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Assessing the level of healthcare information technology adoption in the United States: a snapshot
Eric G Poon, Ashish K Jha, Melissa Christino, Melissa M Honour, Rushika Fernandopulle, Blackford Middleton, Joseph Newhouse, Lucian Leape, David W Bates, David Blumenthal, Rainu Kaushal
BMC Medical Informatics and Decision Making , 2006, DOI: 10.1186/1472-6947-6-1
Abstract: We segmented HIT into eight major stakeholder groups and identified major functionalities that should ideally exist for each, focusing on applications most likely to improve patient safety, quality of care and organizational efficiency. We then conducted a multi-site qualitative study in Boston and Denver by interviewing key informants from each stakeholder group. Interview transcripts were analyzed to assess the level of adoption and to document the major barriers to further adoption. Findings for Boston and Denver were then presented to an expert panel, which was then asked to estimate the national level of adoption using the modified Delphi approach. We measured adoption level in Boston and Denver was graded on Rogers' technology adoption curve by co-investigators. National estimates from our expert panel were expressed as percentages.Adoption of functionalities with financial benefits far exceeds adoption of those with safety and quality benefits. Despite growing interest to adopt HIT to improve safety and quality, adoption remains limited, especially in the area of ambulatory electronic health records and physician-patient communication. Organizations, particularly physicians' practices, face enormous financial challenges in adopting HIT, and concerns remain about its impact on productivity.Adoption of HIT is limited and will likely remain slow unless significant financial resources are made available. Policy changes, such as financial incentivesto clinicians to use HIT or pay-for-performance reimbursement, may help health care providers defray upfront investment costs and initial productivity loss.Information technology has significant potential to improve patient safety, organizational efficiency, and patient satisfaction in healthcare[1-5]. For example, computerized physician order entry with decision support reduced the serious medication error rate by 55% in one study[6], and some data suggest that electronic medical records can provide a positive return o
The quality case for information technology in healthcare
David W Bates
BMC Medical Informatics and Decision Making , 2002, DOI: 10.1186/1472-6947-2-7
Abstract: One major opportunity for improving quality relates to increasing the use of information technology, or IT. Health care organizations currently invest less in IT than in any other information-intensive industry, and not surprisingly current systems are relatively primitive, compared with industries such as banking or aviation. Nonetheless, a number of organizations have demonstrated that quality can be substantially improved in a variety of ways if IT use is increased in ways that improve care. Specifically, computerization of processes that are error-prone and computerized decision support may substantially improve both efficiency and quality, as well as dramatically facilitate quality measurement. This report discusses the current levels of IT and quality in health care, how quality improvement and management are currently done, the evidence that more IT might be helpful, a vision of the future, and the barriers to getting there.This report suggests that there are five key policy domains that need to be addressed: standards, incentives, security and confidentiality, professional involvement, and research, with financial incentives representing the single most important lever."Indeed, between the health care that we now have, and the health care we could have, lies not just a gap, but a chasm." Crossing the Quality Chasm: A New Health System for the 21st Century[1].When the Institute of Medicine recently assessed the current state of affairs in U.S. health care, they found it to be substantially lacking in key areas [1]. The report's authors identified a multitude of quality issues to be addressed: complex care is typically uncoordinated, information is often not available to those who need it when it is needed, and as a result patients often do not get care they need, or alternatively do get care they do not need. A common theme underlying many of these quality issues has been under-investment in information technology in healthcare.Payment issues, rather than cli
Barriers in Adoption of Health Information Technology in Developing Societies
Fozia Anwar,Azra Shamim
International Journal of Advanced Computer Sciences and Applications , 2011,
Abstract: This paper develops the conceptual framework of barriers faced by the decision makers and management personnel of health sector. The main theme of this paper is to give a clear understanding about the adaption barriers of health technology faced by developing societies. The information about barriers would be useful for policy makers to decide about the particular technology. So that they can fulfill the defined mission of their organizations. Developing a conceptual framework is the first step in building organizational capacity. Information technology in health sector is spreading globally. Use of health information technology is offering evidence-based practice to endorse health and human prosperity. Globalization of health information system is inevitable for establishment and promotion of healthcare sector in developing societies. Present health systems in developing societies are inadequate to meet the needs of the population. Health sector of developing societies is facing a lot of barriers in establishment and promotion of health information system. These barriers include lack of infrastructure, cost, technical sophistications, lack of skilled human resources and lack of e- readiness of medical professionals. In this paper authors conducted a survey of hospitals in Pakistan to identify and categorized adaption barriers in health information technology. Existing health system should be transformed by using HIT to improve health status of population by eliminating barriers identified in this paper.
International Journal of Engineering and Technology , 2013,
Abstract: The development of economic and social aspects of a country are said to be complimentary to each other. The fields such as education and healthcare are affected by social poverty which finally depicts the economic growth and ultimately the quality of life. Impact of information technology in Indian healthcare services has been transforming into a managed care services. The present paper aims to examine the factors driving the influence of information technology in Indian healthcare, maintenance of computerized patient records in urban and rural areas of india.
Factors influencing the adoption of information technology in a construction business  [cached]
Kimberley Sargent,Paul Hyland,Sukanlaya Sawang
Australasian Journal of Construction Economics and Building , 2012,
Abstract: Construction firms are increasingly utilizing information technologies to better manage geographically dispersed projects. Often these technologies involve changes to existing working practices and processes and are viewed as disruptive by members of the organization. Understanding the factors that can influence individuals’ intention to utilize technology can assist managers to implement strategies to increase and improve the uptake of technologies and improve the innovation adoption process. Using a case study organization, factors identified in the Unified Theory of Acceptance and Use of Technology (UTAUT) are examined and the UTAUT is extended and by including resistance to change and top management support. The findings indicate effort expectancy, internal facilitating conditions and top management support all influence individuals’ intention to use information technology. The results also show that resistance to change or fear of change does not always play a role in innovation adoption. The findings reinforce the need to support new technologies from both a managerial and technical perspective.
Improving the Quality of Healthcare by Using Information Technology System in the Hospitals of Yemen  [PDF]
Nuha Abdullah Nagi Albokai, Lin Liu, Ali Alragawi, Ahlam Albokai
Open Journal of Business and Management (OJBM) , 2019, DOI: 10.4236/ojbm.2019.72049
Abstract: The health sector is considered one of the most important sectors in the application of the IT system because of its impact on improving the quality of services provided. In this study, we identify the impact of using the IT system in improving the quality of health care in Yemen hospitals (Sana’a capital city). In order to achieve this goal, we designed a questionnaire for hospital staff in the capital city of Sana’a appointed by eight randomly selected hospitals divided into three public hospitals and five private hospitals. The questionnaire consisted of 36 paragraphs with detailed questions answered by 407 employees. We identify four dimensions for attitudes about healthcare IT adoption: time, effort, cost, safety. We find positive correlations between healthcare IT adoption and improvements in quality of care across all four dimensions. In conclusion, our study highlights a number of recommendations, including the importance of enhancing the effectiveness of the database to provide health services with high efficiency, the need to adopt the information technology system in all health sectors and attention to the maintenance of devices and websites and challenge them continuously, attracting healthcare professionals specialized in the use of computer systems and rehabilitation of hospital staff by holding training courses. Our study also points to the importance of linking all sections of the hospital in one network system so that communication between them internally and work to link hospitals in the capital city of Sana’a with an external network to facilitate the exchange of information between them.
Strategies for Successful Information Technology Adoption in Small and Medium-sized Enterprises  [PDF]
Morteza Ghobakhloo,Tang Sai Hong,Mohammad Sadegh Sabouri,Norzima Zulkifli
Information , 2012, DOI: 10.3390/info3010036
Abstract: Information Technology (IT) adoption is an important field of study in a number of areas, which include small and medium-sized enterprises (SMEs). Due to the numerous advantages of IT, SMEs are trying to adopt IT applications to support their businesses. IT adoption by SMEs differs from larger organizations because of their specific characteristics, such as resources constraints. Therefore, this research aims to provide a better and clearer understanding of IT adoption within SMEs by reviewing and analyzing current IT literature. In this research, the review of literature includes theories, perspectives, empirical research and case studies related to IT adoption, in particular within SMEs from various databases such as Business Premier, Science Direct, JStor, Emerald Insight and Springer Link. The proposed model of effective IT adoption is believed to provide managers, vendors, consultants and governments with a practical synopsis of the IT adoption process in SMEs, which will in turn assist them to be successful with IT institutionalization within these businesses.
The Acceptance Model for Adoption of Information and Communication Technology in Thai Public Organizations  [PDF]
Suthilux Chanasuc,Prasong Praneetpolgrang,Wilailuck Suvachittanont,Piyawat Jirapongsuwan
International Journal of Computer Science Issues , 2012,
Abstract: The purpose of this research was to study the factors that affect the success of Information and Communication Technology (ICT) adoption in Thai public organizations, including the effective application of ICT. We used quantitative research with quota sampling method in this study. The questionnaires were collected from 448 participants within 20 offices of the Permanent Secretary Ministries. Our closed and open-ended questionnaires were constructed based on the concept of Technology Acceptance Model (TAM). Data analysis was performed using Structure Equation Modeling (SEM). The research results found that factors related and impacted for ICT adoption in Thai public organizations were culture of usage, perceived usefulness, perceived ease of use, and application behaviors in using ICT.
Assessing the influence of Environmental and CEO Characteristics for Adoption of Information Technology in Organizations
Abdul Hameed,Mumtaz; Counsell,Steve;
Journal of technology management & innovation , 2012, DOI: 10.4067/S0718-27242012000100005
Abstract: information system literature has identified several factors that impact the adoption and implementation of it. this study presents a meta-analysis of the findings of past literature on it adoption to verify the significance of competitive pressure, government support, external pressure, ceo attitude, manager’s tenure, ceo innovativeness and ceo it knowledge in the adoption of it in organizations. the study found that except for manager’s tenure, all attributes had considerable influence on the adoption of it. amongst the factors considered, external pressure or the demands from the trading partners and potential customers were found to be most influential in the adoption process. the study also examined the effect of two moderating conditions for the relationship between the attributes and it adoption.
Predictors of Digital Information Technology Adoption: A Case of Digital Terrestrial Television (DTT) Adoption in South Korea
Kyung Han You,Hongjin Shim
International Business Management , 2012, DOI: 10.3923/ibm.2012.590.600
Abstract: This study investigated factors affecting adoption intention of direct Digital Terrestrial Television (DTT) assuming that predictors affecting the adoption intention of DTT are differentiated based on free of charge and with willingness to pay. Researches showed that predictors affecting DTT adoption with willingness to pay were differentiated from those of DTT adoption free of charge. In particular, innovative character did not predict adoption intention of DTT free of charge whereas innovative character was shown to be a powerful predictor in adopting DTT with willingness to pay. Implications and limitations are also discussed.
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