Alexander Gregory L, Madsen Richard
University of Missouri, Sinclair School of Nursing, Columbia (Dr Alexander); and University of Missouri, Medical Research Office, Columbia (Dr Madsen).
J Nurs Care Qual. 2018 Jul/Sep;33(3):200-207. doi: 10.1097/NCQ.0000000000000328.
Health Information Technology is transforming healthcare delivery. This research report describes 2 year trends in technology adoption, called information technology sophistication, defined as capabilities, extent of use, and integration of technology. Trends are identified using a validated annual survey. In Year 1, 815 facilities participated in the survey; in Year 2, 484 nursing homes repeated the survey representing every US state. Statistically significant increases in information technology sophistication were found in resident care and total scores. Sample homes tended to be smaller and from small town/rural areas. There were more information technology gains than losses in technology sophistication over the 2 years in the sample. Significant correlations were identified between differences in information technology sophistication and 12 different quality measures.
健康信息技术正在改变医疗服务的提供方式。本研究报告描述了技术采用方面的两年趋势，即信息技术成熟度，其定义为技术的能力、使用范围和整合情况。通过一项经过验证的年度调查来确定趋势。在第1年，有815家机构参与了调查；在第2年，484家养老院再次参与了调查，这些养老院代表了美国的各个州。在居民护理和总分方面发现信息技术成熟度有统计学上的显著提高。样本养老院往往规模较小，且来自小镇/农村地区。在两年时间里，样本中的养老院在技术成熟度方面信息技术有所提升的比下降的更多。在信息技术成熟度差异与12种不同质量指标之间发现了显著的相关性。
