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Organizational Factors Influencing Health Information Technology Adoption in Long-Term-Care Facilities

Wang, Tiankai PhD; Wang, Yangmei MBA, MST, CPA; Moczygemba, Jackie MBA, RHIA

Health Care Manager:
doi: 10.1097/01.HCM.0000440624.85255.8e
Article
Abstract

Long-term care (LTC) is an important sector of the health care industry. However, the adoption of health information technology (HIT) systems in LTC facilities lags behind that in other sectors of health care. Previous literature has focused on the financial and technical barriers. This study examined the organizational factors associated with HIT adoption in LTC facilities. A survey of 500 LTC facilities in Texas enabled researchers to compile HIT indexes for further statistical analyses. A general linear model was used to study the associations between the clinical/administrative HIT indexes and organizational factors. The empirical outcomes show that the size of an LTC facility has a significant association with HIT adoption. Rural LTC facilities, especially freestanding ones, adopt less HIT than their urban counterparts, whereas freestanding LTC facilities have the lowest HIT adoption overall. There is not enough evidence to support ownership status as a significant factor in HIT adoption. Some implications are proposed, but further research is necessary.

Author Information

Author Affiliations: Health Information Management Department, School of Health Professionals, Texas State University, San Marcos (Dr T. Wang and Ms Moczygemba), and Accounting Department, Dillard College of Business Administration, Midwestern State University, Wichita Falls (Ms Y. Wang), Texas.

The authors report no conflicts of interest.

Correspondence: Tiankai Wang, PhD, Health Information Management Department, School of Health Professionals, Texas State University, San Marcos, TX 78666 (tw26@txstate.edu).

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins