A national report of nursing home information technology: year 1 results
A national report of nursing home information technology: year 1 results
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DOI：
10.1093/jamia/ocw051
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发表时间：
2017-01-01
影响因子：
6.4
通讯作者：
Gugerty, Brian
中科院分区：
文献类型：
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作者：
Alexander, Gregory L.;Madsen, Richard W.;Gugerty, Brian
目的：提供一项名为IT成熟度的全国性研究的第一年结果报告。方法：采用可靠有效的调查方法测量IT成熟度。目标是来自美国每个州的10%，1570家养老院。结果：研究小组访问了2627名养老院管理员，其中1799名管理员同意参与，并发出了一份调查问卷。共完成调查815份(应答率45.3%)，低于目标。参与样本中的设施与未参与的其余家庭具有相似的人口统计特征(所有权、某个地点的总人口和床位大小)。居民护理和行政活动方面的IT能力更强，而临床支持方面的IT能力更少。这些能力的使用程度似乎在行政活动中最高，在临床支持中最低。在居民护理方面，IT似乎是与内部和外部利益攸关方整合最多的。信息技术能力似乎大于信息技术在所有健康领域的使用范围，其中在居民护理方面的差异最大。讨论：国家对养老院信息技术的评估很少。在具有全国代表性的样本中衡量IT采用的趋势可以提供有意义的分析，这些分析可能对未来的政策制定者和养老院领导人更有用。结论：发现国家基线评估是认识养老院IT采用趋势的第一步。
Objective: To provide a report on year 1 results of a national study investigating nursing home information technology (IT) adoption, called IT sophistication.Methods: A reliable and valid survey was used to measure IT sophistication. The target goal was 10% from each state in the United States, 1570 nursing homes. A random sample of homes from each state was recruited from Nursing Home Compare.Results: The team reached 2627 nursing home administrators, among whom 1799 administrators agreed to participate and were sent a survey. A total of 815 surveys were completed (45.3% response rate), which was below the goal. Facilities in the participating sample have similar demographic characteristics (ownership, total population in a location, and bed size) to the remaining homes not participating. There are greater IT capabilities in resident care and administrative activities, less in clinical support. The extent of use of these capabilities appears to be highest in administrative activities and lowest in clinical support. IT in resident care appears to be the most integrated with internal and external stakeholders. IT capabilities appear to be greater than IT extent of use in all health domains, with the greatest difference in resident care. Discussion: National evaluations of nursing home IT are rare. Measuring trends in IT adoption in a nationally representative sample provides meaningful analytics that could be more useful for policy makers and nursing home leaders in the future.Conclusion: Discovering national baseline assessments is a first step toward recognizing nursing home trends in IT adoption.