with HIT is essential to realize benefits, yet its evaluation presents challenges. An HIV-specific, electronic clinical management and reporting system was implemented in Louisiana's eight HIV clinics, serving over 7500. A serial cross-sectional survey was administered at three points between April 2002 and July 2005; qualitative methods were used to augment quantitative. Multivariable methods were used to characterize provider satisfaction. The majority of the sample (n = 196; T1 = 105; T2 = 46; T3 = 45) was female (80.0%), between ages of 25 and 50 years (68.3%), frequent providers at that clinic (53.7% more than 4 days per week), and had been at the same clinic for a year or more (85.0%). Improvements in satisfaction were observed in patient tracking ( p < 0.05), distribution of educational materials ( p < 0.04), and belief that electronic systems improve care ( p < 0.05). Provider self-reports of time to complete critical functions decreased for all tasks, two significantly so. Time (in minutes) to find current CD4 count decreased at each time point (mean 3.9 [standard deviation {SD} 5.8], 2.9 [2.3], 2...Continue Reading

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Citations

Dec 23, 2009·AIDS Patient Care and STDs·Keith J HorvathB R Simon Rosser
Jan 21, 2010·Current Opinion in Psychiatry·Dallas Swendeman, Mary Jane Rotheram-Borus
Aug 15, 2012·International Journal of Medical Informatics·Patricia H VirgaSergey Virodov
Oct 7, 2011·The Journal of the Association of Nurses in AIDS Care : JANAC·Elnora P MendiasL Ann Teske

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