Abstract:
INTRODUCTION:The provisions of the American Recovery & Reinvestment Act increased the likelihood of more widespread health information exchange (HIE), the electronic transfer of patient-level information between organizations, by essentially mandating the use of electronic health record systems. While important, the sparse body of research on HIE efforts and anecdotal reports indicate the barriers to HIE adoption and implementation include factors beyond simply the presence or absence of a specific technology. METHODS:This paper examines those technological, organizational, and environmental factors that are associated with both HIE adoption and implementation in a sample of 4830 U.S. hospitals. Factors associated with adoption and implementation were modeled using random-intercept logistic regression. RESULTS:Consistent with a perspective that adoption and implementation are different phenomena, many factors associated with an increased odds of adoption, were unassociated with implementation and vice versa. Non-profit status, public hospitals, more live and operation applications, more emergency room visits, network membership, and the presence of physician portals all increased hospitals' odds of HIE adoption. However, only network membership increased the odds of HIE implementation, whereas competition decreased those odds significantly. CONCLUSIONS:This study agreed with earlier case-studies and anecdotal reports that factors beyond technology were important to both adoption and implementation. While current U.S. policy on healthcare information technology adoption focuses on technological barriers, many other non-technological factors may ultimately hinder effective HIE.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Vest JRdoi
10.1016/j.ijmedinf.2010.09.003subject
Has Abstractpub_date
2010-12-01 00:00:00pages
797-806issue
12eissn
1386-5056issn
1872-8243pii
S1386-5056(10)00161-9journal_volume
79pub_type
杂志文章abstract:PURPOSE:When barcode medication administration (BCMA) is implemented nurses are required to integrate not only a new set of procedures or artifacts into everyday work, but also an orientation to medication safety itself that is sometimes at odds with their own. This paper describes how the nurses' orientation (the Prac...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2013.01.009
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To examine the effectiveness of delivering of computer-generated discharge summaries to general practice by email, fax, post and patient hand delivery. DESIGN:Blinded, randomized controlled trial. A pre-study audit ascertaining baseline statistics and a follow-up survey were conducted with general practice t...
journal_title:International journal of medical informatics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijmedinf.2009.12.006
更新日期:2010-03-01 00:00:00
abstract:INTRODUCTION:The availability of comprehensive and accurate medication history information in electronic medical records and through electronic prescribing provides the opportunity to create tailored interventions based on individuals' particular medication information needs. To meet the challenges of providing medicat...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2012.09.007
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Previous reviews have expressed concerns about the quality of telemedicine studies. There is debate about shortcomings and appropriate methodologies. The aim of this review of systematic reviews of telemedicine is to summarize methodologies used in telemedicine research, discuss knowledge gaps...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2011.10.009
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Community-based multiple screening for common cancers and chronic diseases has increasingly gained attention. However, as infrastructure and evaluation system are more diversified and complicated compared with single screening, the development of a novel health information system is paramount. METHODS:The m...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2005.07.033
更新日期:2006-05-01 00:00:00
abstract::Evidence-based dentistry has shown that different restorative materials have different survival times. Our primary hypothesis is that this should be revealed from normal dental records by the use of data mining technique and a practice-based dentistry approach analysed in a scientifically sound way. Dental records fro...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2009.04.004
更新日期:2009-12-01 00:00:00
abstract:GOAL:To identify any major factors that could affect patients' perceptions of a Home Telecare Management System (HTMS) and use the findings to contribute to development of a theoretical framework for patient acceptance of HTMS. MATERIALS AND METHODS:Ten Focus Group Interviews (FGIs) were conducted with patients suffer...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2007.10.006
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:Various healthcare stakeholders define quality of care in different ways. Public policy could advocate all these concerns. This study was conducted to identify the main themes on patient safety of stakeholders expressed before and after the Patient Safety Act was enacted in Korea in 2015. DESIGN:Longitudina...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2020.104162
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION:Unplanned 30-day hospital readmission account for roughly $17 billion in annual Medicare spending. Many factors contribute to unplanned hospital readmissions and multiple models have been developed over the years to predict them. Most researchers have used insurance claims or administrative data to train a...
journal_title:International journal of medical informatics
pub_type: 杂志文章,meta分析,多中心研究
doi:10.1016/j.ijmedinf.2015.09.003
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:The Health Risk Reminders and Surveillance (HRRS) system was designed to deliver critical abnormal test results of severely ill patients from Laboratory, Radiology, and Pathology departments to physicians within 5 min using cell phone text messages. This paper explores the success of the HRRS system. METHOD:...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2008.03.003
更新日期:2008-10-01 00:00:00
abstract:INTRODUCTION:Nurses' work in hospital departments is highly collaborative and includes communication with a variety of actors. To further support nurses' communications, wireless phones, on which nurses receive both nurse calls and ordinary phone calls, have been introduced. However, while they ensure high availability...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2014.06.007
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:Efforts in the domain of mobile health, or mHealth, have been criticized for the unfettered proliferation of pilots and a lack of a rigorous evidence base to support these strategies. In this letter, we present the response of a group of researchers in the mHealth community to the recent calls for evidence is...
journal_title:International journal of medical informatics
pub_type: 信件
doi:10.1016/j.ijmedinf.2012.11.016
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:The provision of relevant clinical information on pathology requests is an important part of facilitating appropriate laboratory utilization and accurate results interpretation and reporting. PURPOSE:(1) To determine the quantity and importance of handwritten clinical information provided by physicians to t...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2011.06.003
更新日期:2011-09-01 00:00:00
abstract::For Medinfo '98, as an exercise in technological forecasting and analysis, we volunteered to project the direction of healthcare informatics into the next century. This paper is an extended discussion of that presentation. We open with the observation that healthcare informatics is merely one of the many endeavors tha...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(98)00161-0
更新日期:1999-02-01 00:00:00
abstract::In spite of over four decades of research into Electronic Healthcare Record Systems, the penetration of records which incorporate more than simply basic information, into the working life of healthcare organisations is relatively small. This paper discusses some of the key impediments to progress including in particul...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(01)00205-2
更新日期:2001-12-01 00:00:00
abstract::Today, the economic and regulatory environment, involving activity-based and prospective payment systems, healthcare quality and risk analysis, traceability of the acts performed and evaluation of care practices, accounts for the current interest in clinical and hospital information systems. The structured gathering o...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2004.07.003
更新日期:2005-03-01 00:00:00
abstract::This paper describes a methodology to assess health/medical informatics graduate-level education curricula. The authors used the Certified Professional in Healthcare Information Management Systems (CPHIMS) exam objectives published by the Healthcare Information and Management Systems Society (HIMSS) as the basis for t...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2003.12.002
更新日期:2004-03-18 00:00:00
abstract:BACKGROUND:Recent advances in artificial intelligence (AI) have shown great promise in detecting some diseases based on medical images. Most studies developed AI diagnostic systems only using eligible images. However, in real-world settings, ineligible images (including poor-quality and poor-location images) that can c...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2020.104363
更新日期:2021-03-01 00:00:00
abstract:BACKGROUND:mHealth (mobile health) services are becoming an increasingly important form of information and communication technology (ICT) enabled delivery for healthcare, especially in low-resource environments such as developing countries like Bangladesh. Despite widespread adoption of mobile phones and the acknowledg...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2017.02.002
更新日期:2017-05-01 00:00:00
abstract::Frequency spectrum of surface electromyographic signals (SEMGs) exhibit a non-stationary nature even in the case of constant level isometric muscle contractions due to changes related to muscle fatigue processes. These changes can be evaluated by methods for estimation of time-varying (TV) spectrum. The most widely ad...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(00)00076-9
更新日期:2000-09-01 00:00:00
abstract::The present computer system is the first of its kind based on problem-oriented medical record (POMR) design developed and operated in a hospital in Hong Kong. It went live in May 1996 with two workstations installed in the medical record office (MRO). Doctors have no direct access to it. They dictate medical notes on ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(99)00019-2
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Falls are a serious health problem in old adults especially in nursing home residents and hospitalized patients. To prevent elderly from falling, sensors have been increasingly used in intramural care settings. However, there is no clear overview of the current used technologies and their results in fall pre...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2013.06.001
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION:Social distancing requirements during COVID-19 pose a challenge to conducting traditional academic detailing, which typically involves in-person peer education visits to improve patient outcomes. The main alternative is to conduct virtual academic detailing delivered through web-based technology, but this ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2020.104365
更新日期:2021-03-01 00:00:00
abstract::Nonlinear analysis techniques are necessary to understand the complexity of the EMG. The purpose of the present study was to determine the fractal dimension of surface EMG obtained from the biceps brachii of normal subjects during isokinetic flexion-extension of the arm. The measurements were obtained with different l...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(97)00029-4
更新日期:1997-07-01 00:00:00
abstract:INTRODUCTION:In this article we begin by connecting the concept of simplicity of user interfaces of information systems with that of usability, and the concept of complexity of the problem-solving in information systems with the concept of usefulness. We continue by stating "the usability axiom" of medical information ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2006.05.039
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To investigate: (1) the annotation time savings by various active learning query strategies compared to supervised learning and a random sampling baseline, and (2) the benefits of active learning-assisted pre-annotations in accelerating the manual annotation process compared to de novo annotation. MATERIALS ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2017.08.001
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:To examine the relationship between cognitive status and the usability of an integrated medication delivery unit (MDU) in older adults who reside in an Assisted Living Facility (ALF). METHODS:Subjects were recruited from a single ALF in Pittsburgh, PA. Usability testing sessions required subjects to execute ta...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2014.07.004
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Psychological support is available more widely supported by emerging technologies as an addition to face-to-face consultations, more and more people are accessing psychological support using online resources. OBJECTIVE:This research provides insights into the perception of the key factors that affect the ef...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2020.104367
更新日期:2021-03-01 00:00:00
abstract:BACKGROUND:With increasing computerization of nursing records in Japan, standardization of nursing terminology is becoming imperative. Although some efforts have been made to formalize description of nursing practice in Japan with the International Classification of Nursing Practice (ICNP), lack of effective descriptio...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2006.02.006
更新日期:2007-01-01 00:00:00
abstract::Generic clinical study data management systems can record data on an arbitrary number of parameters in an arbitrary number of clinical studies without requiring modification of the database schema. They achieve this by using an Entity-Attribute-Value (EAV) model for clinical data. While very flexible for creating tran...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(02)00047-3
更新日期:2002-11-12 00:00:00