Utilization of Technology by Long-Term Care Providers

Abstract

The reasons for which nonprofit long-term care organizations report higher levels of some types of technology utilization are explored, and future research is recommended.

Health Information Exchange Use (1990-2015): A Systematic Review

“…Several methods were used by investigators to answer questions about HIE use, including surveys (25 studies) [ 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 ], analyses of HIE audit-logs (13 studies) [ 43 44 45 46 47 48 49 50 51 52 53 54 55 ], retrospective database analyses (9 studies) [ 56 57 58 59 60 61 62 63 64 ], and mixed methods (7 studies) [ 65 66 67 68 69 70 71 ]. Two studies used focus group methods [ 72 73 ], one study used time-motion methods [ 74 ], and another used geo-coding [ 75 ].…”

“…Two studies used focus group methods [ 72 73 ], one study used time-motion methods [ 74 ], and another used geo-coding [ 75 ]. Seventeen studies evaluated HIE use nationally [ 18 19 20 24 25 26 27 28 31 36 39 56 57 58 59 60 62 ], while over one-half of the studies (30 of 58) analyzed HIE implementations over a regional or statewide area [ 21 22 23 29 33 34 35 37 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 60 68 69 71 72 73 75 ]. Separately, two studies evaluated HIE use across integrated delivery systems, both involving the VA [ 30 65 ].…”

“…Four of these used data from the American Hospital Association (AHA) [ 18 56 57 59 ]. Four studies involved exchange of data with nursing homes or residential care facilities: two using data from the National Nursing Home Survey and the National Survey of Residential Care Facilities [ 31 62 ], the other two using data from New York State [ 22 62 ]. Three studies evaluated HIE use in the Emergency Department (ED); all exchanged data regionally [ 43 46 48 ].…”

“…Although the majority of studies used data collected in 2009 or earlier, 27 studies included data collected in 2010 or more recently [ 18 19 20 22 23 28 29 31 32 33 37 39 40 41 44 45 49 55 57 58 59 60 61 62 69 73 75 ]. Included studies used a variety of types of HIE, and did not describe these in detail.…”

“…Thirty studies were rated as being at low risk of bias [ 18 21 22 24 25 26 27 28 31 32 33 35 37 39 43 48 50 51 52 53 54 55 56 57 58 59 60 62 66 75 ], eight at moderate risk of bias [ 23 29 34 40 41 42 61 70 ], and six at high risk of bias [ 36 38 63 67 69 74 ]. The remaining studies were not rated due to the type of study design (data from audit-logs or qualitative studies).…”