对COVID-19患者的相对床位分配,EHR投资和COVID-19死亡率结果
Pankaj C Patel1, Mike G Tsionas2, Srikant Devaraj3
1Villanova School of Business, Villanova University, Villanova, Pennsylvania, United States of America.
使用更多电子健康记录 (EHR) 系统的医院的COVID-19死亡人数较少. 这表明,EHR在流行病期间可以改善医院病床分配和患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 在COVID-19和非COVID-19患者之间,COVID-19大流行突出了医院床位分配的挑战.
- 组织信息处理理论 (OIPT) 为理解信息系统如何影响组织流程提供了一个框架.
研究的目的:
- 调查电子健康记录 (EHR) 系统采用与COVID-19患者结果之间的关联.
- 确定EHR是否提高了医院床位分配效率并降低了死亡率.
主要方法:
- 美国每周县级医院数据的实证分析.
- 使用空间相关性控制,带有质量评级的仪器变量分析 (2SLS) 和步行者流量数据.
- 检查了7日,14日和21天的前性COVID-19死亡率.
主要成果:
- 医院的更高的相对床位容量与更高的EHR采用与较低的县级COVID-19死亡率显著相关.
- 在控制混因素的各种分析方法中,研究结果是稳定的.
结论:
- 当地电子健康记录 (EHR) 系统可以提高医院床位的分配,从而改善患者的治疗结果,减少公共卫生危机期间的死亡率.
- 对医疗保健政策,供应链管理和EHR系统开发的影响.
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