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Influence of Organizational, Operational, Financial AndEnvironmental Factors on Hospitalsu27 Adoption of Computerized Physician Order Entry Systems for Improving Patient Safety: A Resource Dependence Approach

机译:组织,运营,财务和环境因素对医院的影响 u ^采用计算机医师订单录入系统以提高患者安全性:一种资源依赖方法

摘要

This study examines specific organizational, operational, financial and environmental characteristics to identify factors that are associated with increased likelihood of hospitalsu27 CPOE adoption decision in six rollout regions of the Leapfrog initiatives.Resource dependence theory provides theoretical basis for the study. The study is retrospective observational in design. Individual hospitals are the unit of analysis. The Leapfrog Groupu27s 2002-survey collection serves the primary data source. Univariate statistical methods along with bivariate and ordinal logistic regression models are used to analyze the data. The models provided support for multiple hypotheses for both the adoption and early adoption decisions of study hospitals. The operational characteristics of ownership, in-house physician staff, case mix index and the environmental characteristic of HMO penetration rate had a positive effect on managementu27s adoption decisions. The operational characteristic excess capacity, the organizational characteristic community orientation, the financial characteristic of operating income per admission, and the environmental characteristic of number of HMO contracts had a significant negative effect on CPOE adoption decisions.
机译:这项研究研究了特定的组织,运营,财务和环境特征,以识别与Leapfrog计划的六个推广区域中医院采用CPOE决策的可能性增加相关的因素。资源依赖理论为该研究提供了理论基础。该研究在设计上是回顾性观察。各个医院是分析的单位。 Leapfrog Group 2002年的调查收集为主要数据源提供服务。使用单变量统计方法以及双变量和有序逻辑回归模型来分析数据。这些模型为研究医院的采用和早期采用决策提供了多种假设的支持。所有权的运作特征,内部医生人员,病例混合指数以及HMO渗透率的环境特征对管理层的采用决策产生积极影响。业务特征过剩能力,组织特征社区定位,每次接纳的营业收入的财务特征以及HMO合同数量的环境特征对CPOE的采用决策具有重大的负面影响。

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    Solti Imre;

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  • 年度 2006
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