电子健康记录的实施提高了高医疗补助养老院的财务绩效
Neeraj Dayama1, Rohit Pradhan2, Ganisher Davlyatov3
1Department of Healthcare Management and Leadership, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Journal of multidisciplinary healthcare
|May 28, 2024
概括
在高Medicaid养老院实施电子健康记录 (EHR) 与改善财务绩效有关. 这项研究提出了EHR投资的商业案例,有可能提高这些设施的效率和财务健康.
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
- 医疗保健管理的管理
背景情况:
- 养老院 (NH) 行业运作在一个双层系统.
- 高医疗补助国家公立医院不成比例地服务于边缘化人口,面临较差的护理质量和财务表现.
- 基于资源的观点,用于调查技术影响的坚定框架.
研究的目的:
- 调查电子健康记录 (EHR) 实施与高Medicaid NHs的财务绩效之间的关联.
- 确定EHR投资是否可以提高这些设施的效率和财务健康.
- 在高Medicaid NHs中建立EHR采用商业案例.
主要方法:
- 2017-2018年的数据来源于邮件调查和二次数据库.
- 高医疗补助NHs被定义为具有≥85%的医疗补助人口普查.
- 电子健康制度实施得分 (EIS) 计算在五个功能上;作为财务绩效指标的总利率.
- 使用多变量线性回归,对控制变量进行调整.
主要成果:
- 大约76%的高医疗补助国家医疗机构已经完全或部分实施了EHR.
- 一个单位的EIS增加与总利率增加0.12%有关 (p=0.05).
结论:
- 调查结果表明,EHR投资在高医疗补助国家公积金中的投资是一个潜在的商业案例,表明长期的财务回报.
- 政策干预,如补贴,可能仍然是必要的,以鼓励EHR的采用.
- 实施EHR可能会改善服务不足的NH人口的效率和财务健康.
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