233624 Factors associated with the use of the internet and a continuity of care document (CCD): A special needs population of persons living with HIV/AIDS in New York City

Tuesday, November 9, 2010 : 9:15 AM - 9:30 AM

Michelle Odlum, MPH, MS, EdD , Columbia, Columbia University, Columbia, NY
Suzanne Bakken, RN, DNSc , School of Nursing and Department of Biomedical Informatics, Columbia University, New York, NY
Peter Gordon, MD , Department of Medicine, Columbia University Medical Center, New York, NY
Eli Camhi, MSW , Managed Care, New York Presbyterian System - Select Health, New York, NY
Background: Healthy People 2020 identified the need for improved interactive Health Communication and Health IT. Attainment of this goal includes Objectives: 1. Increase access to the Internet, which is essential for obtaining health information and health promotion efforts. 2. Increase in the use electronic personal health management tools, essential for keeping track of personal health information. A comprehensive perspective on predictors of the access to and use of EPHMTs in special needs populations such as PLWH must be identified for objective accomplishment. Methods: PLWH (n=230) enrolled in the SelectHealth Medicaid plan were recruited to complete a survey that assessed predictors of health outcomes. A subset (N=25) that used the SelectHealth CCD completed a survey that gathered perceptions of system usefulness and ease. Focus groups with PLWH (n=35), providers (n=19) and interviews with care site managers (n=5) were conducted to identify factors to CCD use. Results / Outcomes: PLWH that were younger, higher educated, with good perceptions of their health were more likely to use the Internet. PLWH that were higher educated, had higher perceptions of provider respect and greater disclosure stigma spent more time on the Internet. The CCD was thought to be highly useful and moderately easy to use. Users believe CCD assisted in managing healthcare needs, enhancing care. Conclusions: Identified differences between Internet use revealed the need for population-specific strategies. Overcoming barriers to CCD use must include computer training and Internet access. Effective ways to facilitate CCD use should be addressed in the context of care-related difficulties.

Learning Areas:
Public health or related education

Learning Objectives:
1. List potential predictors of Internet use in the study population. 2. Discuss the perspective of the study population and their care team about factors important to CCD use in the study population. 3. Describe the perceptions of the study population of the usefulness and simplicity of the CCD.

Keywords: Health Information Systems, Information Technology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: student conducting research under faculty supervision
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.