Nir Menachemi

..Chi-square analysis and logistic regression models were used to identify trends among imminent adopters and to compare barriers among respondents in each of the adoption categories above...

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..Thus, many of the racial and gender disparities in the inpatient surgical literature are also observed in the ambulatory setting. More research is needed to determine the source of these disparities...

..Overall, many physicians are only partially adopting EHR technologies, suggesting that published adoption rates may be exaggerating the true rate of diffusion...

..Numerous studies have examined the relationship between physician practice characteristics and electronic health record (EHR) adoption. Little is known about how payer mix influences physicians' decisions to implement EHR systems...

..Anecdotal evidence, based on case studies, suggests that outsourcing may be associated with significant cost savings. However, no generalizable evidence exists to support such assertions...

..However, no known study has examined whether patient characteristics of those treated at a given hospital influences the decision to adopt IT...

..However, no study has examined whether patient characteristics of hospitals are related to the adoption of health IT. This study examines IT adoption in hospitals that care for either a large number or a large proportion of children...

..This trend suggests the early stage of this knowledge base. Additional research utilizing broader perspectives and multidisciplinary techniques will be needed before a better understanding of ROI from health IT is achieved...

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..As such, the objective of this study is to examine the use of electronic health record (EHR) systems and other IT applications among pediatricians and other child health providers (CHPs) in Florida...

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..Overall, response bias was not detected using established methodologies in this mailed survey of physician EHR use. Similar surveys of physicians, even with a lower than expected response rate, may still be valid...

..This study was conducted to monitor trends in the reduction and elimination of services offered by family physicians. In addition, we examined whether the malpractice situation may be influencing these trends...

..To examine the current use of electronic health records (EHRs) and their key subfunctions among obstetrician-gynecologists and compare this trend with other doctors...

..While much of this variability can be explained by rural practice characteristics, these findings illustrate the need for further efforts to identify and alleviate barriers and encourage health IT adoption in rural areas...

..Adoption of IT is associated with desirable performance on many important measures of hospital patient safety. Hospital leaders and other decision makers who are examining IT systems should consider the impact of IT on patient safety...

..Hospitals have been slow to adopt information technology (IT) largely because of a lack of generalizable evidence of the value associated with such adoption...

..Financial barriers may cause rural hospitals to lag in adoption of information technology, however, formal studies that examine rural hospital adoption of information technology are lacking...

..Other factors and implications are discussed as well...

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..To assess the amount of local rural hospital outpatient department (HOPD) bypass for outpatient procedures...

..Further, regression analyses suggest that CIO tenure is associated with greater health care information technology adoption, whereas the reporting structure of the CIO is not. Management implications of the findings are discussed...

..Results suggest that, on average, hospitals have not yet embraced HIT to support the IOM's care aims and that associated organizational factors vary according to care aim...

..Rural elderly patients are faced with numerous challenges in accessing care. Additional strains to access may be occurring given recent market pressures, which would have significant impact on this vulnerable population...

..Almost half of the US states face serious problems with professional liability insurance (PLI). Despite this, little is known about how this crisis is affecting access to care, particularly in rural areas...

..These findings are valuable for those interested in the current status of hospital PSIT and set the stage for further studies relating these applications to clinical outcomes in urban and rural hospitals...

..Further examinations of associations of outpatient physician and facility volumes and patient outcomes are suggested...

..Quality outcomes in ASCs accredited by either the Accreditation Association for Ambulatory Health Care (AAAHC) or The Joint Commission were compared with those of nonaccredited ASCs in Florida...

..Our results suggest that most emergency personnel are receiving terrorism-specific training, but gaps in competencies exist and require the attention of educators and policymakers...

..Overall, large practice size, specialty practice, physician age and gender, and multi-specialty practice affiliation were significantly related to the use of many, but not all, of these IT applications in the ambulatory setting...

..Reporting to the chief financial officer brings positive outcomes; reporting to the chief executive officer has a mixed financial result; and reporting to the chief operating officer was not associated with discernible financial impact...

..Access to care remains a key part of improving health care outcomes in the United States. Recent reports have suggested that the number of physicians able to meet the demands for access to care may be decreasing...

..A discussion of the implications is included...

..Policy and practice recommendations are included to more fully develop CHCs as a resource...

..Yet, despite evidence of increased interest by patients, e-mail use by physicians for clinical care has been slow...

..In this study we assessed the structure and function of local and district health agencies throughout the United States. We compared these findings with those from a previous national assessment done a decade earlier...

..The trends identified are important because they may directly influence the quality of care that this population receives...

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..We also recommend using risk-adjustment with all available diagnoses...

..Although the public health system has both traditional and newly defined roles to play, resources, as measured by per capita spending and workforce availability, have not kept pace...

..However, having a physician in a senior level IT position did seem to correlate. Lastly, the data indicate that a hospital's profit status is not generally related to IS outsourcing...

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..Results indicated that 13.9% of the variation in the perceived cost of medical errors and 17.1% of the variation in the perceived need for additional physician education was explained by the factor structure...

..We assessed the structure and functions of state health departments throughout the United States and compared our findings with those from a previous national assessment conducted in 1990...

..The construct is tested using a sample of 1,545 acute care hospitals located in the United States. IT munificence fits the study data well, supporting the hypothesis that IT munificence represents a strategy of hospital IT capability...

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..Current studies have examined organizational and personal barriers to adoption; however, the influence of market characteristics has not been studied...

..For instance, hospital size appears to be less relevant for administrative HIT, where its effect is compensated by those of system membership and tax status. Implications for future HIT research and practice are discussed...

..The authors developed and evaluated a rating scale, the Attitudes toward Handheld Decision Support Software Scale (H-DSS), to assess physician attitudes about handheld decision support systems...

..We then determined the likelihood of achieving universal EHR adoption in the near future and articulate how barriers can be overcome in the small and solo practice medical environment...