Skip to main content

Currently Skimming:

6 Reflections on the Day
Pages 81-88

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 81...
... "Once you are talking about community, the potential for change and action is grand," she said. With asthma, for example, a focus on community starts a conversion on housing stock, air pollution from idling buses, and changing traffic patterns to deal with the larger triggers of asthma in an entire community.
From page 82...
... Changing this attitude will require providers and health care systems to be accountable for health literacy via performance measure development connected to reimbursement policies. He said patient engagement measures need to change from just checking off a box that patients were engaged to determining whether patients understood the information conveyed by their care providers.
From page 83...
... Lori Hall, a health education consultant to Eli Lilly, noted how the day's presentations changed her perception that most health information technology interventions were aimed at people who are already engaged, activated, and confident in their care. She now understands that technology developers first seek to understand and listen before making assumptions, and when used in partnership, technology is a tool that can address the needs of communities that are not as engaged in their health care.
From page 84...
... Margaret Loveland, senior director of global medical affairs at Merck, commented on the importance of attending to privacy concerns given that many of the members of these culturally diverse and economically dis­ advantaged communities have trust issues. "If we do not address this pri
From page 85...
... The ultimate value of health literate technology, she added, comes when it connects the patient and all the members of the patient's health care team. "When it can be truly connected, then it can be actionable and valuable to all of us," said Parson.
From page 86...
... The fourth level is community and how technology can be used to facilitate the kind of interactions and engagement between the health system and a given community. When thinking about health literacy, he explained, "It behooves the producers of health technology, as well as the individuals on the health care team and the spectrum of health care providers that extends beyond the walls of the clinic, to consider the operational and critical elements that we have cultivated in our understanding of health literacy." Health literacy, he concluded, becomes a critical strategy that is implemented at every one of these different levels of engagement among patient, consumer, members, and community.
From page 87...
... He applauded the emphasis that the day's presentations placed on including community, together with patients, consumers, and providers, in the technology development process, and he pointed out that consumers may not be able to understand the burden of using a particular app or they may not understand that an app may not produce data that can actually help them better manage their health. He also underscored the issue of sustainability and the importance of person-to-person interactions that can reinforce the value of using a particular app.
From page 88...
... In that case, as soon as the case worker receives that text, a message would go out to a pharmacy in the patient's community and a pharmacist would be dispatched to the patient's home. What is nice about this system, said Harris, is that it is ­ patient driven, data driven, and outcomes driven, and in fact, the VA has shown that this system dramatically reduced unnecessary hospitalizations.


This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More information on Chapter Skim is available.