Department of Healthcare Administration and Policy, School of Public Health, University of Nevada at Las Vegas, Las Vegas, Nevada (Dr Upadhyay); School of Health and Applied Human Sciences, College of Health and Human Services, University of North Carolina Wilmington, Wilmington, North Carolina (Dr Opoku-Agyeman); CGC 403, Department of Health Care Administration, Trinity University, San Antonio, Texas (Dr Choi); and Department of Health Sciences, College of Health Professions, Towson University, Towson, Maryland (Dr Cochran).
J Public Health Manag Pract. 2022;28(5):505-512. doi: 10.1097/PHH.0000000000001562.
Patient engagement using health information technology (IT) functionalities can be a powerful tool in managing their own care for better health outcomes. Therefore, this study explores whether patient engagement IT functionalities and electronic health record (EHR) can affect patient safety outcomes.
Using longitudinal study design for general acute care hospitals within the United States, we examine the interaction effects of EHR and patient engagement IT functionalities on patient safety outcomes (adverse incident rate) using a generalized estimating equation.
Our national sample consisted of 9759 hospital-year observations from 2014 to 2018. Overall, we found a significant association between adverse incident rate and patient engagement level and EHR adoption level.
On average, as the combined effects of patient engagement level and EHR adoption level increases, the adverse incident rate decreases by approximately 0.49 (P < .01). Incorporating patient engagement functionalities is becoming an essential tool to improve health outcomes and will play an instrumental role in meeting meaningful use standards.
Our study provides insights into the potential synergy between a hospital's existing EHR maturity and patient engagement health IT functionalities in affecting organizational performance. Organizational culture and capabilities pertinent to adopting patient engagement health IT functionalities infrastructure should be established first to provide the impetus for this synergy.
利用健康信息技术 (IT) 功能实现患者参与，可以成为管理自身护理以实现更好健康结果的有力工具。因此，本研究探讨了患者参与 IT 功能和电子健康记录 (EHR) 是否会影响患者安全结果。
本研究使用美国普通急症护理医院的纵向研究设计，使用广义估计方程检验 EHR 和患者参与 IT 功能对患者安全结果（不良事件发生率）的交互效应。
我们的全国样本包括 2014 年至 2018 年的 9759 个医院年观测值。总体而言，我们发现不良事件发生率与患者参与水平和 EHR 采用水平之间存在显著关联。
平均而言，随着患者参与水平和 EHR 采用水平的综合效应增加，不良事件发生率降低了约 0.49（P <.01）。纳入患者参与功能正在成为改善健康结果的重要工具，并将在满足有意义使用标准方面发挥重要作用。
本研究深入了解了医院现有 EHR 成熟度和患者参与健康 IT 功能在影响组织绩效方面的潜在协同作用。应首先建立与采用患者参与健康 IT 功能基础设施相关的组织文化和能力，为这种协同作用提供动力。
