An Analysis of the External Environmental and Internal Organizational Factors Associated with Adoption of the Electronic Health Record

Autor/in	Kruse, Clemens Scott
Titel	An Analysis of the External Environmental and Internal Organizational Factors Associated with Adoption of the Electronic Health Record
Quelle	(2013), (125 Seiten) PDF als Volltext Verfügbarkeit Ph.D. Dissertation, Virginia Commonwealth University
Sprache	englisch
Dokumenttyp	gedruckt; online; Monographie
ISBN	978-1-3030-8451-5
Schlagwörter	Hochschulschrift; Dissertation; Records (Forms); Case Records; Databases; Technological Advancement; Adoption (Ideas); Influences; Regression (Statistics); Organizational Culture; Organizational Theories; Information Technology; Federal Legislation; Health Services + Suchen Sie Ihr Suchwort? Thesis; Dissertations; Academic thesis; Formularsammlung; Case reports; Fallsammlung; Datenbank; Technological development; Technologische Entwicklung; Ideas; Ideenfindung; Influence; Einfluss; Einflussfaktor; Regression; Regressionsanalyse; Unternehmenskultur; Organisationstheorie; Informationstechnologie; Bundesrecht; Health service; Gesundheitsdienst; Gesundheitswesen
Abstract	Despite a Presidential Order in 2004 that launched national incentives for the use of health information technology, specifically the Electronic Health Record (EHR), adoption of the EHR has been slow. This study attempts to quantify factors associated with adoption of the EHR and Computerized Provider Order Entry (CPOE) by combining multiple organizational theories and empirical studies. The study is conducted in two phases. The primary phase of this study identifies and evaluates the effects of external environmental and internal organizational factors on healthcare organizations to adopt the EHR. From secondary data, twelve IVs (df = 19) are chosen based on existing models and literature. Logistic regression is used to determine the association between the environmental factors and EHR adoption. The secondary phase of this study examines the adoption of five variations of CPOE using the same IVs from phase one. This EHR component of CPOE is chosen due to its promotion as a solution to help cross the quality chasm (IOM, 2001). Secondary data are analyzed and logistic regression is used to quantify the association between the factors of EHR adoption and CPOE adoption. Eleven of the twelve IVs are significant between the two phases (p <0.1). This study uses data from 2009 because the HITECH Act was passed that year and significant government incentives were offered for those health care organizations (HCOs) that meet the qualifications of meaningful use. This study serves as a baseline for future studies, extends the work of other empirical studies, and fills a gap in the literature concerning factors associated with the adoption of the EHR and specific dimensions of CPOE. The Kruse Theory developed is strongly based in literature and reflects complexity commensurate with the health care industry. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.] (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01