利用智能跟踪技术和相关健康信息技术之间的互补性力量:长度研究
Youyou Tao1, Ruilin Zhu2, Dezhi Wu3
1Department of Information Systems and Business Analytics, College of Business Administration, Loyola Marymount University, Los Angeles, CA, United States.
JMIR formative research
|October 1, 2024
概括
智能追踪技术 (STT) 和补充的健康IT显著降低了30天的再接收风险. 为临床使用的STT与供应链管理,移动IT和健康信息交换的联合实施产生了积极的结果.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流程优化 临床工作流程优化
- 医疗保健管理的管理
背景情况:
- 临床使用的智能追踪技术 (STT) 通过提高工作流程效率,显示出降低30天所有原因再入院风险的潜力.
- 现有的文献不足以解决STT在临床使用和其他健康信息技术 (HIT) 的综合影响.
- 缺乏关于临床使用STT与其他相关HIT之间的具体互补效应的研究.
研究的目的:
- 调查临床使用STT和三个互补的HIT在减少30天所有原因再录取风险方面的联合效果.
- 检查临床使用STT和供应链管理STT之间的聚合互补性.
- 分析临床使用STT与移动IT之间的共生互补性,以及临床使用STT与健康信息交换 (HIE) 之间的共生互补性.
主要方法:
- 利用了佛罗里达州和纽约州61家医院的879,122例入院病人的纵向住院数据集 (2014-2015年).
- 采用后勤回归来评估HIT对再接收风险的影响,控制时间和医院固定的影响.
- 应用了在患者层面聚类的强大的标准错误,以确保统计准确性.
主要成果:
- 临床使用的STT与供应链管理,移动IT和HIE的STT之间的相互作用与30天再接收风险负相关 (分别P=.003,P<.001,P=.04).
- 确认了临床使用STT和供应链管理STT之间的聚合互补性.
- 证实了临床使用STT和移动IT之间的共生互补性,以及临床使用STT和HIE之间的共生互补性.
结论:
- 为临床使用的STT与其他HIT联合实施显著降低了30天再接收风险.
- 本研究量化了四个HIT的互补效应,为HIT价值文学做出了贡献.
- 医院可以利用这些发现来优化补充的HIT,以降低再接收率.
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