Market effects on electronic health record adoption by physicians

Abdolrasulnia, Maziar; Menachemi, Nir; Shewchuk, Richard M.; Ginter, Peter M.; Duncan, W. Jack; Brooks, Robert G.

doi:10.1097/01.hmr.0000324904.19272.c2

Cited by 42 publications

(35 citation statements)

References 23 publications

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“…Mice fed a HFD differ in microbial subpopulations especially the Firmicutes/Bacteroidetes ratio which is already handled as a marker in obesity epidemic. Although other researches also show converse or not diverging results [45–49]. However, additionally we can support results of gut microbial metabolites/cell wall components influencing the host via epigenetic mechanisms too.…”

Section: Discussionsupporting

confidence: 74%

EGCG Prevents High Fat Diet-Induced Changes in Gut Microbiota, Decreases of DNA Strand Breaks, and Changes in Expression and DNA Methylation ofDnmt1andMLH1in C57BL/6J Male Mice

Remely

Ferk

Sterneder

et al. 2017

Oxidative Medicine and Cellular Longevity

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Obesity as a multifactorial disorder involves low-grade inflammation, increased reactive oxygen species incidence, gut microbiota aberrations, and epigenetic consequences. Thus, prevention and therapies with epigenetic active antioxidants, (−)-Epigallocatechin-3-gallate (EGCG), are of increasing interest. DNA damage, DNA methylation and gene expression of DNA methyltransferase 1, interleukin 6, and MutL homologue 1 were analyzed in C57BL/6J male mice fed a high-fat diet (HFD) or a control diet (CD) with and without EGCG supplementation. Gut microbiota was analyzed with quantitative real-time polymerase chain reaction. An induction of DNA damage was observed, as a consequence of HFD-feeding, whereas EGCG supplementation decreased DNA damage. HFD-feeding induced a higher inflammatory status. Supplementation reversed these effects, resulting in tissue specific gene expression and methylation patterns of DNA methyltransferase 1 and MutL homologue 1. HFD feeding caused a significant lower bacterial abundance. The Firmicutes/Bacteroidetes ratio is significantly lower in HFD + EGCG but higher in CD + EGCG compared to control groups. The results demonstrate the impact of EGCG on the one hand on gut microbiota which together with dietary components affects host health. On the other hand effects may derive from antioxidative activities as well as epigenetic modifications observed on CpG methylation but also likely to include other epigenetic elements.

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Section: Discussionsupporting

confidence: 74%

EGCG Prevents High Fat Diet-Induced Changes in Gut Microbiota, Decreases of DNA Strand Breaks, and Changes in Expression and DNA Methylation ofDnmt1andMLH1in C57BL/6J Male Mice

Remely

Ferk

Sterneder

et al. 2017

Oxidative Medicine and Cellular Longevity

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“…Also, although approximately one third of the providers in this study practiced for more than 20 years, there was no significant association between total years of practice and readiness to use eHealth. Studies have shown that providers with greater than 20 years of practice were less likely to accept technologies [49, 50]. However, a study found that long-term care work experience did not have any significant effect on healthcare providers’ acceptance of ICT applications [21].…”

Section: Discussionmentioning

confidence: 99%

Readiness of healthcare providers for eHealth: the case from primary healthcare centers in Lebanon

Saleh

Khodor

Alameddine

et al. 2016

BMC Health Serv Res

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BackgroundeHealth can positively impact the efficiency and quality of healthcare services. Its potential benefits extend to the patient, healthcare provider, and organization. Primary healthcare (PHC) settings may particularly benefit from eHealth. In these settings, healthcare provider readiness is key to successful eHealth implementation. Accordingly, it is necessary to explore the potential readiness of providers to use eHealth tools. Therefore, the purpose of this study was to assess the readiness of healthcare providers working in PHC centers in Lebanon to use eHealth tools.MethodsA self-administered questionnaire was used to assess participants’ socio-demographics, computer use, literacy, and access, and participants’ readiness for eHealth implementation (appropriateness, management support, change efficacy, personal beneficence). The study included primary healthcare providers (physicians, nurses, other providers) working in 22 PHC centers distributed across Lebanon. Descriptive and bivariate analyses (ANOVA, independent t-test, Kruskal Wallis, Tamhane’s T2) were used to compare participant characteristics to the level of readiness for the implementation of eHealth.ResultsOf the 541 questionnaires, 213 were completed (response rate: 39.4 %). The majority of participants were physicians (46.9 %), and nurses (26.8 %). Most physicians (54.0 %), nurses (61.4 %), and other providers (50.9 %) felt comfortable using computers, and had access to computers at their PHC center (physicians: 77.0 %, nurses: 87.7 %, others: 92.5 %). Frequency of computer use varied. The study found a significant difference for personal beneficence, management support, and change efficacy among different healthcare providers, and relative to participants’ level of comfort using computers. There was a significant difference by level of comfort using computers and appropriateness. A significant difference was also found between those with access to computers in relation to personal beneficence and change efficacy; and between frequency of computer use and change efficacy.ConclusionThe implementation of eHealth cannot be achieved without the readiness of healthcare providers. This study demonstrates that the majority of healthcare providers at PHC centers across Lebanon are ready for eHealth implementation. The findings of this study can be considered by decision makers to enhance and scale-up the use of eHealth in PHC centers nationally. Efforts should be directed towards capacity building for healthcare providers.

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“…Due to financial constraints, system maintenance represents a vulnerable spot for the entire effort of eHealth and many practices underperform [130]. To address this challenge, the development of programs such as zero-interest or revolving loans that make capital available to health care provider groups at low interest rates is essential, particularly in small or independent practices [48,106,130]. …”

Section: Discussionmentioning

confidence: 99%

Health Care Provider Adoption of eHealth: Systematic Literature Review

Li¹,

Talaei-Khoei²,

Seale³

et al. 2013

Interact J Med Res

179

145

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BackgroundeHealth is an application of information and communication technologies across the whole range of functions that affect health. The benefits of eHealth (eg, improvement of health care operational efficiency and quality of patient care) have previously been documented in the literature. Health care providers (eg, medical doctors) are the key driving force in pushing eHealth initiatives. Without their acceptance and actual use, those eHealth benefits would be unlikely to be reaped.ObjectiveTo identify and synthesize influential factors to health care providers’ acceptance of various eHealth systems.MethodsThis systematic literature review was conducted in four steps. The first two steps facilitated the location and identification of relevant articles. The third step extracted key information from those articles including the studies’ characteristics and results. In the last step, identified factors were analyzed and grouped in accordance with the Unified Theory of Acceptance and Use of Technology (UTAUT).ResultsThis study included 93 papers that have studied health care providers’ acceptance of eHealth. From these papers, 40 factors were identified and grouped into 7 clusters: (1) health care provider characteristics, (2) medical practice characteristics, (3) voluntariness of use, (4) performance expectancy, (5) effort expectancy, (6) social influence, and (7) facilitating or inhibiting conditions.ConclusionsThe grouping results demonstrated that the UTAUT model is useful for organizing the literature but has its limitations. Due to the complex contextual dynamics of health care settings, our work suggested that there would be potential to extend theories on information technology adoption, which is of great benefit to readers interested in learning more on the topic. Practically, these findings may help health care decision makers proactively introduce interventions to encourage acceptance of eHealth and may also assist health policy makers refine relevant policies to promote the eHealth innovation.

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Market effects on electronic health record adoption by physicians

Cited by 42 publications

References 23 publications

EGCG Prevents High Fat Diet-Induced Changes in Gut Microbiota, Decreases of DNA Strand Breaks, and Changes in Expression and DNA Methylation ofDnmt1andMLH1in C57BL/6J Male Mice

EGCG Prevents High Fat Diet-Induced Changes in Gut Microbiota, Decreases of DNA Strand Breaks, and Changes in Expression and DNA Methylation ofDnmt1andMLH1in C57BL/6J Male Mice

Readiness of healthcare providers for eHealth: the case from primary healthcare centers in Lebanon

Health Care Provider Adoption of eHealth: Systematic Literature Review

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