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.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [71671073]; Natural Science Foundation of Hubei ProvinceNatural Science Foundation of Hubei Province [2018CFB739]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2018]版:
大类|3 区医学
小类|3 区卫生保健与服务3 区医学:信息
最新[2025]版:
大类|3 区医学
小类|3 区卫生保健与服务4 区医学:信息
JCR分区:
出版当年[2017]版:
Q2HEALTH CARE SCIENCES & SERVICESQ3MEDICAL INFORMATICS
最新[2024]版:
Q1HEALTH CARE SCIENCES & SERVICESQ1MEDICAL INFORMATICS
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, Wuhan, Hubei, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Ye Qing,Deng Zhaohua,Chen Yanyan,et al.Using Electronic Health Records Data to Evaluate the Impact of Information Technology on Improving Health Equity: Evidence from China[J].JOURNAL OF MEDICAL SYSTEMS.2019,43(6):doi:10.1007/s10916-019-1322-5.
APA:
Ye, Qing,Deng, Zhaohua,Chen, Yanyan,Liao, Jiazhi&Li, Gang.(2019).Using Electronic Health Records Data to Evaluate the Impact of Information Technology on Improving Health Equity: Evidence from China.JOURNAL OF MEDICAL SYSTEMS,43,(6)
MLA:
Ye, Qing,et al."Using Electronic Health Records Data to Evaluate the Impact of Information Technology on Improving Health Equity: Evidence from China".JOURNAL OF MEDICAL SYSTEMS 43..6(2019)