Suggesting a diffusion model of telemedicine-focus on Hong Kong's case

Higa, Kunihiko; Shin, Bongsik; Au, Grace

doi:10.1109/hicss.1997.663376

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Other research has built conceptual models to lay out the relationships among factors affecting IT diffusion in health care organizations [31]. Yet others have adapted diffusion of innovation (DOI) framework to the study of information systems innovations in healthcare organizations [65] and build a causal model to describe the development path of telemedicine internationally [66]. There have been attempts to extend the model of hospital innovation in order to incorporate new forms of innovation and new actors in the innovation process, in accordance with the Schumpeterian tradition of openness [67].…”

Section: Tools Methods and Theoriesmentioning

confidence: 99%

Examining Health Information Technology Implementations: Case of the Patient-Centered Medical Home

Behkami¹

2000

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It has been shown that the use of Health Information Technology (HIT) is associated with reduced cost and increased quality of care. This dissertation examined the use of registries in Patient Centered Medical Home (PCMH) practices. A survey questionnaire was sent to a nationwide group of clinics certified for being a PCMH. They were asked to provide information about their payer mix, implementation barriers, registry implementation, registry use, and clinic satisfaction. The survey instrument was validated by an expert panel which included practitioners and researchers. Statistical methods including Structural Equation Modeling were used for analysis and to test the research hypotheses. The majority of medical home practices that responded used some type of computerized registry, either with basic patient information or integrated with detailed clinical information. And on average, they somewhat used registries for population management, individual health management, proactive care and planned care visits. All practices encountered some combination of barriers when implementing a medical home program. Most practices reported clinic satisfaction at least improved after becoming a medical home. The results of the analysis show that indeed payer mix, in particular Medicare and private insurance, has a significant relationship with level of registry implementation. There were no significant relationships between barriers vi Table of Contents

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