医院数据泄露对医疗保健质量的影响
Dapeng Chen1, Shin-Yi Chou1, Xiaosong David Peng2
1Department of Economics, Lehigh University, Bethlehem, Pennsylvania, USA.
Health services research
|January 10, 2025
概括
医院数据泄露可能会改善医疗保健质量,导致更快的患者护理和降低心脏病发作等疾病的死亡率. 这与健康信息技术 (HIT) 功能方面的进步有关.
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
- 患者安全 患者安全
背景情况:
- 医疗数据泄露越来越令人担忧,可能对患者护理产生负面影响.
- 了解这些事件对医疗保健质量的下游影响对于制定有效的缓解策略至关重要.
- 卫生信息技术 (HIT) 在调解这些影响中的作用仍然是积极研究的领域.
研究的目的:
- 调查医院数据泄露事件与随后的医疗保健质量之间的关联.
- 探索可能的机制,特别是健康信息技术 (HIT) 的进步,可以解释这些关联.
- 量化数据泄露对特定质量指标的影响,包括患者护理及时性和死亡率.
主要方法:
- 利用了来自美国卫生与人类服务部的医院级数据泄露报告.
- 从佛罗里达州住院患者数据库 (2013-2017) 采用患者级住院记录.
- 应用了与差异相匹配的倾向性得分模型来分析急诊室 (ED) 门到医院入院时间,程序完成时间,住院时间和住院死亡率的变化,比较有违规和没有违规的医院.
主要成果:
- 数据泄露与医疗保健质量的长期显著改善有关.
- 观察到ED门到医院入院时间 (0.56小时) 和主要手术时间 (0.18天) 的减少.
- 在急性心肌梗塞 (AMI) 患者的住院死亡率下降了1个百分点,而其他患者群体没有显著变化. 受到攻击的医院也在HIT功能方面取得了长期的进步.
结论:
- 医院数据泄露事件与改善医疗保健质量结果有关.
- 医疗信息技术 (HIT) 的增强功能是推动这些质量改进的可能机制.
- 调查结果表明,虽然漏洞存在风险,但它们可能无意中催化医疗保健提供所需的技术和流程改进.
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