美国养老院中技术放弃率的调查
Kimberly R Powell1, Matthew Farmer1, Jianfang Liu2
1Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.
Journal of the American Medical Directors Association
|October 14, 2023
概括
卫生信息技术 (HIT) 的废弃,无法维持技术,影响28%的养老院. 大型设施更容易放弃行政HIT,可能耗费资源.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 养老院管理局的管理.
背景情况:
- 健康信息技术 (HIT) 的采用对于提高养老院 (NH) 护理质量至关重要.
- 了解技术放弃,定义为未能扩展,扩散或维持HIT,至关重要,因为NH越来越依赖这些系统.
研究的目的:
- 调查美国养老院中HIT抛弃的流行情况.
- 识别与HIT放弃相关的组织特征.
主要方法:
- 一个纵向的,从299个美国养老院连续两年 (2019年6月-2021年8月) 的数据的回顾性分析.
- 数据来源包括HIT成熟度调查,分期模型和护理比较数据库.
- 使用HIT成熟度得分和阶段来衡量HIT放弃率,并将组织因素 (床位大小,所有权,城市化,质量评级) 作为独立变量.
主要成果:
- 在为期两年的研究期间,28%的养老院发生了HIT放弃.
- 与住院护理相关的HIT能力是最常被放弃的.
- 大型养老院 (120多张床位) 更有可能放弃行政HIT.
结论:
- 在养老院中放弃技术可能会耗费资源,并影响临床监督,特别是在更大的设施中.
- 这项研究强调了需要制定战略,以确保持续使用HIT来改善养老院居民的护理.
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