AMIA Annu Symp Proc - Peers, regulators, and professions: the influence of organizations in health information technology adoption.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ implement(1333) system(1263) develop(1122) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ use(2086) technolog(871) perceiv(783) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ problem(2511) optim(1539) algorithm(950) }
{ research(1085) discuss(1038) issu(1018) }
{ model(3404) distribut(989) bayesian(671) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2675) segment(2577) method(1081) }
{ framework(1458) process(801) describ(734) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ studi(1410) differ(1259) use(1210) }
{ visual(1396) interact(850) tool(830) }
{ age(1611) year(1155) adult(843) }
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{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
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{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
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{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
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{ search(2224) databas(1162) retriev(909) }
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{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
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{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

According to the U.S. National Research Council, current health information technology (HIT) efforts are insufficient and arguably detrimental to healthcare transformation. Many hospitals have already implemented HIT, and federal stimulus funding will further adoption efforts. Organizations become more similar through the adoption of innovations like HIT, but the effects of the changes do not necessarily improve efficiency. This view from sociology and organizational studies, called institutional isomorphism, suggests that organizations pursue changes endorsed by peers, regulators, and professional societies through mimetic, coercive, and normative mechanisms, respectively, that improve legitimacy, a socially constructed value that determines an organization's ability to obtain resources and survive. In this paper we examine mimetic, coercive, and normative influences in the adoption of three HIT innovations as well as evidence of resulting inefficiency. Institutional isomorphism provides a useful framework for researchers and practitioners to examine variation in HIT adoption.

Resumo Limpo

accord us nation research council current health inform technolog hit effort insuffici arguabl detriment healthcar transform mani hospit alreadi implement hit feder stimulus fund will adopt effort organ becom similar adopt innov like hit effect chang necessarili improv effici view sociolog organiz studi call institut isomorph suggest organ pursu chang endors peer regul profession societi mimet coerciv normat mechan respect improv legitimaci social construct valu determin organ abil obtain resourc surviv paper examin mimet coerciv normat influenc adopt three hit innov well evid result ineffici institut isomorph provid use framework research practition examin variat hit adopt

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