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Using Electronic Health Records Data to Evaluate the Impact of Information Technology on Improving Health Equity: Evidence from China

Ye, Qing ; Deng, Zhaohua ; Chen, Yanyan ; Liao, Jiazhi ; Li, Gang

Journal of medical systems, 2019-06, Vol.43 (6), p.176-9, Article 176 [Periódico revisado por pares]

New York: Springer US

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Título:
Using Electronic Health Records Data to Evaluate the Impact of Information Technology on Improving Health Equity: Evidence from China
Autor: Ye, Qing ; Deng, Zhaohua ; Chen, Yanyan ; Liao, Jiazhi ; Li, Gang
Assuntos: Adult ; Electronic Health Records ; Electronic medical records ; Female ; Health care ; Health Equity ; Health Informatics ; Health promotion ; Health Sciences ; Health Services Accessibility ; Households ; Humans ; Illnesses ; Impact analysis ; Information Technology ; Interviews as Topic ; Male ; Medical personnel ; Medicine ; Medicine & Public Health ; Middle Aged ; Mobile & Wireless Health ; Patients ; Qualitative Research ; Regression analysis ; Resource Allocation ; Rural areas ; Statistical analysis ; Statistics for Life Sciences
É parte de: Journal of medical systems, 2019-06, Vol.43 (6), p.176-9, Article 176
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: This study evaluates the impact of health information technology in accessing medical resources and identifies its role in improving health equity. We used 262, 771 records from the electronic medical records and outpatient appointment systems of three clinics for logistic regression to analyze the impact of information technology on patients’ access to medical care. We interviewed a few health professionals to gauge their reactions and to validate and understand our quantitative results. The proportion of inpatients affected by information technology is low, accounting for only 16.7% ( N = 43, 870). The difference between rural and urban groups is statistically significant, and rural households are more susceptible to information technology. In addition, distance has a significant positive effect. We demonstrate an inverted U-shaped relationship between severity of disease and the impact of information technology. Moreover, our interview results are consistent with our quantitative results. Quantitative and interview results suggest that health information technology plays a positive role in accessing medical care for patients with rural household and those in remote areas. Meanwhile, this effect is complex for patients with different severities of illnesses. Governments and managers should vigorously promote health information technology for healthcare delivery in the future and focus their attention on patients with serious diseases.
Editor: New York: Springer US
Idioma: Inglês

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Using Electronic Health Records Data to Evaluate the Impact of Information Technology on Improving Health Equity: Evidence from China

Ye, Qing ; Deng, Zhaohua ; Chen, Yanyan ; Liao, Jiazhi ; Li, Gang

New York: Springer US

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