Holup Amanda A, Dobbs Debra, Temple April, Hyer Kathryn
University of South Florida, Tampa, FL, USA.
J Appl Gerontol. 2014 Jun;33(4):494-504. doi: 10.1177/0733464812454009. Epub 2012 Aug 1.
This pilot study examines the associations between structural characteristics and the adoption and subsequent use of electronic health records (EHR; resident demographics, clinical notes, medication lists, problem lists, discharge summaries, and advance directives) as a process characteristic in assisted living facilities (ALFs). The study is guided conceptually by Donabedian's Structure-Process-Outcome (SPO) model. Primary survey data were collected from a randomly selected sample (N = 76) in Florida during 2009-2010. Analysis included descriptive and bivariate statistics. Descriptive results indicated that ALFs most frequently used an EHR to record medication lists. Characteristics, including size, profit status, resident case mix, and staffing, were associated at the bivariate level with the use of one or more functional domains of an EHR. Thus, the use of EHRs in ALFs is correlated with facility characteristics.
这项试点研究考察了辅助生活设施（ALF）中，作为一项过程特征的结构特征与电子健康记录（EHR，包括居民人口统计学信息、临床记录、用药清单、问题清单、出院小结和预先医疗指示）的采用及后续使用之间的关联。该研究在概念上以唐纳贝迪安的结构-过程-结果（SPO）模型为指导。2009年至2010年期间，从佛罗里达州随机抽取了一个样本（N = 76），收集了主要的调查数据。分析包括描述性统计和双变量统计。描述性结果表明，辅助生活设施最常使用电子健康记录来记录用药清单。在双变量层面，包括规模、盈利状况、居民病例组合和人员配备等特征与电子健康记录一个或多个功能领域的使用相关。因此，辅助生活设施中电子健康记录的使用与设施特征相关。
