Henderson, Kevin Effenus (2014)

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The goal of this study is to determine the value that public health informatics contributes to improve the critical public health problem of therapeutic non-adherence. Therapeutic adherence is a significant public health problem. Estimates of the size of patient non-adherence amount to $100 to $300 billion dollar in health care waste and poor outcomes

This study examined key questions and relevant literature regarding public health informatics and adherence. From its impact on chronic diseases to the current tools that are being implemented, systematic analysis of relevant literature was conducted.

The study results reveal that public health informatics is currently playing an important yet limited role in facilitating adherence to therapy. A number of innovative uses have been implemented; however, the potential impact is significant across a number of chronic disease conditions. Analysis, review and discussion on the topic suggest that the problem of non-adherence must continue to be addressed through new informatics tools, therapeutic approaches, and frameworks to meet the challenges associated with non-adherence. Further research on the topic is needed.

Table of Contents

Table of Contents

Introduction.. 2

Focusing on Patient Adherence. 2

Problem statement. 3

Purpose. 4

Significance of Public Health Informatics. 4

Regulatory Changes Affecting the Public Health Informatics Landscape. 5

Selection of JAMIA for Article Submission. 7

Literature Review... 8

The Problem of Non-Adherence. 8

Current Perspectives in Public Health Informatics. 9

Is there a consensus regarding the use of public health informatics to drive therapeutic adherence to therapy? 10

What is the impact of public health informatics on therapeutic adherence?. 14

What tools (e.g., social, mobile, web) are currently being used and how does each impact different populations? 18

What role do information architecture standards and interoperability play in facilitating patient adherence? 26

Methodology, Approach and Solution.. 35

Body of Work, Search Strategy, and Inclusion Criteria. 35

Discussion.. 39

Study Limitations. 44

References. 45

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