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Object Recognition in the Enterprise: Structural and Behavioral Capabilities of Patient-Centered Medical Homes

机译:企业中的对象识别:以患者为中心的医疗之家的结构和行为能力

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The healthcare industry in United States is the largest delivery system in the world. However, this system is facing significant pressures to transform itself to operate more efficiently. It is generally accepted that the use of health information technology can assist in solving the problem by reducing cost and increasing quality of patient care. However characteristics of adopters and quality of implementations are not well understood and are an ongoing challenge. Using an interdisciplinary study of healthcare and technology, the objective of this research is to measure the prevalence of health information technology capabilities and their impact on delivery of care. More specifically, this research will study health information technology adoption in context of Patient-Centered Medical Home implementations. By using as its basis the American Association of Family Physician recommendations for becoming a Patient-Centered Medical Home (one of the most widely disseminated models), the proposed research will survey health care providers for prevalence of structural and behavioral capabilities used to implement a Patient-Centered Medical Home. The general objectives of the feasibility study includes demonstrating the larger research objectives and demonstrating that the right mix of theories and methodologies have been considered . The small field study was conducted at Oregon Health & Science University (OHSU) with the Care Management Plus (CMP) Team. CMP is a proven HIT application for older adults and chronically ill patients with multiple conditions and the innovation includes software, clinic processes and training. Use of qualitative research based case study, with application of diffusion theory and dynamic capabilities using the Unified Modeling Language (UML) notation are demonstrated in this field study. In the following sections data collection, analysis, results, conclusions and limitations of research along with propositions for future research are discussed.
机译:美国的医疗保健行业是世界上最大的交付系统。但是,该系统面临着巨大的压力,要求其自身转型以更高效地运行。人们普遍认为,使用健康信息技术可以通过降低成本和提高患者护理质量来帮助解决问题。但是,采用者的特征和实现的质量尚未得到很好的理解,这是一个持续的挑战。通过对医疗保健和技术的跨学科研究,该研究的目的是衡量健康信息技术能力的普遍程度及其对医疗服务的影响。更具体地说,本研究将研究以患者为中心的医疗之家实施方式中的健康信息技术的采用。通过以美国家庭医师协会的建议为基础,以成为以患者为中心的医疗之家(分布最广的模型之一),这项拟议的研究将调查医疗保健提供者用于实施患者的结构和行为能力的普遍性中心的医疗之家。可行性研究的总目标包括证明更大的研究目标和证明已经考虑了理论和方法的正确结合。这项小型实地研究是在俄勒冈健康与科学大学(OHSU)与Care Management Plus(CMP)团队一起进行的。 CMP是一种经过验证的HIT应用程序,适用于具有多种情况的老年人和慢性病患者,其创新包括软件,临床过程和培训。在该现场研究中,演示了基于定性研究的案例研究,扩散理论的应用以及使用统一建模语言(UML)表示法的动态功能。在以下各节中,将讨论数据的收集,分析,结果,结论和研究局限性以及未来研究的命题。

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