Impact of Information Technology, Clinical Resource Constraints, and Patient-Centered Practice Characteristics on Quality of Care:

Health Services Research & Managerial Epidemiology

JongDeukBaek¹ 

关键词: health information technology;    patient-centered practice environment;    primary care physicians;   

DOI  :  10.1177/2333392815572340

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objective:Factors in the practice environment, such as health information technology (IT) infrastructure, availability of other clinical resources, and financial incentives, may influence whether practices are able to successfully implement the patient-centered medical home (PCMH) model and realize its benefits. This study investigates the impacts of those PCMH-related elements on primary care physicians’ perception of quality of care.Methods:A multiple logistic regression model was estimated using the 2004 to 2005 CTS Physician Survey, a national sample of salaried primary care physicians (n = 1733).Results:The patient-centered practice environment and availability of clinical resources increased physicians’ perceived quality of care. Although IT use for clinical information access did enhance physicians’ ability to provide high quality of care, a similar positive impact of IT use was not found for e-prescribing or the exchange of clinical patient information. Lack of resources was negatively associated ...

【 授权许可】

CC BY