Related Experiment Video
Updated: Jul 30, 2026
12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Impact of a patient-centered, computer-based health information/support system
D H Gustafson1, R Hawkins, E Boberg
1Department of Industrial Engineering and Preventive Medicine, Center for Health Systems Research and Analysis, University of Wisconsin-Madison 53705, USA.
American Journal of Preventive Medicine
|January 23, 1999
Summary
A computerized health support system (CHESS) improved quality of life for HIV-positive patients. The system also led to more efficient healthcare use, including fewer hospitalizations.
Area of Science:
- Health Informatics
- Patient Self-Care Technologies
- Digital Health Interventions
Background:
- Consumer health information systems can enhance patient quality of life and promote self-care.
- Digital health tools offer potential for improving patient outcomes and healthcare efficiency.
Purpose of the Study:
- To evaluate the Comprehensive Health Enhancement Support System (CHESS) for HIV-positive patients.
- To determine if in-home computer access influences patient quality of life, health behaviors, and healthcare utilization.
Main Methods:
- A randomized controlled trial was conducted over 3 or 6 months.
- Participants received in-home CHESS computers or no intervention.
- Quality of life and healthcare service use were measured via self-report surveys.
Main Results:
- CHESS was used daily across demographic groups.
- Users reported improved quality of life, including better emotional well-being and social support.
- CHESS users experienced less time in ambulatory care, more provider calls, and reduced hospitalizations.
Conclusions:
- Computer-based personal health support systems can enhance patient quality of life.
- These systems promote more efficient and effective use of healthcare services.
Related Concept Videos
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:27Nursing Clinical Information System
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include: