Menachemi Nir, Burke Darrell, Clawson Art, Brooks Robert G
Center on Patient Safety, Florida State University College of Medicine, Tallahassee, FL 32306-4300, USA.
J Rural Health. 2005 Summer;21(3):263-8. doi: 10.1111/j.1748-0361.2005.tb00093.x.
The recent explosive growth of information technology in hospitals promises to improve hospital and patient outcomes. Financial barriers may cause rural hospitals to lag in adoption of information technology, however, formal studies that examine rural hospital adoption of information technology are lacking.
To determine the extent to which rural Florida hospitals utilize clinical and other information technology applications, to identify related information technology issues and barriers, and to explore differences between stand-alone and system-affiliated hospitals.
Chief information officers in rural Florida hospitals were surveyed from June 2003-October 2003. A comprehensive set of questions assessed hospital demographics, information technology priorities and barriers, clinical and other information technology systems, and staffing needs.
In rural Florida, current information technology priorities included upgrading security on information technology systems to meet Health Insurance Portability and Accountability Act requirements (53.6%), implementing technology to reduce medical errors and to promote patient safety (50.0%), and implementing wireless systems (46.4%). With respect to current information technology adoption, system-affiliated rural hospitals were statistically more likely than their stand-alone counterparts to have laboratory information systems (93% vs 39%), pharmacy (87% vs 46%), pharmacy dispensing (53% vs 8%), chart deficiency (60% vs 15%), and order communication results (60% vs 23%). Financial barriers to successful information technology implementation were noted by 69% of stand-alone and 20% of system-affiliated rural hospitals.
Although top information technology priorities are similar for all rural hospitals examined, differences exist between system-affiliated and stand-alone hospitals in adoption of specific information technology applications and with barriers to information technology adoption.
医院信息技术最近的迅猛发展有望改善医院运营状况和患者治疗效果。然而，经济障碍可能导致农村医院在信息技术应用方面滞后，目前尚缺乏对农村医院信息技术应用情况的正式研究。
确定佛罗里达州农村医院对临床及其他信息技术应用的利用程度，识别相关信息技术问题和障碍，并探讨独立医院和附属系统医院之间的差异。
于2003年6月至10月对佛罗里达州农村医院的首席信息官进行了调查。通过一系列全面的问题评估了医院人口统计学、信息技术优先级和障碍、临床及其他信息技术系统以及人员配备需求。
在佛罗里达州农村地区，当前信息技术优先级包括升级信息技术系统的安全性以满足《健康保险流通与责任法案》要求（53.6%）、实施技术以减少医疗差错并提高患者安全（50.0%）以及实施无线系统（46.4%）。在当前信息技术应用方面，附属系统的农村医院在统计上比独立医院更有可能拥有实验室信息系统（93%对39%）、药房系统（87%对46%）、药房配药系统（53%对8%）、病历缺陷系统（60%对15%）以及医嘱通信结果系统（60%对23%）。69%的独立农村医院和20%的附属系统农村医院指出了成功实施信息技术的经济障碍。
尽管所有接受调查的农村医院在信息技术首要任务方面相似，但附属系统医院和独立医院在特定信息技术应用的采用情况以及信息技术采用障碍方面存在差异。
