A National Assessment of Access to Technology Among Nursing Home Residents: A Secondary Analysis.
A National Assessment of Access to Technology Among Nursing Home Residents: A Secondary Analysis.
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DOI：
10.2196/11449
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发表时间：
2019-03-05
期刊：
影响因子：
4.9
通讯作者：
Deroche, Chelsea
中科院分区：
文献类型：
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作者：
Powell, Kimberly Ryan;Alexander, Gregory Lynn;Deroche, Chelsea
背景：根据国家卫生统计中心的数据，美国有超过170万养老院居民。养老院居民及其家庭成员有着独特的需求，并将受益于使用技术，使他们成为更知情和参与的医疗保健消费者。虽然有越来越多的证据表明，面向患者的技术，如电子患者门户网站的好处，病人参与急性和门诊设置，鲜为人知的是使用这种技术在nursinghomes.Objective：本研究的目的是报告结果从二次分析的数据从一个国家的疗养院研究的信息技术（IT）采用，称为IT复杂性。我们描述了养老院（n=815）允许居民或其代表访问包括电子健康记录，患者门户网站和健康信息交换系统在内的技术的程度，以及居民或代表直接向电子健康记录自我报告数据的能力。我们使用描述性统计和回归技术来探讨信息技术采用（IT复杂性）和居民或其代表获得技术之间的关系。协变量的位置，床的大小，和所有权被添加到模型中，以了解他们对IT复杂性和居民获得技术之间的关系的潜在影响。结果：研究发现，居民获得技术是一个显着的预测养老院IT复杂性（P
BACKGROUND: According to the National Center for Health Statistics, there are over 1.7 million nursing home residents in the United States. Nursing home residents and their family members have unique needs and stand to benefit from using technology empowering them to be more informed and engaged health care consumers. Although there is growing evidence for benefits of patient-facing technologies like electronic patient portals on patient engagement in acute and outpatient settings, little is known about use of this technology in nursing homes.OBJECTIVE: The purpose of this study was to report findings from a secondary analysis of data from a national nursing home study of information technology (IT) adoption, called IT sophistication. We describe the extent to which nursing homes (n=815) allow residents or their representatives to access technology including electronic health records, patient portals, and health information-exchange systems as well as the ability of the residents or representatives to self-report data directly into the electronic health record.METHODS: We used descriptive statistics and regression techniques to explore relationships between information technology adoption (IT sophistication) and residents' or their representatives' access to technology. Covariates of location, bed size, and ownership were added to the model to understand their potential influence on the relationship between IT sophistication and resident access to technology.RESULTS: Findings revealed that resident access to technology was a significant predictor of the nursing home IT sophistication (P