Innovative Power of Health Care Organisations Affects IT Adoption: A bi-National Health IT Benchmark Comparing Austria and Germany

作者: Jens Hüsers , Ursula Hübner , Moritz Esdar , Elske Ammenwerth , Werner O. Hackl

DOI: 10.1007/S10916-016-0671-6

关键词: BenchmarkingeHealthPower (social and political)NursingMultinational corporationHealth administrationHealth careAccountingMedicineHealth informaticsDocumentation

摘要: Multinational health IT benchmarks foster cross-country learning and have been employed at various levels, e.g. OECD Nordic countries. A bi-national benchmark study conducted in 2007 revealed a significantly higher adoption of Austria compared to Germany, two countries with comparable healthcare systems. We now investigated whether these differences still persisted. further studied were associated hospital intrinsic factors, i.e. the innovative power organisation demographics. thus performed survey measure "perceived availability" "innovative hospital" 464 German 70 Austrian hospitals. The was based on questionnaire 52 items given directors nursing 2013/2014. Our findings confirmed greater availability than Germany. This visible aggregated composite score "IT function" as well for individual functions "nursing documentation" (OR?=?5.98), "intensive care unit (ICU) (OR?=?2.49), "medication administration (OR?=?2.48), "electronic archive" (OR?=?2.27) "medication" (OR?=?2.16). "Innovative power" strongest factor explain variance function". It effective hospitals both but more "Hospital size" "hospital system affiliation" also function", they did not differ between These can be partly national characteristics. Indicators point favourable financial situation hospitals; we argue that may possess larger degree freedom act accordingly. is first empirically demonstrate effect benchmark. recommend directly including into future regression models. On political level, measures stimulate should considered increase digitalisation healthcare.

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