Evidence Of An Emerging Digital Divide Among Hospitals That Care For The Poor

被引:77
作者
Jha, Ashish K. [1 ]
DesRoches, Catherine M. [2 ]
Shields, Alexandra E.
Miralles, Paola D.
Zheng, Jie [1 ]
Rosenbaum, Sara [3 ]
Campbell, Eric G. [2 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
[2] Massachusetts Gen Hosp, Inst Hlth Policy, Boston, MA 02114 USA
[3] George Washington Univ, Sch Publ Hlth & Hlth Serv, Washington, DC USA
关键词
ELECTRONIC HEALTH RECORDS; INFORMATION-TECHNOLOGY; AMBULATORY-CARE; NATIONAL-SURVEY; UNITED-STATES; COSTS; BENEFITS; QUALITY; PHYSICIANS; EFFICIENCY;
D O I
10.1377/hlthaff.28.6.w1160
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Some hospitals that disproportionately care for poor patients are falling behind in adopting electronic health records (EHRs). Data from a national survey indicate early evidence of an emerging digital divide: U. S. hospitals that provide care to large numbers of poor patients also had minimal use of EHRs. These same hospitals lagged others in quality performance as well, but those with EHR systems seemed to have eliminated the quality gap. These findings suggest that adopting EHRs should be a major policy goal of health reform measures targeting hospitals that serve large populations of poor patients. [Health Aff (Millwood). 2009; 28(6): w1160-70 (published online 26 October 2009; 10.1377/hlthaff.28.6.w1160)]
引用
收藏
页码:W1160 / W1170
页数:11
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