Healthcare information system use under techno-uncertainty: evidence from long-term care

2021 ◽  
Vol Volume 26 (3) ◽  
pp. 7-34
Author(s):  
Marion Lauwers ◽  
Antonio Giangreco ◽  
Andrea Carugati ◽  
Johan Maes ◽  
Antonio Sebastiano
Keyword(s):  
Information System ◽  
Long Term Care ◽  
Term Care ◽  
Healthcare Information ◽  
Healthcare Information System ◽  
System Use

The Impact of Certification on Healthcare Information Technology Use

2011 ◽  
pp. 360-373
Author(s):  
Neset Hikmet ◽  
Anol Bhattacherjee
Keyword(s):  
Information Technology ◽  
User Satisfaction ◽  
Long Term Care ◽  
Healthcare Information Technology ◽  
Healthcare Organizations ◽  
Term Care ◽  
Healthcare Information ◽  
Care Facilities ◽  
Healthcare Administrators

This study examines the effects of certifications such as JCAHO on healthcare information technology (HIT) usage in healthcare organizations and user satisfaction with such usage. Using survey data collected from healthcare administrators in a nation-wide sample of 347 hospitals and long-term care facilities, we provide evidence that certifications do indeed enhance HIT usage and user satisfaction, at least within specialized user groups such as healthcare administrators. We further demonstrate that this increase in HIT usage due to certifications increases with facility size and is more prominent for larger hospitals than for smaller long-term care facilities, though the same cannot be said of user satisfaction. Our study suggests that certifications can be used as a valuable tool for motivating HIT usage, while also drawing attention to an under-examined area of HIT research.

The Impact of Professional Certifications on Healthcare Information Technology Use

2011 ◽  
pp. 1646-1656
Author(s):  
Neset Hikmet ◽  
Anol Bhattacherjee
Keyword(s):  
Information Technology ◽  
User Satisfaction ◽  
Long Term Care ◽  
Healthcare Information Technology ◽  
Healthcare Organizations ◽  
Term Care ◽  
Healthcare Information ◽  
Care Facilities ◽  
Healthcare Administrators

This study examines the effects of professional certifications such as JCAHO on healthcare information technology (HIT) usage in healthcare organizations and user satisfaction with such usage. Using survey data collected from healthcare administrators in a nation-wide sample of 347 hospitals and long-term care facilities, we provide evidence that professional certifications do indeed enhance HIT usage and user satisfaction, at least within specialized user groups such as healthcare administrators. We further demonstrate that this increase in HIT usage due to professional certifications increases with facility size and is more prominent for larger hospitals than for smaller long-term care facilities, though the same cannot be said of user satisfaction. Our study suggests that professional certifications can be used as a valuable tool for motivating HIT usage, while also drawing attention to an under-examined area of HIT research.

Framework for Information Sharing with Privacy and Priority Control in Long-Term Care in Japan

2014 ◽  
Vol 5 (1) ◽  
pp. 46-62 ◽  
Author(s):  
Shoko Miyagawa ◽  
Shigeichiro Yamasaki ◽  
Eiko Uchiyama ◽  
Donald L. Amoroso
Keyword(s):  
Information System ◽  
Access Control ◽  
Information Sharing ◽  
Long Term Care ◽  
Control Agent ◽  
Local Information ◽  
Term Care ◽  
User Agent ◽  
System Access

In this paper, the authors present a framework for information sharing with privacy and priority control in long-term care designed to promote appropriate information sharing among the people who are involved in long-term care for provision of better care service. The authors' framework includes four agents (user agent, local information system access agent, authentication/access control agent and priority control agent) and two databases (user database and care record index database). The LIS (local information system) access agent creates and updates the care record index database, which act as an index when user agents try to access to care recipient's record, based on the Open Authentication protocol. It also acts as a query interface from each user agent. The authentication/access control agent allows sensitive information to be shared in accordance with the policy defined by care recipient. The priority control agent judges the urgency of the information for either periodic or immediate notification. The authors also propose an implementation of this framework using the Resource Description Framework Site Summary, and demonstrate how our framework works with the scenario of care recipient's unexpected injury. In summary, this framework is designed to help people who require long-term care and provides an effective system for each staff that is in charge of administering long-term care services. The authors' information sharing system incorporates a multi-agent architecture to facilitate information sharing and privacy/priority control. The authors believe that this research provides an important first step for researchers who intend to build a prototype to automate the processes of information sharing for long-term health care.

scholarly journals Trends in prevalence, incidence, health system use and cost by persons with dementia in Ontario from 2004 and 2013: a population-based study

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Susan Bronskill ◽  
Jun Guan ◽  
Marian Vermeulen ◽  
Erika Yates ◽  
Ryan Ng ◽  
...  
Keyword(s):  
Health System ◽  
Service Use ◽  
Long Term Care ◽  
Population Based ◽  
P Value ◽  
Term Care ◽  
Health Administrative Data ◽  
System Use ◽  
Over Time

ABSTRACTObjectiveEfforts to enable persons with dementia to remain at home longer, and to reduce use of costly acute care resources, are at the forefront of policy agendas internationally. Foundational to planning appropriate health system supports is the ongoing, comparable and accurate estimation of the prevalence and incidence of dementia across regions, as well as associated patterns of health services use and cost. Our objective was to explore emerging approaches to using population data in dementia research and demonstrate the policy contribution of the resulting new knowledge. ApproachUsing population-based health administrative data and an algorithm that was validated using electronic medical records, we developed a series of repeated, cross-sectional cohort studies to examine trends in dementia prevalence, incidence and publicly-funded health service use and costs between 2004/05 and 2013/14 among adults aged 65 years and older in Ontario, Canada. Trends in yearly rates of health service use were assessed using regression models for serially correlated data and compared to a 1:1 matched control group based on age, sex, geographic region and comorbidity level. ResultsOver time, age- and sex-adjusted prevalence of dementia increased by 18.2% (from 63.0 to 74.5 per 1,000 persons; p-value < 0.001) and age- and sex-adjusted incidence decreased slightly (from 18.2 to 17.0 per 1,000 persons; p-value = 0.05). Community-dwelling persons with dementia were more likely than matched controls to be placed in long-term care (11.8% vs. 1.5% in 2013; p<0.001) and use home care (45.8% vs 23.2%; p<0.001) but equally likely to visit family physicians (93.9% vs. 94.8% in 2013) and specialists (87.1% vs. 89.4%). Median costs associated with one year of health system use were $19,468 (interquartile range (IQR) $4,490 to $47,726) for prevalent cases in 2012/13 and $16,549 (IQR $5,070 to $47,899) for incident cases. Long-term care and hospital care accounted for the largest portion of total costs in both groups. ConclusionThe prevalence of dementia has increased in Ontario, Canada over time and, given slightly declining incidence rates, is likely attributable to improved survival. Surveillance of dementia with health administrative data is a cost-effective tool for describing and monitoring trends in incidence and prevalence over time, and for supporting health system capacity planning. This comparative information is critical to understanding the impact of policy decisions designed to address dementia-related health care needs at a population level.

scholarly journals Trajectories of health system use and survival for community-dwelling persons with dementia: a cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037485
Author(s):  
Susan E Bronskill ◽  
Laura C Maclagan ◽  
Jennifer D Walker ◽  
Jun Guan ◽  
Xuesong Wang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Home Care ◽  
Health System ◽  
Service Use ◽  
Long Term Care ◽  
Community Dwelling ◽  
Term Care ◽  
System Use ◽  
Over Time

ObjectivesTo determine the long-term trajectories of health system use by persons with dementia as they remain in the community over time.DesignPopulation-based cohort study using health administrative data.SettingOntario, Canada from 1 April 2007 to 31 March 2014.Participants62 622 community-dwelling adults aged 65+ years with prevalent dementia on 1 April 2007 matched 1:1 to persons without dementia based on age, sex and comorbidity.Main outcome measuresRates of health service use, long-term care placement and mortality over time.ResultsAfter 7 years, 49.0% of persons with dementia had spent time in long-term care (6.8% without) and 64.5% had died (30.0% without). Persons with dementia were more likely than those without to use home care (rate ratio (RR) 3.02, 95% CI 2.93 to 3.11) and experience hospitalisations with a discharge delay (RR 2.36, 95% CI 2.30 to 2.42). As they remained in the community, persons with dementia used home care at a growing rate (10.7%, 95% CI 10.0 to 11.3 increase per year vs 6.7%, 95% CI 4.3 to 9.0 per year among those without), but rates of acute care hospitalisation remained constant (0.6%, 95% CI −0.6 to 1.9 increase per year).ConclusionsWhile persons with dementia used more health services than those without dementia over time, the rate of change in use differed by service type. These results, particularly enumerating the increased intensity of home care service use, add value to capacity planning initiatives where limited budgets require balancing services.

O2-04-03: Health system use, transitions to long-term care, and survival among community-dwelling older adults with dementia in ontario, canada

2015 ◽  
Vol 11 (7S_Part_4) ◽  
pp. P180-P181
Author(s):  
Susan Bronskill ◽  
Jennifer Walker ◽  
Colleen Maxwell ◽  
Erika Yates ◽  
Nadia Gunraj
Keyword(s):  
Older Adults ◽  
Health System ◽  
Long Term Care ◽  
Community Dwelling ◽  
Term Care ◽  
System Use ◽  
Community Dwelling Older Adults

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

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