Skip to main content
Erschienen in: Translational Behavioral Medicine 1/2011

01.03.2011 | PRACTICE AND PUBLIC HEALTH POLICIES

Nudging best practice: the HITECH act and behavioral medicine

verfasst von: Bradford William Hesse, PhD, David K Ahern, PhD, Susan S Woods, MD, MPH

Erschienen in: Translational Behavioral Medicine | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

In February 2009, the US Congress passed the Health Information Technology for Economic and Consumer Health (HITECH) Act in order to stimulate the “meaningful use” of health information technology within medical practice. Economists have noted that other sectors in the economy have demonstrated substantive productivity improvements from investments in information technology but that the health sector lags behind. The “meaningful use” stipulation of the HITECH Act focuses systems redesign within the health sector on user’s behavior, a provision that opens a window of contribution from specialists in behavioral medicine. There are several ways for behavioral medicine to become involved in the redesign. One is to help craft a health services environment that optimizes communication between providers and patients, between primary care and specialist care providers, and between patients and their caregivers. Another is to help practitioners and policy-makers create new “decisional architectures” for “nudging” behavior in positive ways through better incentives, understandable instructions, healthy defaults, instructive feedback, back-ups for error, and structured decision-making. New funding opportunities in research, implementation, and training may facilitate the involvement of behavioral medicine—an involvement that is crucial for ensuring the success of reform efforts in the long run.
Literatur
1.
Zurück zum Zitat Adler, N. E., Page, A., & National Institute of Medicine (U.S.). (2008). Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting. Cancer care for the whole patient: meeting psychosocial health needs. Washington: National Academies. Adler, N. E., Page, A., & National Institute of Medicine (U.S.). (2008). Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting. Cancer care for the whole patient: meeting psychosocial health needs. Washington: National Academies.
2.
Zurück zum Zitat Ahern, D. K., Patrick, K., Phalen, J. M., & Neiley, J. D. (2006). An introduction to methodological challenges in the evaluation of eHealth research: perspectives from the Health e-Technologies initiative. Evaluation and Program Planning, 29(4), 386–389.PubMedCrossRef Ahern, D. K., Patrick, K., Phalen, J. M., & Neiley, J. D. (2006). An introduction to methodological challenges in the evaluation of eHealth research: perspectives from the Health e-Technologies initiative. Evaluation and Program Planning, 29(4), 386–389.PubMedCrossRef
3.
Zurück zum Zitat Ahern, D., Phalen, J., & Eaton, C. (2007). The role of eHealth in patient engagement and quality improvement. In M. C. Gibbons (Ed.), eHealth solutions for healthcare disparities (pp. 75–92). New York: Springer. Ahern, D., Phalen, J., & Eaton, C. (2007). The role of eHealth in patient engagement and quality improvement. In M. C. Gibbons (Ed.), eHealth solutions for healthcare disparities (pp. 75–92). New York: Springer.
4.
Zurück zum Zitat Ahern, D., Buckel, L., Aberger, E. W., & Follick, M. J. (2009). eHealth for employee health and wellness: optimizing plan design and incentive management. In N. P. Pronko (Ed.), ACSM’s worksite health handbook: a guide to building healthy and productive companies (pp. 248–258). Champaign: Human Kinetics. Ahern, D., Buckel, L., Aberger, E. W., & Follick, M. J. (2009). eHealth for employee health and wellness: optimizing plan design and incentive management. In N. P. Pronko (Ed.), ACSM’s worksite health handbook: a guide to building healthy and productive companies (pp. 248–258). Champaign: Human Kinetics.
6.
Zurück zum Zitat American Cancer Society (2008) Cancer facts & figures: 2008. American Cancer Society, Atlanta American Cancer Society (2008) Cancer facts & figures: 2008. American Cancer Society, Atlanta
7.
Zurück zum Zitat American Psychological Association. (2004). Behavior matters: how research improves our lives. Washington: American Psychological Association. American Psychological Association. (2004). Behavior matters: how research improves our lives. Washington: American Psychological Association.
8.
Zurück zum Zitat Baron, R. J. (2010). Meaningful use of health information technology is managing information. JAMA, 304(1), 89–90.PubMedCrossRef Baron, R. J. (2010). Meaningful use of health information technology is managing information. JAMA, 304(1), 89–90.PubMedCrossRef
9.
Zurück zum Zitat Beckjord, E. B., Finney Rutten, L. J., Squiers, L., et al. (2007). Use of the Internet to communicate with health care providers in the United States: estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS). Journal of Medical Internet Research, 9(3), e20.PubMedCrossRef Beckjord, E. B., Finney Rutten, L. J., Squiers, L., et al. (2007). Use of the Internet to communicate with health care providers in the United States: estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS). Journal of Medical Internet Research, 9(3), e20.PubMedCrossRef
10.
Zurück zum Zitat Blumenthal, D. (2010). Guiding the health information technology agenda. Interviewed by David J. Brailer. Health Affairs (Millwood), 29(4), 586–595.CrossRef Blumenthal, D. (2010). Guiding the health information technology agenda. Interviewed by David J. Brailer. Health Affairs (Millwood), 29(4), 586–595.CrossRef
11.
Zurück zum Zitat Brailer, D. J. (2009). Presidential leadership and health information technology. Health Affairs (Millwood), 28(2), w392–w398.CrossRef Brailer, D. J. (2009). Presidential leadership and health information technology. Health Affairs (Millwood), 28(2), w392–w398.CrossRef
12.
Zurück zum Zitat Buntin, M. B., Jain, S. H., & Blumenthal, D. (2010). Health information technology: laying the infrastructure for national health reform. Health Affairs (Millwood), 29(6), 1214–1219.CrossRef Buntin, M. B., Jain, S. H., & Blumenthal, D. (2010). Health information technology: laying the infrastructure for national health reform. Health Affairs (Millwood), 29(6), 1214–1219.CrossRef
13.
Zurück zum Zitat Cancer Center Directors Working Group. (2006). Accelerating successes against cancer. Washington: US Department of Health and Human Services. Cancer Center Directors Working Group. (2006). Accelerating successes against cancer. Washington: US Department of Health and Human Services.
14.
Zurück zum Zitat Center for Advancing Health. (2010). A snapshot of people’s engagement in their health care. Washington: Center for Advancing Health. Center for Advancing Health. (2010). A snapshot of people’s engagement in their health care. Washington: Center for Advancing Health.
15.
Zurück zum Zitat Chen, C., Garrido, T., Chock, D., Okawa, G., & Liang, L. (2009). The Kaiser Permanente electronic health record: transforming and streamlining modalities of care. Health Affairs (Millwood), 28(2), 323–333.CrossRef Chen, C., Garrido, T., Chock, D., Okawa, G., & Liang, L. (2009). The Kaiser Permanente electronic health record: transforming and streamlining modalities of care. Health Affairs (Millwood), 28(2), 323–333.CrossRef
16.
Zurück zum Zitat Culliton, B. J. (2006). Extracting knowledge from science: a conversation with Elias Zerhouni. Health Affairs (Millwood), 25, w94–w103.CrossRef Culliton, B. J. (2006). Extracting knowledge from science: a conversation with Elias Zerhouni. Health Affairs (Millwood), 25, w94–w103.CrossRef
17.
Zurück zum Zitat Cutler, D. M., Davis, K., & Stremikis, K. (2009). Why health reform will bend the cost curve. Issue Brief - Commonwealth Fund, 72, 1–16.PubMed Cutler, D. M., Davis, K., & Stremikis, K. (2009). Why health reform will bend the cost curve. Issue Brief - Commonwealth Fund, 72, 1–16.PubMed
18.
Zurück zum Zitat Cutler, D. M., Davis, K., & Stremikis, K. (2010). The impact of health reform on health system spending. Issue Brief - Commonwealth Fund, 88, 1–14.PubMed Cutler, D. M., Davis, K., & Stremikis, K. (2010). The impact of health reform on health system spending. Issue Brief - Commonwealth Fund, 88, 1–14.PubMed
19.
Zurück zum Zitat Department of Health and Human Services. (2010). Medicare and Medicaid programs; electronic health record incentive program; proposed rule. Federal Register, 75(8), 1844–2011. Department of Health and Human Services. (2010). Medicare and Medicaid programs; electronic health record incentive program; proposed rule. Federal Register, 75(8), 1844–2011.
20.
Zurück zum Zitat Dixon, R. F. (2010). Enhancing primary care through online communication. Health Affairs (Millwood), 29(7), 1364–1369.CrossRef Dixon, R. F. (2010). Enhancing primary care through online communication. Health Affairs (Millwood), 29(7), 1364–1369.CrossRef
21.
Zurück zum Zitat Epstein, R., & Street, R. J. (2007). Patient-centered communication in cancer care: promoting healing and reducing suffering. Bethesda: National Cancer Institute. Epstein, R., & Street, R. J. (2007). Patient-centered communication in cancer care: promoting healing and reducing suffering. Bethesda: National Cancer Institute.
22.
Zurück zum Zitat Department of Health and Human Services (2010). Establishment of the temporary certification program for health information technology. Final rule. Fed Regist 75(121):36157–36209 Department of Health and Human Services (2010). Establishment of the temporary certification program for health information technology. Final rule. Fed Regist 75(121):36157–36209
23.
Zurück zum Zitat Friedberg, M. W., Coltin, K. L., Safran, D. G., Dresser, M., Zaslavsky, A. M., & Schneider, E. C. (2009). Associations between structural capabilities of primary care practices and performance on selected quality measures. Annals of Internal Medicine, 151(7), 456–463.PubMed Friedberg, M. W., Coltin, K. L., Safran, D. G., Dresser, M., Zaslavsky, A. M., & Schneider, E. C. (2009). Associations between structural capabilities of primary care practices and performance on selected quality measures. Annals of Internal Medicine, 151(7), 456–463.PubMed
24.
Zurück zum Zitat Ghaferi, A. A. (2010). Bending the cost curve in the United States: the role of comparative effectiveness research. Critical Care, 14(3), 168.PubMedCrossRef Ghaferi, A. A. (2010). Bending the cost curve in the United States: the role of comparative effectiveness research. Critical Care, 14(3), 168.PubMedCrossRef
25.
Zurück zum Zitat Gibbons, M. C. (2008). Populomics. Studies in Health Technology and Informatics, 137, 265–268.PubMed Gibbons, M. C. (2008). Populomics. Studies in Health Technology and Informatics, 137, 265–268.PubMed
26.
Zurück zum Zitat Halamka, J. D., Mandl, K. D., & Tang, P. C. (2008). Early experiences with personal health records. Journal of the American Medical Informatics Association, 15(1), 1–7.PubMedCrossRef Halamka, J. D., Mandl, K. D., & Tang, P. C. (2008). Early experiences with personal health records. Journal of the American Medical Informatics Association, 15(1), 1–7.PubMedCrossRef
27.
Zurück zum Zitat Hesse, B. W. (2005). Harnessing the power of an intelligent health environment in cancer control. Studies in Health Technology and Informatics, 118, 159–176.PubMed Hesse, B. W. (2005). Harnessing the power of an intelligent health environment in cancer control. Studies in Health Technology and Informatics, 118, 159–176.PubMed
28.
Zurück zum Zitat Hesse, B. W. (2008). Enhancing consumer involvement in health care. In J. C. Parker & E. Thornson (Eds.), Health communication in the new media landscape (pp. 119–149). New York: Springer. Hesse, B. W. (2008). Enhancing consumer involvement in health care. In J. C. Parker & E. Thornson (Eds.), Health communication in the new media landscape (pp. 119–149). New York: Springer.
29.
Zurück zum Zitat Hesse, B. W., & Shneiderman, B. (2007). eHealth research from the user’s perspective. American Journal of Preventive Medicine, 32(5 Suppl), S97–S103.PubMedCrossRef Hesse, B. W., & Shneiderman, B. (2007). eHealth research from the user’s perspective. American Journal of Preventive Medicine, 32(5 Suppl), S97–S103.PubMedCrossRef
30.
Zurück zum Zitat Hesse, B. W., Hanna, C., Massett, H. A., & Hesse, N. K. (2010). Outside the box: will information technology be a viable intervention to improve the quality of cancer care? Journal of the National Cancer Institute. Monographs, 2010(40), 81–89.PubMedCrossRef Hesse, B. W., Hanna, C., Massett, H. A., & Hesse, N. K. (2010). Outside the box: will information technology be a viable intervention to improve the quality of cancer care? Journal of the National Cancer Institute. Monographs, 2010(40), 81–89.PubMedCrossRef
31.
Zurück zum Zitat Hiatt, R. A., & Rimer, B. K. (1999). A new strategy for cancer control research. Cancer Epidemiology, Biomarkers & Prevention, 8(11), 957–964. Hiatt, R. A., & Rimer, B. K. (1999). A new strategy for cancer control research. Cancer Epidemiology, Biomarkers & Prevention, 8(11), 957–964.
32.
Zurück zum Zitat HITECH Act (2009) 42 USC 139w-4(0)(2) HITECH Act (2009) 42 USC 139w-4(0)(2)
33.
Zurück zum Zitat Hogan, S. O., & Kissam, S. M. (2010). Measuring meaningful use. Health Affairs (Millwood), 29(4), 601–606.CrossRef Hogan, S. O., & Kissam, S. M. (2010). Measuring meaningful use. Health Affairs (Millwood), 29(4), 601–606.CrossRef
34.
Zurück zum Zitat Institute of Medicine (U.S.). (2001). Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington: National Academies. Institute of Medicine (U.S.). (2001). Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington: National Academies.
35.
Zurück zum Zitat McClellan, M. B., & Institute of Medicine (U.S.). (2008). Evidence-based medicine and the changing nature of health care: 2007 IOM annual meeting summary. Meeting (37th: Washington, D.C.). Washington: National Academies. McClellan, M. B., & Institute of Medicine (U.S.). (2008). Evidence-based medicine and the changing nature of health care: 2007 IOM annual meeting summary. Meeting (37th: Washington, D.C.). Washington: National Academies.
36.
Zurück zum Zitat Kahn, J. S., Aulakh, V., & Bosworth, A. (2009). What it takes: characteristics of the ideal personal health record. Health Affairs (Millwood), 28(2), 369–376.CrossRef Kahn, J. S., Aulakh, V., & Bosworth, A. (2009). What it takes: characteristics of the ideal personal health record. Health Affairs (Millwood), 28(2), 369–376.CrossRef
37.
Zurück zum Zitat Kohn, L. T., Corrigan, J., & Donaldson, M. S. (2000). To err is human: building a safer health system. Washington: National Academies. Kohn, L. T., Corrigan, J., & Donaldson, M. S. (2000). To err is human: building a safer health system. Washington: National Academies.
38.
Zurück zum Zitat Kraut, R., Olson, J., Banaji, M., Bruckman, A., Cohen, J., & Couper, M. (2004). Psychological research online: report of Board of Scientific Affairs’ Advisory Group on the conduct of research on the Internet. The American Psychologist, 59(2), 105–117.PubMedCrossRef Kraut, R., Olson, J., Banaji, M., Bruckman, A., Cohen, J., & Couper, M. (2004). Psychological research online: report of Board of Scientific Affairs’ Advisory Group on the conduct of research on the Internet. The American Psychologist, 59(2), 105–117.PubMedCrossRef
39.
Zurück zum Zitat Lewis, D. (2005). Consumer health informatics: informing consumers and improving health care. New York: Springer. Lewis, D. (2005). Consumer health informatics: informing consumers and improving health care. New York: Springer.
40.
Zurück zum Zitat Nazi KM, Woods SS (2008) MyHealtheVet PHR: a description of users and patient portal use. AMIA Annu Symp Proc. 2008:1182 Nazi KM, Woods SS (2008) MyHealtheVet PHR: a description of users and patient portal use. AMIA Annu Symp Proc. 2008:1182
41.
Zurück zum Zitat Olsen, L., Aisner, D., McGinnis, J. M., & Institute of Medicine (U.S.). (2007). Roundtable on evidence-based medicine. The learning healthcare system: workshop summary. Washington: National Academies. Olsen, L., Aisner, D., McGinnis, J. M., & Institute of Medicine (U.S.). (2007). Roundtable on evidence-based medicine. The learning healthcare system: workshop summary. Washington: National Academies.
42.
Zurück zum Zitat Reid, P. P., Compton, W. D., Grossman, J. H., et al. (2005). Building a better delivery system: a new engineering/health care partnership. Washington: National Academies. Reid, P. P., Compton, W. D., Grossman, J. H., et al. (2005). Building a better delivery system: a new engineering/health care partnership. Washington: National Academies.
44.
Zurück zum Zitat Stead, W. W., & Lin, H. S. (Eds.). (2009). Computational technology for effective health care: immediate steps and strategic directions. Washington: National Academies. Stead, W. W., & Lin, H. S. (Eds.). (2009). Computational technology for effective health care: immediate steps and strategic directions. Washington: National Academies.
45.
Zurück zum Zitat Taplin, S. H., & Rodgers, A. B. (2010). Toward improving the quality of cancer care: addressing the interfaces of primary and oncology-related subspecialty care. Journal of the National Cancer Institute. Monographs, 2010(40), 3–10.PubMedCrossRef Taplin, S. H., & Rodgers, A. B. (2010). Toward improving the quality of cancer care: addressing the interfaces of primary and oncology-related subspecialty care. Journal of the National Cancer Institute. Monographs, 2010(40), 3–10.PubMedCrossRef
46.
Zurück zum Zitat Taplin, S. H., Rollason, D., Camp, A., di Donato, K., & Maggenheimer, E. (2010). Imagining an electronic medical record for turning cancer screening knowledge into practice. American Journal of Preventive Medicine, 38(1), 89–97.PubMedCrossRef Taplin, S. H., Rollason, D., Camp, A., di Donato, K., & Maggenheimer, E. (2010). Imagining an electronic medical record for turning cancer screening knowledge into practice. American Journal of Preventive Medicine, 38(1), 89–97.PubMedCrossRef
47.
Zurück zum Zitat Thaler, R. H., & Sunstein, C. R. (2009). Nudge: improving decisions about health, wealth, and happiness (revised and expanded edition). New York: Penguin. Thaler, R. H., & Sunstein, C. R. (2009). Nudge: improving decisions about health, wealth, and happiness (revised and expanded edition). New York: Penguin.
48.
Zurück zum Zitat Vest, J. R., & Jasperson, J. (2010). What should we measure? Conceptualizing usage in health information exchange. Journal of the American Medical Informatics Association, 17(3), 302–307.PubMed Vest, J. R., & Jasperson, J. (2010). What should we measure? Conceptualizing usage in health information exchange. Journal of the American Medical Informatics Association, 17(3), 302–307.PubMed
49.
Zurück zum Zitat Vicente, K. J. (2003). The human factor: revolutionizing the way people live with technology (1st ed.). New York: Taylor and Francis. Vicente, K. J. (2003). The human factor: revolutionizing the way people live with technology (1st ed.). New York: Taylor and Francis.
50.
Zurück zum Zitat Zheng, K., Padman, R., Johnson, M. P., & Diamond, H. S. (2009). An interface-driven analysis of user interactions with an electronic health records system. Journal of the American Medical Informatics Association, 16(2), 228–237.PubMedCrossRef Zheng, K., Padman, R., Johnson, M. P., & Diamond, H. S. (2009). An interface-driven analysis of user interactions with an electronic health records system. Journal of the American Medical Informatics Association, 16(2), 228–237.PubMedCrossRef
51.
Zurück zum Zitat Zhou, Y. Y., Kanter, M. H., Wang, J. J., & Garrido, T. (2010). Improved quality at Kaiser Permanente through e-mail between physicians and patients. Health Affairs (Millwood), 29(7), 1370–1375.CrossRef Zhou, Y. Y., Kanter, M. H., Wang, J. J., & Garrido, T. (2010). Improved quality at Kaiser Permanente through e-mail between physicians and patients. Health Affairs (Millwood), 29(7), 1370–1375.CrossRef
Metadaten
Titel
Nudging best practice: the HITECH act and behavioral medicine
verfasst von
Bradford William Hesse, PhD
David K Ahern, PhD
Susan S Woods, MD, MPH
Publikationsdatum
01.03.2011
Verlag
Springer-Verlag
Erschienen in
Translational Behavioral Medicine / Ausgabe 1/2011
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-010-0001-3

Weitere Artikel der Ausgabe 1/2011

Translational Behavioral Medicine 1/2011 Zur Ausgabe