Evidence map›Paper›PMID 38155728›Full record

ArticleHome health care management & practice2023

Health Information Technology Adoption at U.S. Home Health Care Agencies: Results from a Multi-Methods Study.

Monika Pogorzelska-Maziarz, Ashley M Chastain, Uduwanage Gayani E Perera, Catherine C Cohen, Patricia W Stone, Kyungmi Woo, Jingjing Shang

Open access · greenAbstract read
In one paragraph

Article in Home health care management & practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Monika Pogorzelska-MaziarzThomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0002-3449-9722
Ashley M ChastainColumbia University School of Nursing, New York, NY, USA.
Uduwanage Gayani E PereraColumbia University School of Nursing, New York, NY, USA.
Catherine C CohenThe RAND Corporation, Santa Monica, CA, USA.
Patricia W StoneColumbia University School of Nursing, New York, NY, USA.
Kyungmi WooColumbia University School of Nursing, New York, NY, USA.ORCID 0000-0002-8710-2696
Jingjing ShangColumbia University School of Nursing, New York, NY, USA.
Columbia University · USRAND Corporation · USSeoul National University · KRThomas Jefferson University · US

Funding

Infection Prevention in Home Health Care (InHOME)R01NR016865 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2017 to 2025
$6.4M
NINR NIH HHS R01 NR016865
6 · The paper itself

Abstract

Health information technology (HIT) holds potential to transform Home Health Care (HHC), yet, little is known about its adoption in this setting. In the context of infection prevention and control, we aimed to: (1) describe challenges associated with the adoption of HIT, for example, electronic health records (EHR) and telehealth and (2) examine HHC agency characteristics associated with HIT adoption. We conducted in-depth interviews with 41 staff from 13 U.S. HHC agencies (May-October 2018), then surveyed a stratified random sample of 1506 agencies (November 2018-December 2019), of which 35.6% participated (N = 536 HHC agencies). We applied analytic weights, generating nationally-representative estimates, and computed descriptive statistics, bivariate and multivariable analyses. Four themes were identified: (1) Reflections on providing HHC without EHR; (2) Benefits of EHR; (3) Benefits of other HIT; (4) Challenges with HIT and EHR. Overall, 10% of the agencies did not have an EHR; an additional 2% were in the process of acquiring one. Sixteen percent offered telehealth, and another 4% were in the process of acquiring telehealth services. In multivariable analysis, EHR use varied significantly by geographic location and ownership, and telehealth use varied by geographic location, ownership, and size. Although HIT use has increased, our results indicate that many HHC agencies still lack the HIT needed to implement technological solutions to improve workflow and quality of care. Future research should examine the impact of HIT on patient outcomes and the impact of the COVID-19 pandemic on HIT use in HHC.

Indexed as

electronic medical recordshealth information technologyHome Health Carequality of caretechnology adoptiontelehealth

Identifiers

PMID38155728
PMCPMC10752454
OpenAlexW4312203537

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.