Journal article
Clinical information technology in hospitals: A comparison between the state of Iowa and two provinces in Canada
International journal of medical informatics (Shannon, Ireland), Vol.74(9), pp.719-731
2005
DOI: 10.1016/j.ijmedinf.2005.05.009
PMID: 15990357
Abstract
Despite the growing interest in adopting information technology (IT) in healthcare, the degree of technology sophistication varies among healthcare organizations. Changes in the health care sector and continuous pressure to improve the quality of care have driven the evolution of IT in hospitals. This paper provides an overview of clinical IT sophistication in a sample of U.S. hospitals, and compares clinical IT capacities in this sample with a sample of Canadian hospitals.
The instrument used for the comparison measures three clinical dimensions of IT sophistication: functional sophistication, technological sophistication and integration level. Clinical areas that were considered include patient management, patient care activities and clinical support activities.
The comparison between hospitals in Iowa and Canada shows differences in clinical IT sophistication between the two settings. Hospitals in Iowa appear to have more technologies but fewer computerized processes and integration of patient management activities. Technological sophistication however, was low in both samples. Our findings confirm the construct validity of the measurement instrument and show initial evidence of its generalizability. More initiatives using the instrument would lead to enhancement in IT assessment tools that can be used for evaluation of IT in relation to patient management and quality outcomes.
Details
- Title: Subtitle
- Clinical information technology in hospitals: A comparison between the state of Iowa and two provinces in Canada
- Creators
- Mirou Jaana - Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, P.O. Box 11-0236, Bliss Street, Beirut, LebanonMarcia M Ward - Department of Health Management and Policy, University of Iowa, Iowa City, IA, USAGuy Paré - Canada Research Chair in IT in Healthcare, HEC Montreal, Montreal, Que., CanadaDouglas S Wakefield - Department of Health Management and Policy, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- International journal of medical informatics (Shannon, Ireland), Vol.74(9), pp.719-731
- Publisher
- Elsevier Ireland Ltd
- DOI
- 10.1016/j.ijmedinf.2005.05.009
- PMID
- 15990357
- ISSN
- 1386-5056
- eISSN
- 1872-8243
- Language
- English
- Date published
- 2005
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984213373002771
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