Market factors and electronic medical record adoption in medical practices.

Abstract:

BACKGROUND:Previous studies identified individual or practice factors that influence practice-based physicians' electronic medical record (EMR) adoption. Less is known about the market factors that influence physicians' EMR adoption. PURPOSE:The aim of this study was to explore the relationship between environmental market characteristics and physicians' EMR adoption. METHODS:The Health Tracking Physician Survey 2008 and Area Resource File (2008) were combined and analyzed. Binary logistic regression was used to examine the relationship between three dimensions of the market environment (munificence, dynamism, and complexity) and EMR adoption controlling for several physician and practice characteristics. RESULTS:In a nationally representative sample of 4,720 physicians, measures of market dynamism including increases in unemployment, odds ratio (OR) = 0.95, 95% confidence interval (CI) [0.91, 0.99], or poverty rates, OR = 0.93, 95% CI [0.89, 0.96], were negatively associated with EMR adoption. Health maintenance organization penetration, OR = 3.01, 95% CI [1.49, 6.05], another measure of dynamism, was positively associated with EMR adoption. Physicians practicing in areas with a malpractice crisis, OR = 0.82, 95% CI [0.71, 0.94], representing environmental complexity, had lower EMR adoption rates. PRACTICE IMPLICATIONS:Understanding how market factors relate to practice-based physicians' EMR adoption can assist policymakers to better target limited resources as they work to realize the national goal of universal EMR adoption and meaningful use.

journal_name

Health Care Manage Rev

authors

Menachemi N,Mazurenko O,Kazley AS,Diana ML,Ford EW

doi

10.1097/HMR.0b013e3182352562

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

14-22

issue

1

eissn

0361-6274

issn

1550-5030

journal_volume

37

pub_type

杂志文章
  • Nursing home administrator self-assessed preparedness.

    abstract:BACKGROUND:Nursing home administrators (NHAs) are in key positions to improve nursing home quality. NHAs require state-level licensure, which involves passing a national NHA licensure examination and fulfilling state-level licensure requirements that vary widely across states. With multiple pathways to NHA licensure, l...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e318294e5ce

    authors: Siegel EO,Leo MC,Young HM,Castle NG

    更新日期:2014-07-01 00:00:00

  • How much should hospitals spend on advertising?

    abstract::Hospitals are using several methods to establish a budget for advertising. The Strategic Planning Institute of Cambridge, Massachusetts, has developed a study of advertising practices on nearly 200 corporations and over 1,000 individual businesses. Decision rules, developed in the study, are used to show how hospitals...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: McCarthy EJ

    更新日期:1987-01-01 00:00:00

  • Prospective payment for capital: an examination of current issues.

    abstract::Congress has suggested that a prospective payment system for capital should permit the continuation of cost-based reimbursement for certain projects. A study was conducted to examine the components of the capital planning process used by eight hospitals and the effect of this process on completion of capital projects....

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Anderson GF,Erickson JE

    更新日期:1988-04-01 00:00:00

  • The development of integrated service networks in Minnesota.

    abstract::The formation of health insurance purchasing alliances in Minnesota has caused a restructuring of the provider system. One of the results has been the formation of competing delivery systems that organize hospitals, physicians, and insurance plans into vertically and horizontally integrated organizations termed integr...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Kralewski JE,de Vries A,Dowd B,Potthoff S

    更新日期:1995-10-01 00:00:00

  • Do hospitals that do the right thing have more satisfied patients?

    abstract:BACKGROUND:Hospital incentive payments are increasingly becoming tied to quality. However, the U.S. health care system continues to face rising health care costs and scarce workforce resources, making improving quality a challenge. Patient satisfaction and process quality are two areas of quality tied to reimbursement....

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000034

    authors: Tajeu GS,Kazley AS,Menachemi N

    更新日期:2015-10-01 00:00:00

  • The impact of Maryland's payment reforms on hospital community benefit efforts.

    abstract:BACKGROUND:In 2014, Maryland established a global budget policy for all hospitals in the state. Under this policy, hospitals are incentivized to not only provide clinical care services to individual patients but also address the health needs of their broader patient population through prevention efforts and investment ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000305

    authors: Cronin CE,Singh S,Franz B

    更新日期:2021-01-26 00:00:00

  • Do corporate chains affect quality of care in nursing homes? The role of corporate standardization.

    abstract:BACKGROUND:Chain-owned nursing homes have become the predominant type of provider in the United States, but little is known about their management structures. Prior research has found that chain ownership has significant effects on health outcomes, but why that is the case is not well understood. PURPOSE:This study ex...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000267794.55427.52

    authors: Kamimura A,Banaszak-Holl J,Berta W,Baum JA,Weigelt C,Mitchell W

    更新日期:2007-04-01 00:00:00

  • Hospital cultural competency as a systematic organizational intervention: Key findings from the national center for healthcare leadership diversity demonstration project.

    abstract:BACKGROUND:Cultural competency or the ongoing capacity of health care systems to provide for high-quality care to diverse patient populations (National Quality Forum, 2008) has been proposed as an organizational strategy to address disparities in quality of care, patient experience, and workforce representation. But fa...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000128

    authors: Weech-Maldonado R,Dreachslin JL,Epané JP,Gail J,Gupta S,Wainio JA

    更新日期:2018-01-01 00:00:00

  • The importance of team level tacit knowledge and related characteristics of high-performing health care teams.

    abstract::Team level tacit knowledge is related to the collective knowledge of the team members. It is the shared experience that results in the ability to successfully anticipate the reactions of teammates in typical and nontypical situations. This study evaluates how tacit knowledge and related team characteristics influence ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200607000-00008

    authors: Friedman LH,Bernell SL

    更新日期:2006-07-01 00:00:00

  • Prospective payment for hospital capital by Medicare: issues and options.

    abstract::After this year, Medicare will no longer reimburse capital-related expenses. Instead, a new approach may be implemented. Should the new capital payment scheme be prospective? Should Medicare continue to recognize return on equity? What will be the relationship between Medicare payment and health care planning? These a...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-198601120-00004

    authors: Sloan FA,Valvona J

    更新日期:1986-04-01 00:00:00

  • Hospital diversification into long-term care.

    abstract::In the 1990s, acute care hospitals in the United States encountered an unstable operating environment created by a series of transformations in the health care delivery system and long-term-care market. Confronted with an array of economic pressures and demographic changes, hospitals were motivated to engage in long-t...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200107000-00009

    authors: Shah A,Fennell M,Mor V

    更新日期:2001-07-01 00:00:00

  • Point/counterpoint: declining public health organizations--will management make a difference?

    abstract::Time is running out for public health organizations, says Charles Harper. Their traditional role in the health system is eroding rapidly. To reestablish the place they deserve in the health system will require an aggressive and united effort on the part of all public health professionals. As a counterpoint to Harper's...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Harper CL,Smith DS

    更新日期:1979-10-01 00:00:00

  • Fads, fashions, and bandwagons in health care strategy.

    abstract:BACKGROUND:Many observers have alleged that "fads," "fashions," and "bandwagons" (imitation strategies) are prominent feature of the health care organizational strategy landscape. "Imitation behavior" may fulfill symbolic functions such as signaling innovativeness but results in the adoption of strategies that are effe...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000304498.97308.40

    authors: Kaissi AA,Begun JW

    更新日期:2008-04-01 00:00:00

  • Effect of hospital conversion on organizational decision making and service coordination.

    abstract::This study looks into the "black box" of hospital ownership conversion in a "natural experiment." We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. As predicted from complexity theory, MDs and RNs had greater lev...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200304000-00005

    authors: Anderson RA,Allred CA,Sloan FA

    更新日期:2003-04-01 00:00:00

  • An empirical investigation of the nature of hospital mission statements.

    abstract::An exploratory study of hospital planners was completed to determine if there was agreement between theory and practice concerning mission statement components and development. Results showed that mission statements have received little attention as part of the overall strategic planning process. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199001530-00005

    authors: Gibson CK,Newton DJ,Cochran DS

    更新日期:1990-07-01 00:00:00

  • Academic health center hospitals: alternative responses to financial stress.

    abstract::Academic health center hospitals face challenges to their survival in an increasingly competitive, challenging, and entrepreneurial environment. University hospitals face a number of major stresses and are responding in various ways to ensure their financial viability. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-198701230-00013

    authors: Jones KR,Sloate SG

    更新日期:1987-07-01 00:00:00

  • Trends and forecasts of hospital discharges for selected diseases in regional hospital markets.

    abstract::Forecasts based on historical trend analyses can do much to minimize the uncertainty inherent in quantifying the number and type of hospital admissions likely to occur in regional and local markets. A study was undertaken to ascertain whether relationships for admissions and discharges for musculoskeletal disorders ap...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Milch RA

    更新日期:1981-10-01 00:00:00

  • A case for safety leadership team training of hospital managers.

    abstract:BACKGROUND:Delivering safe patient care remains an elusive goal. Resolving problems in complex organizations like hospitals requires managers to work together. Safety leadership training that encourages managers to exercise learning-oriented, team-based leadership behaviors could promote systemic problem solving and en...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e318208cd1d

    authors: Singer SJ,Hayes J,Cooper JB,Vogt JW,Sales M,Aristidou A,Gray GC,Kiang MV,Meyer GS

    更新日期:2011-04-01 00:00:00

  • Determinants of job satisfaction for novice nurse managers employed in hospitals.

    abstract:BACKGROUND:Numbering close to 300,000 nurse managers represent the largest segment of the health care management workforce. Their effectiveness is, in part, influenced by their job satisfaction. PURPOSE:We examined factors associated with job satisfaction of novice frontline nurse managers. METHODOLOGY/APPROACH:We us...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000102

    authors: Djukic M,Jun J,Kovner C,Brewer C,Fletcher J

    更新日期:2017-04-01 00:00:00

  • Strategic options in capital budgeting and program selection under fee-for-service and managed care.

    abstract::Many assets and projects provide value to organizations in excess of the direct and indirect cash flows that they generate. Under pure capitation, the link between individual investment decisions and future cash flows is completely severed. Including the value of strategic options enhances the usefulness of the capita...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Magiera FT,McLean RA

    更新日期:1996-10-01 00:00:00

  • Multiproject interdependencies in health systems management: a longitudinal qualitative study.

    abstract:BACKGROUND:A health care organization often engages in the simultaneous implementation of multiple organization change initiatives. However, the degree to which these initiatives are implemented and can be enhanced based on their interdependencies is an open question. How organizations and the change initiatives they p...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e31828265f2

    authors: Spaulding A,Gamm L,Kim J,Menser T

    更新日期:2014-01-01 00:00:00

  • The efficiency of hospital-based clusters: evaluating system performance using data envelopment analysis.

    abstract:BACKGROUND:The rapid increase in the number of hospitals becoming members of multihospital systems in recent decades has led to the formation of local and regional clusters that have the potential to function as regional systems, a model long advocated as a policy strategy for improving health system performance. PURP...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e3181a16ba7

    authors: Sikka V,Luke RD,Ozcan YA

    更新日期:2009-07-01 00:00:00

  • How to create more humane and productive health care environments.

    abstract::Value-based leadership--linking "managership" and leadership approaches--is needed to meet today's ever-proliferating challenges to the fundamental philosophy and mission of health care organizations. To work, however, it requires important changes from everyone in the organization. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-198400940-00007

    authors: Brozovich JP,Shortell SM

    更新日期:1984-10-01 00:00:00

  • The strategic agenda for community health care organizations.

    abstract::This article proposes a vision, strategies, and structure for the organizations that will replace community hospitals. The vision must embrace health rather than health care, and cost reduction as an explicit, measured goal. Strategies must include immediate cost savings, but also longer-term revision of organizations...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Griffith JR

    更新日期:1997-07-01 00:00:00

  • The corporate social responsiveness orientation of hospital directors: does occupational background make a difference?

    abstract::The results of a survey of 184 directors from 15 hospitals are analyzed to determine their corporate social responsiveness orientation. They indicate that board members whose occupational background is not in health care exhibit greater concern for economic performance and the legal component of corporate responsibili...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200004000-00008

    authors: Ibrahim NA,Angelidis JP,Howard DP

    更新日期:2000-04-01 00:00:00

  • Health information technology and dynamic capabilities.

    abstract:BACKGROUND:Health information technology (HIT) purports to increase quality and efficiency in health care organizations. However, health care organizations are situated in constantly changing environments. They need dynamic capabilities to implement HIT effectively. PURPOSES:This article builds on the dynamic capabili...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e31823c9b55

    authors: Leung RC

    更新日期:2012-01-01 00:00:00

  • Delivery system characteristics and their association with quality and costs of care: implications for accountable care organizations.

    abstract:BACKGROUND:Implementation of accountable care organizations (ACOs) is currently underway, but there is limited empirical evidence on the merits of the ACO model. PURPOSE:The aim was to study the associations between delivery system characteristics and ACO competencies, including centralization strategies to manage org...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000014

    authors: Chukmaitov A,Harless DW,Bazzoli GJ,Carretta HJ,Siangphoe U

    更新日期:2015-04-01 00:00:00

  • The impact of health system membership on patient safety initiatives.

    abstract:BACKGROUND:Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES:To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of co...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000304496.89684.7f

    authors: Ford EW,Short JC

    更新日期:2008-01-01 00:00:00

  • Physician participation in a teaching hospital's planning: the English experience.

    abstract::A systematic, continuous approach to the problem of rising medical care costs and the need for improved resource management clearly require some level of input from physicians. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Larson JG

    更新日期:1980-01-01 00:00:00

  • Hospital wellness centers: strategic implementation, marketing, and management.

    abstract::Fitness and wellness programs can be a strategic extension of a hospital's services, assist in attracting totally new patients to a facility, and help improve a hospital's image. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-198901420-00004

    authors: Boscarino JA

    更新日期:1989-04-01 00:00:00