scholarly journals Perspectives of Inpatients with Cirrhosis and Caregivers on Using Health Information Technology: A Cross-Sectional Multi-Center Experience (Preprint)

10.2196/24639 ◽  
2020 ◽  
Author(s):  
Chathur Acharya ◽  
Tejasav S Sehrawat ◽  
Deborah B McGuire ◽  
Jawaid Shaw ◽  
Andrew Fagan ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Cross Sectional

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.

scholarly journals Perspectives of Inpatients With Cirrhosis and Caregivers on Using Health Information Technology: Cross-sectional Multicenter Study (Preprint)

2020 ◽  
Author(s):  
Chathur Acharya ◽  
Tejasav S Sehrawat ◽  
Deborah B McGuire ◽  
Jawaid Shaw ◽  
Andrew Fagan ◽  
...  
Keyword(s):  
Information Technology ◽  
Hepatic Encephalopathy ◽  
Gastrointestinal Bleeding ◽  
Health Information Technology ◽  
Health Information ◽  
Medical Center ◽  
Semistructured Interview ◽  
Health It ◽  
Opioid Use ◽  
Cross Sectional

BACKGROUND Health information technology (IT) interventions to decrease readmissions for cirrhosis may be limited by patient-associated factors. OBJECTIVE The aim of this study was to determine perspectives regarding adoption versus refusal of health IT interventions among patient-caregiver dyads. METHODS Inpatients with cirrhosis and their caregivers were approached to participate in a randomized health IT intervention trial requiring daily contact with research teams via the Patient Buddy app. This app focuses on ascites, medications, and hepatic encephalopathy over 30 days. Regression analyses for characteristics associated with acceptance were performed. For those who declined, a semistructured interview was performed with themes focused on caregivers, protocol, transport/logistics, technology demands, and privacy. RESULTS A total of 349 patient-caregiver dyads were approached (191 from Virginia Commonwealth University, 56 from Richmond Veterans Affairs Medical Center, and 102 from Mayo Clinic), 87 of which (25%) agreed to participate. On regression, dyads agreeing included a male patient (odds ratio [OR] 2.08, <i>P</i>=.01), gastrointestinal bleeding (OR 2.3, <i>P</i>=.006), or hepatic encephalopathy admission (OR 2.0, <i>P</i>=.01), whereas opioid use (OR 0.46, <i>P</i>=.03) and alcohol-related etiology (OR 0.54, <i>P</i>=.02) were associated with refusal. Race, study site, and other admission reasons did not contribute to refusing participation. Among the 262 dyads who declined randomization, caregiver reluctance (43%), perceived burden (31%), technology-related issues (14%), transportation/logistics (10%), and others (4%), but not privacy, were highlighted as major concerns. CONCLUSIONS Patients with cirrhosis admitted with hepatic encephalopathy and gastrointestinal bleeding without opioid use or alcohol-related etiologies were more likely to participate in a health IT intervention focused on preventing readmissions. Caregiver and study burden but not privacy were major reasons to decline participation. Reducing perceived patient-caregiver burden and improving communication may improve participation. CLINICALTRIAL ClinicalTrials.gov NCT03564626; https://www.clinicaltrials.gov/ct2/show/NCT03564626

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