Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ age(1611) year(1155) adult(843) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
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{ assess(1506) score(1403) qualiti(1306) }
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{ data(3963) clinic(1234) research(1004) }
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{ use(1733) differ(960) four(931) }
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{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Given relatively less favorable health outcomes in rural Alabama, electronic health records (EHRs) have an even greater potential to improve quality and alleviate disparities if meaningfully used.OBJECTIVES: We examined rural-urban differences as it pertained to perceived barriers, benefits, and motivating factors of EHR implementation.METHODS: We used multivariate logistic models to analyze data collected from a state-wide, self-completed survey of health information management directors in Alabama hospitals.RESULTS: Findings from our analyses indicate that fewer rural hospitals (8%) have implemented EHRs as compared with urban hospitals (18%). Rural hospitals were 71% less likely to consider reduction in costs as a benefit of EHRs (OR = 0.29), and were 75% less likely to consider lack of structured technology as a challenge factor of EHR implementation (OR = 0.25).CONCLUSION: Promotion of EHRs in rural areas is challenging but necessary. Understanding perceived barriers and motivating factors of EHR implementation among rural hospitals can inform policy decisions, especially in light of recent meaningful use initiatives.

Resumo Limpo

ckground given relat less favor health outcom rural alabama electron health record ehr even greater potenti improv qualiti allevi dispar meaning usedobject examin ruralurban differ pertain perceiv barrier benefit motiv factor ehr implementationmethod use multivari logist model analyz data collect statewid selfcomplet survey health inform manag director alabama hospitalsresult find analys indic fewer rural hospit implement ehr compar urban hospit rural hospit less like consid reduct cost benefit ehr less like consid lack structur technolog challeng factor ehr implement conclus promot ehr rural area challeng necessari understand perceiv barrier motiv factor ehr implement among rural hospit can inform polici decis especi light recent meaning use initi

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