Perceptions of an Organizing Vision for Electronic Medical Records by Independent Physician Practices

Author(s):  
John L. Reardon

Actual adoption and usage rates of healthcare Information Technology (HIT) in general and electronic medical records (EMR) in particular are well below expectations, even though both show potential to help solve some of the more pressing problems plaguing the U.S. healthcare system. This research explores the role that a community-wide organizing vision (OV) (Ramiller & Swanson, 2003) plays in shaping independent physician practices’ perceptions of EMR technology, and hence, their interest in adopting and using the technology. This chapter reports on an OV for EMRs by analyzing data collected using a mail survey of independent physician practices and uses factor analysis to examine structural properties and content of the OV among the practices sampled. Contributions to theory include exploring the applicability of Ramiller and Swanson’s (Ramiller & Swanson, 2003; Swanson & Ramiller, 2004, 1997) OV on HIT innovations in healthcare research. Contributions to practice include empowering HIT decision makers with a model for addressing the introduction of a technology innovation (EMR) into an independent physician practice.

2011 ◽  
pp. 1028-1050
Author(s):  
John L. Reardon

Adoption and usage rates of healthcare information technology (HIT) in general and electronic medical records (EMR) in particular are below expectations even though both show potential to help solve pressing problems plaguing the U.S. healthcare system. This research explores the role an organizing vision (OV) (Ramiller & Swanson, 2003) plays in shaping independent physician practices’ (IPP) perceptions of EMRs and hence their interest in adopting and using the technology. This paper reports on an OV for EMRs by using a mail survey of IPPs and uses factor analysis to examine structural properties and content of the OV among the practices. Contributions to theory include exploring the applicability of Ramiller and Swanson’s (Ramiller & Swanson, 2003) OV on HIT innovations in healthcare research. Contributions to practice include empowering HIT decision makers with a model for addressing the introduction of a technology innovation (EMR) into an independent physician practice.


2019 ◽  
Vol 26 (3) ◽  
pp. 1700-1713
Author(s):  
Dan Li ◽  
Jianqian Chao ◽  
Jing Kong ◽  
Gui Cao ◽  
Mengru Lv ◽  
...  

The new adoption of healthcare information technology is costly, and effects on healthcare performance can be questionable. This nationwide study in China investigated the efficient performance of healthcare information technology and examined its spatial correlation. Panel data were extracted from the Annual Investigation Report on Hospital Information in China and the China Health Statistics Yearbook for 2007 through 2015 (279 observations). Stochastic frontier analysis was employed to estimate the technical efficiency of healthcare information technology performance and related factors at the regional level. Healthcare information technology performance was positively associated with electronic medical records, total input, and cost of inpatient stay, while picture archiving and communication systems and net assets were negatively related. Local Indicators of Spatial Association showed that there existed significant spatial autocorrelation. Governmental policies would best make distinctions among different forms of healthcare information technology, especially between electronic medical records and picture archiving and communication systems. Policies should be formulated to improve healthcare information technology adoption and reduce regional differences.


2009 ◽  
Vol 25 (3) ◽  
pp. 177-185 ◽  
Author(s):  
Ann S. O’Malley ◽  
Joy M. Grossman ◽  
Genna R. Cohen ◽  
Nicole M. Kemper ◽  
Hoangmai H. Pham

2014 ◽  
Author(s):  
C. McKenna ◽  
B. Gaines ◽  
C. Hatfield ◽  
S. Helman ◽  
L. Meyer ◽  
...  

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 908-P
Author(s):  
SOSTENES MISTRO ◽  
THALITA V.O. AGUIAR ◽  
VANESSA V. CERQUEIRA ◽  
KELLE O. SILVA ◽  
JOSÉ A. LOUZADO ◽  
...  

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