AMIA 2021: Understanding how technology impacts patients and providers – FierceHealthcare

New technology can have a significant impact on the day-to-day experience of providers and patients.

The American Medical Informatics Association is hosting its 2021 Annual Symposium, and, during its virtual day last week, researchers presented multiple studies on how technology is impacting both groups.

Here’s a look at some of the findings:

Using VR to understand the challenges of home care

To study and better understand behaviors that affect health outcomes, the National Institute of Nursing Research (NINR) developed an immersive virtual reality tool to track participants as they engage in a common daily activity like food shopping. The tool simulates a typical grocery store and tests participants’ ability to follow low-sodium diets in the context of chronic illnesses like heart failure. 

The benefit of using this technology, Denise Goldsmith, a nursing informatics consultant at NINR, explained during her panel, is the level of factors in the environment researchers could control. In fact, it would be difficult—if not impossible—to replicate in real life, she said.

Another appealing element is the fact that the study could be done remotely without being in the patient’s presence. 

Participants were trained for a brief period beforehand on how to use the technology. Then, in the simulation, they were free to move about the grocery store, select food items, read nutrition labels and then check out at the cash register. At the end, each user received feedback on their food choices based on the total sodium tally. 

“Using IVR in this way, we can observe real-time decision-making and activities of our users without needing to be present in their natural setting,” Goldsmith, who develops the clinical scenarios chosen for these studies at NINR, said.

The technology captures behaviors including frequency of label referencing and product comparisons and also tracks and plots movement activity throughout the virtual store. This helps researchers study cognitive patterns in home-care patients and potential challenges impacting the performance of such tasks.

The various self-care management scenarios NINR develops are identified by home-care nurses, according to its website.

Medical conditions dictate patients’ tech savviness 

To explore whether certain medical conditions lend themselves to better telemedicine preparedness among seniors, Jorge Rodriguez-Fernandez, a clinical informatics fellow at the University of Illinois at Chicago, analyzed data from the National Health and Aging Trends Study on nearly 4,000 seniors 65 years and older. 

He and his team defined telemedicine readiness as being able to contact a provider, handle medical insurance or get medical information …….


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