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Organizational factors associated with the use of information systems in nursing homes

Davis, Jullet A.; Brannon, Diane; Whitman, Marilyn V.

Health Care Management Review:
doi: 10.1097/HMR.0b013e31819e912f
Features
Abstract

Purpose: The use of information systems (ISs) in nursing homes is gradually increasing, yet little is known about the factors that promote the use of these systems. Using resource dependency theory as the conceptual framework, this study examines how chain membership, ownership status, and innovativeness are associated with ISs use in nursing homes.

Design and Methods: We analyzed the results of the 2004 National Nursing Home Survey. The sampling process consisted of a stratified probability design. A total of 1,174 nursing homes participated in the survey.

Results: The results of the regression analysis revealed that facilities that were members of a chain were significantly more likely to use all types of ISs and ISs for administrative tasks than were nonchain facilities. In addition, nonprofit nursing homes were significantly more likely to use administrative systems.

Implications: The demand for nursing home services is expected to increase substantially with the aging baby boomers. The use of ISs may assist nursing homes to improve service delivery by collecting and analyzing service, finance, and administrative data that are necessary to achieve operational efficiencies. Membership in a multifacility chain may both increase the need for network-wide communication and provide resources promoting use.

Author Information

Jullet A. Davis, PhD, is Associate Professor, Management and Marketing Department, The University of Alabama, Tuscaloosa. E-mail: jdavis@cba.ua.edu.

Diane Brannon, PhD, is Professor, The Pennsylvania State University, Department of Health Policy and Administration, University Park. E-mail: f8z@psu.edu.

Marilyn V. Whitman, PhD, is Lecturer, Management and Marketing Department, The University of Alabama, Tuscaloosa. E-mail: mwhitman@cba.ua.edu.

© 2009 Lippincott Williams & Wilkins, Inc.