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首页> 外文期刊>Journal of public health management and practice: JPHMP >Governance's role in local health departments' information system and technology usage
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Governance's role in local health departments' information system and technology usage

机译：治理在地方卫生部门信息系统和技术使用中的作用

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Objective: The purpose of this article is to explore the relationship between local health departments' (LHDs') governance structures and their use of information systems (IS) and information technologies (IT). As the US health system moves toward more integrated models of delivering care, LHDs have been identified as key nexus for information exchange. Therefore, understanding how LHDs' governance facilitates or inhibits the adoption and use of such IS and IT tools is critical. Design: The 2008 survey of the National Association of County and City Health Officials' members included a set of questions dedicated to the use of IS/IT and its relationship to governance structures. Ordinal logistic and Poisson regressions are used to identify significant relationships among the variables. The survey sample's results (n = 473) are extended to the national sample (N = 2794) using the variable weightings included in the study design. Main Outcome Measures: The 2 dependent variables examined are IS and IT use. The IS variable captures the software and analytic tools used in LHDs. The IT measure primarily captures hardware and infrastructure capabilities. Results: Overall, the use of IS/IT by LHDs is low. Generally, LHDs that have shared governance structures with other state and community bodies tended to have greater IS/IT use. Similarly, larger LHDs with leaders that have higher educational levels used IS/IT in greater amounts. Conclusions: With their current IS/IT capability levels, LHDs will struggle to play a meaningful role in the integration and exchange of health information. Given that LHD also serve at-risk populations in disproportionate numbers, this digital divide may become a real divide in the access to high quality care for some communities.
机译：目的：本文的目的是探讨地方卫生部门（LHDs）的治理结构与其对信息系统（IS）和信息技术（IT）的使用之间的关系。随着美国卫生系统向提供医疗服务的更集成模式发展，LHD已被确定为信息交换的主要纽带。因此，了解LHD的治理如何促进或抑制此类IS和IT工具的采用和使用至关重要。设计：2008年，全国县和城市卫生官员协会成员的调查包括一组有关IS / IT的使用及其与治理结构的关系的问题。顺序逻辑回归和泊松回归用于识别变量之间的重要关系。使用研究设计中包含的可变权重，将调查样本的结果（n = 473）扩展到国家样本（N = 2794）。主要结果指标：检查的两个因变量是IS和IT使用。 IS变量捕获了LHD中使用的软件和分析工具。 IT措施主要捕获硬件和基础架构功能。结果：总体而言，LHD对IS / IT的使用率较低。通常，与其他州和社区机构具有共享治理结构的LHD倾向于更多地使用IS / IT。同样，具有较高学历的领导者的较大的LHD使用IS / IT的数量也更多。结论：根据目前的IS / IT能力水平，LHD将难以在健康信息的集成和交换中发挥有意义的作用。鉴于LHD还为数量众多的高危人群提供服务，这种数字鸿沟可能会成为某些社区获得高质量医疗服务的真正鸿沟。

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