美国家庭医疗机构采用健康信息技术:多方法研究的结果
Monika Pogorzelska-Maziarz1, Ashley M Chastain2, Uduwanage Gayani E Perera2
1Thomas Jefferson University, Philadelphia, PA, USA.
Home health care management & practice
|December 29, 2023
概括
许多家庭医疗机构仍然缺乏基本的健康信息技术 (HIT),包括电子健康记录 (EHR) 和远程医疗,阻碍工作流和质量改进. 根据机构的特点,采用情况有所不同.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 信息学是一种信息学.
- 公共卫生 公共卫生
背景情况:
- 医疗信息技术 (HIT) 为家庭医疗保健 (HHC) 提供了变革性的潜力.
- 对于HIT采用率和HHC机构内的影响因素的了解有限.
- 感染预防和控制是HIT可以显著改善HHC服务的关键领域.
研究的目的:
- 识别HIT采用的挑战,如电子健康记录 (EHR) 和远程医疗,在HHC.
- 检查与不同程度的HIT采用相关的HHC机构的特征.
- 提供有关HHC部门HIT实施现状的见解.
主要方法:
- 与13个美国HHC机构的41名员工进行了深入采访.
- 在536个HHC机构中进行的国家代表性调查 (35.6%的参与率).
- 分析包括描述性统计,双变量和多变量分析,加权数据.
主要成果:
- 10%的机构缺乏EHR;2%的人正在获得一个.
- 16%的人提供远程医疗服务;4%的人购买服务.
- 根据地理位置,所有权和机构规模,电子健康和远程医疗的采用情况有很大差异.
结论:
- 尽管HIT使用量增加,但大量的HHC机构在采用基本技术方面仍滞后.
- 采用HIT受到机构特定因素的影响,例如位置,所有权和规模.
- 需要进一步研究HIT对患者结果的影响及其在COVID-19后的演变.
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