Sinclair School of Nursing, University of Missouri, Columbia, Missouri.
Medical Research Office, University of Missouri, Columbia, Missouri.
J Rural Health. 2017 Jun;33(3):266-274. doi: 10.1111/jrh.12188. Epub 2016 Jun 22.
To test for significant differences in information technology sophistication (ITS) in US nursing homes (NH) based on location.
We administered a primary survey January 2014 to July 2015 to NH in each US state. The survey was cross-sectional and examined 3 dimensions (IT capabilities, extent of IT use, degree of IT integration) among 3 domains (resident care, clinical support, administrative activities) of ITS. ITS was broken down by NH location. Mean responses were compared across 4 NH categories (Metropolitan, Micropolitan, Small Town, and Rural) for all 9 ITS dimensions and domains. Least square means and Tukey's method were used for multiple comparisons.
Methods yielded 815/1,799 surveys (45% response rate). In every health care domain (resident care, clinical support, and administrative activities) statistical differences in facility ITS occurred in larger (metropolitan or micropolitan) and smaller (small town or rural) populated areas.
This study represents the most current national assessment of NH IT since 2004. Historically, NH IT has been used solely for administrative activities and much less for resident care and clinical support. However, results are encouraging as ITS in other domains appears to be greater than previously imagined.
根据地理位置，测试美国养老院（NH）信息技术成熟度（ITS）的显著差异。
我们于 2014 年 1 月至 2015 年 7 月期间，对美国每个州的 NH 进行了一项初步调查。该调查是横断面的，考察了 ITS 的三个领域（居民护理、临床支持、行政活动）中的三个维度（IT 能力、IT 使用程度、IT 整合程度）。根据 NH 位置对 ITS 进行细分。在所有 9 个 ITS 维度和领域中，对所有 4 个 NH 类别（大都市、小城市、小镇和农村）的所有 9 个 ITS 维度和领域，比较了平均响应。采用最小二乘均值和 Tukey 法进行多重比较。
该方法产生了 815/1799 份调查（45%的回复率）。在每个医疗保健领域（居民护理、临床支持和行政活动），设施 ITS 在人口较多（大都市或小城市）和人口较少（小镇或农村）的地区存在统计学差异。
本研究代表了自 2004 年以来对 NH IT 的最新全国评估。历史上，NH IT 仅用于行政活动，而用于居民护理和临床支持的活动要少得多。然而，结果令人鼓舞，因为其他领域的 ITS 似乎比之前想象的更大。
