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Clinical information technology in hospitals: A comparison between the state of Iowa and two provinces in Canada

Show simple item record Jaana M. Ward M.M. Pare G. Wakefield D.S.
dc.contributor.editor 2005 2017-10-18T13:35:48Z 2017-10-18T13:35:48Z 2005
dc.identifier 10.1016/j.ijmedinf.2005.05.009
dc.identifier.issn 13865056
dc.description.abstract Despite the growing interest in adopting information technology (IT) in healthcare, the degree of technology sophistication varies among healthcare organizations. Changes in the health care sector and continuous pressure to improve the quality of care have driven the evolution of IT in hospitals. This paper provides an overview of clinical IT sophistication in a sample of U.S. hospitals, and compares clinical IT capacities in this sample with a sample of Canadian hospitals. The instrument used for the comparison measures three clinical dimensions of IT sophistication: functional sophistication, technological sophistication and integration level. Clinical areas that were considered include patient management, patient care activities and clinical support activities. The comparison between hospitals in Iowa and Canada shows differences in clinical IT sophistication between the two settings. Hospitals in Iowa appear to have more technologies but fewer computerized processes and integration of patient management activities. Technological sophistication however, was low in both samples. Our findings confirm the construct validity of the measurement instrument and show initial evidence of its generalizability. More initiatives using the instrument would lead to enhancement in IT assessment tools that can be used for evaluation of IT in relation to patient management and quality outcomes. © 2005 Elsevier Ireland Ltd. All rights reserved.
dc.format.extent Pages: (719-731)
dc.language English
dc.publisher CLARE
dc.relation.ispartof Publication Name: International Journal of Medical Informatics; Publication Year: 2005; Volume: 74; no. 9; Pages: (719-731);
dc.source Scopus
dc.title Clinical information technology in hospitals: A comparison between the state of Iowa and two provinces in Canada
dc.type Article
dc.contributor.affiliation Jaana, M., Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Bliss Street, Beirut, Lebanon
dc.contributor.affiliation Ward, M.M., Department of Health Management and Policy, University of Iowa, Iowa City, IA, United States
dc.contributor.affiliation Paré, G., Canada Research Chair in IT in Healthcare, HEC Montreal, Montreal, Que., Canada
dc.contributor.affiliation Wakefield, D.S., Department of Health Management and Policy, University of Iowa, Iowa City, IA, United States
dc.contributor.authorAddress Jaana, M.; Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Bliss Street, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Health Sciences; Department: Health Management and Policy;
dc.contributor.authorDepartment Health Management and Policy
dc.contributor.authorFaculty Faculty of Health Sciences
dc.contributor.authorInitials Jaana, M
dc.contributor.authorInitials Ward, MM
dc.contributor.authorInitials Pare, G
dc.contributor.authorInitials Wakefield, DS
dc.contributor.authorReprintAddress Jaana, M (reprint author), Amer Univ Beirut, Fac Hlth Sci, Dept Hlth Management and Policy, POB 11-0236,Bliss St, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut
dc.description.cited *AHA, 2000, ANN SURV DAT; Cushman R, 1997, J AM MED INFORM ASSN, V4, P259; Friedman B A, 1989, J Med Syst, V13, P221, DOI 10.1007-BF00996645; JOHNSON RL, 1995, HEALTH CARE MANAGE R, V20, P75; KELLY B, 2002, CLIN INFORMATION SYS; KERR EA, 1998, HLTH INFORMATION SYS, P141; Matta K F, 1988, J Med Syst, V12, P57, DOI 10.1007-BF01002376; MCMAHON LF, 1989, ANN INTERN MED, V111, P318; PALLEY HA, 1987, INT J HEALTH SERV, V17, P595, DOI 10.2190-1X9F-4Q4H-FE89-5MUE; Pare G, 2001, INT J MED INFORM, V63, P205, DOI 10.1016-S1386-5056(01)00178-2; Raghupathi W, 1999, Top Health Inf Manage, V20, P1; Simpson JC, 1999, AUST NZ J PUBL HEAL, V23, P86, DOI 10.1111-j.1467-842X.1999.tb01210.x; Staggers N, 2001, J NURS SCHOLARSHIP, V33, P75, DOI 10.1111-j.1547-5069.2001.00075.x; Wakefield DS, 2004, J RURAL HEALTH, V20, P394, DOI 10.1111-j.1748-0361.2004.tb00054.x; Ward MM, 2004, J RURAL HEALTH, V20, P344, DOI 10.1111-j.1748-0361.2004.tb00048.x; Wickramasinghe Nilmini, 2003, Health Care Manag Sci, V6, P75, DOI 10.1023-A:1023376801767; 2001, HLTH CAR FINI ADM UR
dc.description.citedCount 23
dc.description.citedTotWOSCount 16
dc.description.citedWOSCount 16
dc.format.extentCount 13
dc.identifier.coden IJMIF
dc.identifier.pubmedID 15990357
dc.identifier.scopusID 23944433346
dc.relation.ispartOfISOAbbr Int. J. Med. Inform.
dc.relation.ispartOfIssue 9
dc.relation.ispartofPubTitle International Journal of Medical Informatics
dc.relation.ispartofPubTitleAbbr Int. J. Med. Informatics
dc.relation.ispartOfVolume 74
dc.source.ID WOS:000231919700003
dc.type.publication Journal
dc.subject.otherAuthKeyword Computerized medical records
dc.subject.otherAuthKeyword Hospital information systems
dc.subject.otherAuthKeyword Information technology
dc.subject.otherAuthKeyword Medical informatics
dc.subject.otherAuthKeyword Medical technology
dc.subject.otherAuthKeyword Systems integration
dc.subject.otherIndex Health care
dc.subject.otherIndex Hospitals
dc.subject.otherIndex Information management
dc.subject.otherIndex Computerized medical records
dc.subject.otherIndex Hospital information systems
dc.subject.otherIndex Medical informatics
dc.subject.otherIndex Medical technology
dc.subject.otherIndex System integration
dc.subject.otherIndex Information technology
dc.subject.otherIndex article
dc.subject.otherIndex Canada
dc.subject.otherIndex comparative study
dc.subject.otherIndex controlled study
dc.subject.otherIndex hospital
dc.subject.otherIndex human
dc.subject.otherIndex instrumentation
dc.subject.otherIndex medical assessment
dc.subject.otherIndex medical information system
dc.subject.otherIndex medical technology
dc.subject.otherIndex outcomes research
dc.subject.otherIndex patient care
dc.subject.otherIndex priority journal
dc.subject.otherIndex qualitative analysis
dc.subject.otherIndex United States
dc.subject.otherIndex validation process
dc.subject.otherIndex Biomedical Technology
dc.subject.otherIndex Canada
dc.subject.otherIndex Hospital Information Systems
dc.subject.otherIndex Hospitals
dc.subject.otherIndex Iowa
dc.subject.otherIndex Medical Informatics Applications
dc.subject.otherIndex Medical Records Systems, Computerized
dc.subject.otherIndex Systems Integration
dc.subject.otherIndex Technology Assessment, Biomedical
dc.subject.otherKeywordPlus HEALTH-CARE
dc.subject.otherWOS Computer Science, Information Systems
dc.subject.otherWOS Health Care Sciences and Services
dc.subject.otherWOS Medical Informatics

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