Evaluating the Health Information Technology Regional Extension Center in South Carolina |
| |
| Institution: | 1. South Carolina Rural Health Research Center, Department of Health Services Policy and Management, Arnold School of Public Health, Columbia, SC, USA;2. Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia, SC, USA;3. Center for Information Technology Implementation Assistance South Carolina, Health Sciences South Carolina, Columbia, SC, USA;1. London School of Hygiene & Tropical Medicine, London, UK;2. Department of Health Services Research, School for Public Health and Primary Care (Caphri) of the Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands;3. Karolinska Institutet, Department of Public Health Sciences, Stockholm, Sweden;1. HEC Montréal, 3000 Cote-Sainte-Catherine Road, Montréal, Québec, Canada H3T 2A7;2. Université du Québec à Trois-Rivières, Canada;3. Université du Québec à Montréal, Canada;4. Université Laval, Canada;1. Weill Cornell Medical College, NY, USA;2. Division of Outcomes and Effectiveness, Department of Public Health, Weill Cornell Medical College, 402 E. 67th St., Room LA-218, NY 10021, USA;3. Department of Medicine, Weill Cornell Medical College, NY, USA;4. Primary Care Information Project, New York City Department of Health and Mental Hygiene, Queens, NY, USA;1. Department of Industrial and Systems Engineering, University of Wisconsin–Madison, USA;2. Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, 750 North Lakeshore Drive, Chicago, IL 60611, USA;1. Information Technology, The Ohio State University Medical Center, USA;2. School of Health and Rehabilitation Sciences, Ohio State University, USA |
| |
| Abstract: | ObjectiveTo determine the impact of the South Carolina Regional Extension Center, Center for Information Technology Implementation Assistance (CITIA-SC), on physician practices engaged in the process of electronic medical record (EMR) adoption.Data sourcesData from a cross-sectional survey distributed in March 2011 to 1310 primary care practice groups throughout South Carolina was used to determine the degree of EMR adoption throughout the state (n=452 respondents; 34.5% response rate). Participation in CITIA-SC was determined by obtaining a list of practices from CITIA-SC.Study designA posttest-only design with nonequivalent groups was used to estimate the degree of EMR implementation, plans for and perceived barriers to implementation based on CITIA-SC participation.ResultsCITIA-SC practice sites faced similar barriers to EMR implementation as non-CITIA-SC participants, including initial or recurring cost of an EMR, low staff expertise with EMRs or computers, and productivity disruption. Additionally, CITIA-SC practice sites had fewer IT personnel on staff (p=0.0358) and were considering EMR implementation without a plan (p=0.0125). Despite these barriers, more practices participating in the CITIA-SC program were preparing to invest in an EMR system within one year when compared to nonparticipants (75.9% versus 28.3%, p<0.0001).ConclusionOur results indicated that the practice sites that participate in the REC had fewer IT resources and more perceived barriers to implementation. These results suggest that REC participant practice sites intend to implement an EMR, but recognize the need for technical assistance in the preparation and implementation of an EMR system. |
| |
| Keywords: | Regional Extension Center (REC) Health Information Technology Electronic medical records Adoption |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
