School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Division of University Hospital Development, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
J Healthc Eng. 2021 May 10;2021:8836625. doi: 10.1155/2021/8836625. eCollection 2021.
The adoption of health information technology (HIT) is an important measure for improving healthcare quality and safety, which is affected by many hospital factors, but it has not yet been estimated in the Mongolian hospital sectors. This study examines how hospitals' organisational and geographical characteristics influence the adoption of HIT in Mongolian tertiary and secondary care hospitals.
А cross-sectional study involving the executive directors and medical equipment engineers was conducted in 39 hospitals. Data acquired from questionnaires are (1) hospitals' organisational and geographical characteristics, including bed-size capacity, ownership type, status, and location of the hospitals, and (2) the adoption rate of HIT, and its categories are based on the Health Information and Management Systems Society's classification (2002). The dependent variable was measured as numbers and the rate of HIT programs adopted clinical, administrative, and strategic information technologies (IT). A regression analysis was used to estimate the factors of impact on the adoption of clinical, administrative, and strategic IT.
We found a concerning relationship between the characteristics and adoption of HITs. On average, the number of HIT programs adopted was 18, covering nine clinical IT programs, six administrative IT programs, and three strategic IT programs. The adoption rate of overall HIT was 33.29% in the hospitals. In regression analysis, the organisational and geographical characteristics' impact and HIT adoption of hospitals was positively associated with large bed-size (clinical IT: = 0.256, < 0.001; administrative IT: = 0.3654, < 0.001; strategic IT: = 0.0006, < 0.001), for-profit (strategic IT: = 0.1995, < 0.01), teaching (clinical IT: = 0.2560, < 0.05; administrative IT: = 0.1985, < 0.05; strategic IT: = 0.2236, < 0.01), and urban location (clinical IT: = 0.2840, < 0.001, administrative IT: = 0.2256, < 0.01; strategic IT: = 0.2256, < 0.001).
Our study found that the HIT adoption rate in Mongolia is poor, and its adoption is mainly positively associated with bed-size capacity, status, and location of the hospitals. Also, we found that the ownership type is partially affected HIT adoption.
采用健康信息技术（HIT）是提高医疗质量和安全的重要措施，这受到许多医院因素的影响，但尚未在蒙古医院部门进行评估。本研究考察了医院的组织和地理特征如何影响蒙古三级和二级保健医院采用 HIT。
对 39 家医院的执行主任和医疗设备工程师进行了横断面研究。从问卷中获得的数据是：（1）医院的组织和地理特征，包括床位容量、所有制类型、医院的地位和位置；（2）HIT 的采用率及其类别基于健康信息和管理系统协会的分类（2002 年）。因变量以数字和采用的 HIT 程序的数量来衡量，这些程序采用了临床、行政和战略信息技术（IT）。回归分析用于估计对采用临床、行政和战略 IT 的影响因素。
我们发现，HIT 特征与采用之间存在令人担忧的关系。平均而言，采用的 HIT 程序数量为 18 个，涵盖 9 个临床 IT 程序、6 个行政 IT 程序和 3 个战略 IT 程序。医院的整体 HIT 采用率为 33.29%。在回归分析中，组织和地理特征对医院 HIT 采用的影响与大床位（临床 IT：=0.256，<0.001；行政 IT：=0.3654，<0.001；战略 IT：=0.0006，<0.001）、营利性（战略 IT：=0.1995，<0.01）、教学（临床 IT：=0.2560，<0.05；行政 IT：=0.1985，<0.05；战略 IT：=0.2236，<0.01）和城市位置（临床 IT：=0.2840，<0.001，行政 IT：=0.2256，<0.01；战略 IT：=0.2256，<0.001）呈正相关。
我们的研究发现，蒙古的 HIT 采用率很差，其采用主要与医院的床位容量、地位和位置呈正相关。此外，我们发现所有制类型部分影响 HIT 的采用。
