scholarly journals Estimating the Impacts of Hospitals’ Organisational and Geographical Characteristics on the Adoption of Health Information Technology in Mongolian Hospitals

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Sarnai Tsagaankhuu ◽  
Enkhdulguun Amgalan ◽  
Turtushikh Damba ◽  
Xinping Zhang
Keyword(s):  
Information Technology ◽  
Regression Analysis ◽  
Health Information Technology ◽  
Health Information ◽  
Information Technologies ◽  
Cross Sectional Study ◽  
Ownership Type ◽  
Cross Sectional ◽  
Adoption Rate ◽  
Geographical Characteristics

Background. 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. Methods. 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. Results. 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: β = 0.256, P < 0.001 ; administrative IT: β = 0.3654, P < 0.001 ; strategic IT: β = 0.0006, P < 0.001 ), for-profit (strategic IT: β = 0.1995, P < 0.01 ), teaching (clinical IT: β = 0.2560, P < 0.05 ; administrative IT: β = 0.1985, P < 0.05 ; strategic IT: β = 0.2236, P < 0.01 ), and urban location (clinical IT: β = 0.2840, P < 0.001 , administrative IT: β = 0.2256, P < 0.01 ; strategic IT: β = 0.2256, P < 0.001 ). Conclusion. 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.

Estimating the impacts of hospitals’ organisational characteristics on the adoption of health information technology in Mongolian public hospitals

2019 ◽  
Author(s):  
Xinping Zhang ◽  
Sarnai Tsagaankhuu
Keyword(s):  
Information Technology ◽  
Regression Analysis ◽  
Health Information Technology ◽  
Health Information ◽  
Public Hospitals ◽  
Ownership Type ◽  
Health Maintenance ◽  
Hospital Size ◽  
Adoption Rate ◽  
Urban Location

Abstract Background The adoption of health information technology (HIT) is an important measure for improving healthcare quality and safety effected by many hospital factors, but it has not yet been estimated in the Mongolian healthcare field. This study examines how hospitals’ organisational characteristics influence the adoption of HIT in Mongolian tertiary and secondary care public hospitals. Methods А cross-sectional study involving the executive directors and quality managers at 39 hospitals. Data came from: (1) hospitals’ organisational characteristics (Mongolian Health Statistics, 2017), including hospital size, ownership type, health maintenance organisation (HMO) penetration, and hospital location; (2) questionnaires used to collect the adoption rate of HIT and HIT categories 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 included 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. Results On average, the number of HIT programs adopted reached 18, covering nine clinical IT programs, six administrative IT programs and three strategic IT programs. The adoption rate of overall HIT ranged between 29.02–38.05% with a mean of 33.29%. Regression analysis for organisational characteristics impact on HIT adoption found that the adoption of total HIT was positively associated with large hospital size (clinical IT: β=0.256, p< .001; administrative IT: β=0.3654, p< .001; strategic IT: β=0.0006, p<.001), ownership type (strategic IT: β=1995, p< .01), urban location (clinical IT: β=0.2840, p< .001, administrative IT: β=0.2256, p< .01; strategic IT: β=0.2256, p< .001), and HMO penetration (clinical IT: β=0.2560, p< .05, administrative IT: β=0.1985, p< .05; strategic IT: β=0.2236, p< .01). Conclusion Our study found that HIT adoption rate is poor, and HIT adoption is positively associated with hospitals’ organisational characteristics, such as large size, urban location, and HMO penetration. The profit ownership only positively contributes to strategic IT adoption. We concluded that hospitals with the above structural attributes conducive to more HIT adoption.

scholarly journals A call for social informatics

2020 ◽  
Vol 27 (11) ◽  
pp. 1798-1801 ◽  
Author(s):  
Matthew S Pantell ◽  
Julia Adler-Milstein ◽  
Michael D Wang ◽  
Aric A Prather ◽  
Nancy E Adler ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Social Factors ◽  
Health Informatics ◽  
Information Technologies ◽  
Clinical Settings ◽  
Ethical Challenges ◽  
Social Informatics ◽  
Data Interoperability

Abstract As evidence of the associations between social factors and health outcomes continues to mount, capturing and acting on social determinants of health (SDOH) in clinical settings has never been more relevant. Many professional medical organizations have endorsed screening for SDOH, and the U.S. Office of the National Coordinator for Health Information Technology has recommended increased capacity of health information technology to integrate and support use of SDOH data in clinical settings. As these efforts begin their translation to practice, a new subfield of health informatics is emerging, focused on the application of information technologies to capture and apply social data in conjunction with health data to advance individual and population health. Developing this dedicated subfield of informatics—which we term social informatics—is important to drive research that informs how to approach the unique data, interoperability, execution, and ethical challenges involved in integrating social and medical care.

scholarly journals HIPAA, HIPAA, Hooray?: Current Challenges and Initiatives in Health Informatics in the United States

2008 ◽  
Vol 1 ◽  
pp. BII.S2007 ◽  
Author(s):  
Sanjaya Joshi
Keyword(s):  
United States ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Informatics ◽  
Information Technologies ◽  
The United States ◽  
Security And Privacy ◽  
Complex Data ◽  
Data Interoperability

A review of the current challenges, trends and initiatives around the various regulations as related to Health Informatics in the United States is presented. A summary of the functions in a workflow-based approach organized into the process and compliance for HIPAA, secure email and fax communications interfaces, e-prescriptions and patient safety and the health information technology savings claims versus costs follows: • HIPAA compliance is complex; data interoperability and integration remains difficult. • Email and faxing is possible with current over-the-shelf technologies within the purview of the HIPAA Security and Privacy rule. • Integration of e-prescribing and NPI data is an area where health informatics can make a real difference. • Medical errors remain high. • There are no real savings yet from the usage of health information technologies; the costs for implementation remain high, and the business model has not evolved to meet the needs. • Health Information Technology (Health IT) projects continue to have a significant failure rate; Open Source technologies are a viable alternative both for cost reduction and scalability. A discussion on the macro view of health informatics is also presented within the context of healthcare models and a comparison of the U.S. system against other countries.

Charting Health Information Technology Futures for Healthcare Services Organizations

2011 ◽  
pp. 2387-2410
Author(s):  
Avnish Rastogi ◽  
Tugrul Daim ◽  
Joseph Tan
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Scenario Analysis ◽  
Information Technologies ◽  
Case Analysis ◽  
Healthcare Services ◽  
Worker Productivity ◽  
Health Information Technologies ◽  
Services Delivery

As health organizations strive to improve operational efficiencies and increase worker productivity, new forms of health information technologies (HITs) are constantly being developed. This article surveys the extant HIT literature and adopts a case analysis approach to identifying emerging health information technologies. The understanding of HIT trend is further enriched through the applications of technology-forecasting techniques, specifically, scenario analysis and U.S. patent searches. The article focuses on five emerging HITs and their impact on the future of U.S. Healthcare Services Delivery.

Sexual Orientation Effects in Health Information Technology Usage: Increasing Equity in Access While Physical Distancing

2020 ◽  
Vol 1 (4) ◽  
pp. 254-268
Author(s):  
Leia A. Harper ◽  
Déja I. Fitzgerald
Keyword(s):  
Information Technology ◽  
Sexual Orientation ◽  
Health Information Technology ◽  
Emerging Adults ◽  
Health Information ◽  
Information Technologies ◽  
Barriers To Care ◽  
Structural Barriers ◽  
Health Related ◽  
And Gender

In the face of surging cases of the coronavirus SARS-CoV-2 (COVID-19), healthcare professionals are searching for ways to provide care to the general public that obviates the need for in-person contact. Pervasive heterosexism and social stigma have long presented structural barriers to care for sexual (i.e., lesbian, gay, bisexual) and gender (i.e., trans-identified, nonbinary, gender fluid) minority health service users. Health information technology (HIT) creates an opportunity for enhanced healthcare and communications that can simultaneously reduce harmful barriers to care, while also maintaining physical distancing to reduce COVID-19 exposure. While research has demonstrated the value of HIT usage for purchasing medications, communicating with healthcare providers, seeking health information, and managing personal health records, there remains a dearth of published empirical research concerning the participation in online health-related activities among sexual minorities, particularly emerging adults. In order to address this gap, we examined HIT usage as a function of sexual orientation through the secondary analysis of data collected in the National Health Interview Survey (2016–2018). Using multivariate analysis, we assessed the likelihood of using technology as a resource for health-related care and communication in sexual and gender minority (SGM) and heterosexual participants. After adjusting for demographic and health variables, SGM male and female participants had increased odds of HIT use when compared to their heterosexual counterparts. Results indicate that health information technologies might be an innovative means of increasing access to care for stigmatized populations, while also ameliorating the choice between risking COVID-19 exposure during a clinical visit or postponing needed care.

Integrating and safeguarding care: The potential role of health information technologies

2017 ◽  
Vol 20 (3) ◽  
pp. 112-118 ◽  
Author(s):  
Melissa Desmedt ◽  
Sam Pless ◽  
Ezra Dessers ◽  
Dominique Vandijck
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Integrated Care ◽  
Health Information Technology ◽  
Health Information ◽  
Information Technologies ◽  
Improve Patient Safety ◽  
Chronic Patients ◽  
Health And Social Care

The increasing burden of chronic diseases is one of the greatest challenges healthcare systems globally are facing. Across the world, compelling demands can be found for a fundamental shift in the organisation of health and social care to meet the needs of chronic patients. Integrated care has gathered momentum to overcome fragmentation of care in order to create care systems which are demand-driven, client-centred and cost-conscious. Health information technology – often referred to as eHealth – is usually considered to be an essential building brick of integrated care. Moreover, health information technology is said to hold potential for improving patient safety in chronic care settings. The current perspective paper explores the role of health information technology in integrating and safeguarding care. We argue that health information technology – which supports integrated care – may create optimal conditions to improve patient safety, but only when well-implemented, state-of-the-art technologies are used.

scholarly journals Using Information Technology to Manage the COVID-19 Pandemic: Development of a Technical Framework Based on Practical Experience in China

10.2196/19515 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e19515 ◽  
Author(s):  
Qing Ye ◽  
Jin Zhou ◽  
Hong Wu
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Informatics ◽  
Information Technologies ◽  
Practical Experience ◽  
Control Measures ◽  
Health Information Technologies ◽  
And Control ◽  
Technical Framework

Background The coronavirus disease (COVID-19) epidemic poses an enormous challenge to the global health system, and governments have taken active preventive and control measures. The health informatics community in China has actively taken action to leverage health information technologies for epidemic monitoring, detection, early warning, prevention and control, and other tasks. Objective The aim of this study was to develop a technical framework to respond to the COVID-19 epidemic from a health informatics perspective. Methods In this study, we collected health information technology–related information to understand the actions taken by the health informatics community in China during the COVID-19 outbreak and developed a health information technology framework for epidemic response based on health information technology–related measures and methods. Results Based on the framework, we review specific health information technology practices for managing the outbreak in China, describe the highlights of their application in detail, and discuss critical issues to consider when using health information technology. Technologies employed include mobile and web-based services such as Internet hospitals and Wechat, big data analyses (including digital contact tracing through QR codes or epidemic prediction), cloud computing, Internet of things, Artificial Intelligence (including the use of drones, robots, and intelligent diagnoses), 5G telemedicine, and clinical information systems to facilitate clinical management for COVID-19. Conclusions Practical experience in China shows that health information technologies play a pivotal role in responding to the COVID-19 epidemic.

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