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Erschienen in: Journal of Medical Systems 2/2017

01.02.2017 | Systems-Level Quality Improvement

Innovative Power of Health Care Organisations Affects IT Adoption: A bi-National Health IT Benchmark Comparing Austria and Germany

verfasst von: Jens Hüsers, Ursula Hübner, Moritz Esdar, Elske Ammenwerth, Werner O. Hackl, Laura Naumann, Jan David Liebe

Erschienen in: Journal of Medical Systems | Ausgabe 2/2017

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Abstract

Multinational health IT benchmarks foster cross-country learning and have been employed at various levels, e.g. OECD and Nordic countries. A bi-national benchmark study conducted in 2007 revealed a significantly higher adoption of health IT in Austria compared to Germany, two countries with comparable healthcare systems. We now investigated whether these differences still persisted. We further studied whether these differences were associated with hospital intrinsic factors, i.e. the innovative power of the organisation and hospital demographics. We thus performed a survey to measure the “perceived IT availability” and the “innovative power of the hospital” of 464 German and 70 Austrian hospitals. The survey was based on a questionnaire with 52 items and was given to the directors of nursing in 2013/2014. Our findings confirmed a significantly greater IT availability in Austria than in Germany. This was visible in the aggregated IT adoption composite score “IT function” as well as in the IT adoption for the individual functions “nursing documentation” (OR = 5.98), “intensive care unit (ICU) documentation” (OR = 2.49), “medication administration documentation” (OR = 2.48), “electronic archive” (OR = 2.27) and “medication” (OR = 2.16). “Innovative power” was the strongest factor to explain the variance of the composite score “IT function”. It was effective in hospitals of both countries but significantly more effective in Austria than in Germany. “Hospital size” and “hospital system affiliation” were also significantly associated with the composite score “IT function”, but they did not differ between the countries. These findings can be partly associated with the national characteristics. Indicators point to a more favourable financial situation in Austrian hospitals; we thus argue that Austrian hospitals may possess a larger degree of financial freedom to be innovative and to act accordingly. This study is the first to empirically demonstrate the effect of “innovative power” in hospitals on health IT adoption in a bi-national health IT benchmark. We recommend directly including the financial situation into future regression models. On a political level, measures to stimulate the “innovative power” of hospitals should be considered to increase the digitalisation of healthcare.
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Fußnoten
1
The entire questionnaire comprised 52 questions. Only results related to the research questions are presented in this paper.
 
2
The German population of hospitals was constitued by those hospitals that had to deliver a quality report.
 
3
This descriptor was originally called “function“[26]. For the sake of clarity we changed it to “IT function”.
 
4
These frequency distributions relate to the data without “no response” answers, which had been coded as missing values. These frequencies therefore differ from the ones published in the IT Report Healthcare [23], where the distributions of all responses are shown.
 
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Metadaten
Titel
Innovative Power of Health Care Organisations Affects IT Adoption: A bi-National Health IT Benchmark Comparing Austria and Germany
verfasst von
Jens Hüsers
Ursula Hübner
Moritz Esdar
Elske Ammenwerth
Werner O. Hackl
Laura Naumann
Jan David Liebe
Publikationsdatum
01.02.2017
Verlag
Springer US
Erschienen in
Journal of Medical Systems / Ausgabe 2/2017
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-016-0671-6

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