Hikmet Neset, Bhattacherjee Anol, Menachemi Nir, Kayhan Varol O, Brooks Robert G
Center for Research in Healthcare Systems and Policies, College of Business Administration, University of South Florida, 8350 N. Tamiami Trail, SMC-C222, Sarasota, FL 34243, USA.
Health Care Manag Sci. 2008 Mar;11(1):1-9. doi: 10.1007/s10729-007-9036-5.
This study examines whether specific organizational characteristics, such as hospital size, geographic location (urban versus rural), system membership (stand-alone versus system-affiliated), and tax status (for-profit versus non-profit), influence adoption of healthcare information technologies (HIT) in hospitals. We hypothesize the above organizational characteristics to be related to hospitals' adoption of clinical, administrative, and strategic HIT, as well as all HIT in general. Using survey data collected from 98 Florida hospitals, we demonstrate that hospital size, system membership, and tax status, but not geographic location, are systematically related to HIT adoption, and that such factors explain about 28-41% of the adoption variance. A mixed pattern of effects emerge for clinical, administrative, and strategic HIT. For instance, hospital size appears to be less relevant for administrative HIT, where its effect is compensated by those of system membership and tax status. Implications for future HIT research and practice are discussed.
本研究探讨特定的组织特征，如医院规模、地理位置（城市与农村）、系统成员身份（独立医院与隶属于系统的医院）以及税收状况（营利性与非营利性）是否会影响医院采用医疗信息技术（HIT）。我们假设上述组织特征与医院采用临床、行政和战略医疗信息技术以及总体上采用所有医疗信息技术相关。利用从98家佛罗里达医院收集的调查数据，我们证明医院规模、系统成员身份和税收状况与医疗信息技术的采用存在系统性关联，而地理位置则不然，并且这些因素解释了约28% - 41%的采用差异。临床、行政和战略医疗信息技术呈现出混合的影响模式。例如，医院规模对于行政医疗信息技术似乎不太相关，其影响由系统成员身份和税收状况的影响所补偿。文中还讨论了对未来医疗信息技术研究和实践的启示。
