Wang Tiankai, Wang Yangmei, Moczygemba Jackie
Author Affiliations: Health Information Management Department, School of Health Professionals, Texas State University, San Marcos (Dr T. Wang and Ms Moczygemba), and Accounting Department, Dillard College of Business Administration, Midwestern State University, Wichita Falls (Ms Y. Wang), Texas.
Health Care Manag (Frederick). 2014 Jan-Mar;33(1):30-7. doi: 10.1097/01.HCM.0000440624.85255.8e.
Long-term care (LTC) is an important sector of the health care industry. However, the adoption of health information technology (HIT) systems in LTC facilities lags behind that in other sectors of health care. Previous literature has focused on the financial and technical barriers. This study examined the organizational factors associated with HIT adoption in LTC facilities. A survey of 500 LTC facilities in Texas enabled researchers to compile HIT indexes for further statistical analyses. A general linear model was used to study the associations between the clinical/administrative HIT indexes and organizational factors. The empirical outcomes show that the size of an LTC facility has a significant association with HIT adoption. Rural LTC facilities, especially freestanding ones, adopt less HIT than their urban counterparts, whereas freestanding LTC facilities have the lowest HIT adoption overall. There is not enough evidence to support ownership status as a significant factor in HIT adoption. Some implications are proposed, but further research is necessary.
长期护理（LTC）是医疗保健行业的一个重要领域。然而，长期护理机构采用健康信息技术（HIT）系统的情况落后于医疗保健的其他领域。以往的文献主要关注财务和技术障碍。本研究调查了与长期护理机构采用HIT相关的组织因素。对德克萨斯州500家长期护理机构的一项调查使研究人员能够编制HIT指数以进行进一步的统计分析。使用一般线性模型来研究临床/行政HIT指数与组织因素之间的关联。实证结果表明，长期护理机构的规模与采用HIT有显著关联。农村长期护理机构，尤其是独立式机构，采用HIT的程度低于城市同类机构，而独立式长期护理机构总体上采用HIT的程度最低。没有足够的证据支持所有权状况是采用HIT的一个重要因素。本文提出了一些启示，但仍需要进一步研究。
