Health Affairs

Health Affairs, 28, no. 2 (2009): 505-516 doi: 10.1377/hlthaff.28.2.505 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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States & HIE

California’s Digital Divide: Clinical Information Systems For The Haves And Have-Nots

Robert H. Miller, Katherine D’Amato, Nancy Oliva, Christopher E. West and Joel W. Adelson

Strong barriers prevent the financing of clinical information systems (CIS) in health care delivery system organizations in market segments serving disadvantaged patients. These segments include community health centers, public hospitals, unaffiliated rural hospitals, and some Medicaid-oriented solo and small-group medical practices. Policy interventions such as loans, grants, pay-for-performance and other reimbursement changes, and support services assistance will help lower these barriers. Without intervention, progress will be slow and worsen health care disparities between the advantaged and disadvantaged populations.

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				J. D. Ketcham, K. E. Lutfey, E. Gerstenberger, C. L. Link, and J. B. McKinlay Physician Clinical Information Technology and Health Care Disparities Med Care Res Rev, December 1, 2009; 66(6): 658 - 681. [Abstract] [PDF]