Department of Health Services and Information Management, College of Allied Health Sciences, East Carolina University, 4340P Health Sciences Building, Greenville, NC, USA.
Department of Health Services Administration, School of Health Professions, SHP Building 590G, University of Alabama at Birmingham, Birmingham, AL, USA.
Int J Med Inform. 2019 Oct;130:103893. doi: 10.1016/j.ijmedinf.2019.05.029. Epub 2019 May 31.
To explore the relationship between the number (breadth) of patient engagement functionalities offered through health information technology (HIT) by hospitals and the hospitals' quality of care.
Data on hospital adoption of patient engagement functionalities were combined with quality data obtained from the Centers for Medicare and Medicaid Services (CMS) Hospital Compare. Fixed effects regression models were used to analyze a panel data consisting 1,463 hospitals from 2012 to 2014.
This study revealed a significant positive relationship between the breadth of patient engagement functionalities and patient satisfaction (β = 0.126, p < 0.05). The number of functionalities was also found to be negatively associated with 30-day readmission rates for myocardial infarction (β= -0.085, p < 0.05), heart failure (β= -0.109, p < 0.05), and pneumonia (β= -0.048, p < 0.05).
The breadth of functionalities offered by hospitals to engage patients was a significant factor in decreasing hospital 30-day readmission rates for pneumonia, acute myocardial infarction, and heart failure, and also influenced patients' perception of the hospital.
The findings suggest that hospitals with more patient engagement HIT functionalities are likely to have higher patient satisfaction and lower readmission rates for infarction, heart failure, and pneumonia. This study will potentially assist hospital administrators to justify their strategic deployment of HIT resources to improve both perceived and actual care quality.
探讨医院提供的健康信息技术（HIT）中患者参与功能的数量（广度）与医院护理质量之间的关系。
将医院采用患者参与功能的数据与医疗保险和医疗补助服务中心（CMS）医院比较获得的质量数据相结合。使用固定效应回归模型分析了 2012 年至 2014 年期间的 1463 家医院的面板数据。
本研究表明，患者参与功能的广度与患者满意度之间存在显著正相关关系（β=0.126，p<0.05）。研究还发现，功能数量与心肌梗死（β=-0.085，p<0.05）、心力衰竭（β=-0.109，p<0.05）和肺炎（β=-0.048，p<0.05）的 30 天再入院率呈负相关。
医院为吸引患者而提供的功能广度是降低肺炎、急性心肌梗死和心力衰竭 30 天再入院率的重要因素，同时也影响了患者对医院的看法。
研究结果表明，拥有更多患者参与 HIT 功能的医院可能会提高患者满意度，并降低梗塞、心力衰竭和肺炎的再入院率。本研究将有助于医院管理人员证明其战略性部署 HIT 资源以提高感知和实际护理质量的合理性。
