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19(01) 56-62
Measure of Clinical Information Technology Adoption
Jinhyung Lee, PhD1, Young-Taek Park, PhD2
1Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA; 2Health Insurance Review & Assessment Research Institute, Health Insurance Review & Assessment Service (HIRA), Seoul, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objectives: The objective of this study was to create a new measure for clinical information technology (IT) adoption as a proxy variable of clinical IT use. Methods: Healthcare Information and Management Systems Society (HIMSS) data for 2004 were used. The 18 clinical IT applications were analyzed across 3,637 acute care hospitals in the United States. After factor analysis was conducted, the clinical IT adoption score was created and evaluated. Results: Basic clinical IT systems, such as laboratory, order communication/results, pharmacy, radiology, and surgery information systems had different adoption patterns from advanced IT systems, such as cardiology, radio picture archiving, and communication, as well as computerized practitioner order-entry. This clinical IT score varied across hospital characteristics. Conclusions: Different IT applications have different adoption patterns. In creating a measure of IT use among various IT components in hospitals, the characteristics of each type of system should be reflected. Aggregated IT adoption should be used to explain technology acquisition and utilization in hospitals.
Healthcare Informatics Research 2013 Mar; 19(01) 56-62
Keyword : Medical Informatics, Health Information Technology, Clinical Informatics, Medical Information Science

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