Study

Journal

Setting (area)

Level

HIT name*

HIT scope (domain)**

Usage/

adoption***

Type of research

Sample size

Performance measure(s) + Outcome ****

HIT data

source

[42]

Health Services Research

US

Hospital

EHR

Clinical, decision support and patient engagement

CMS MU stage 1

Quantitative

Between 9.328 - 11.363 hospital year observations

Efficiency (expenditures to patient days n) Process quality (process adherence ↑) Patient satisfaction (↑)

AHA

[52]

Journal of Soft Computing and Decision Support Systems

n/a

Divers levels

HIS

Clinical, decision support and administrative

TOE framework, Institutional theory and HOT-fit Model

Qualitative

Unknown

n/a (only usage/adoption)

N/a (literature review)

[1]

Journal of Management Information Systems

US

Medical Department

Clinical IT & Administrative IT

Clinical, decision support and administrative

=

Quantitative

2.179 profit and not for profit hospitals

Process quality (6 measures) versus Quality of Care (Mortality ↓) and Patient satisfaction (loyalty and patient rating ↑)

HIMSS (Analytics Database)

[53]

JAMIA

US

Hospital

EHR

Clinical, decision support, patient engagement and administrative.

=

Quantitative

3.643 unique U.S. nonfederal acute care hospitals

n/a (only usage/adoption)

AHA

[51]

Health Services Research

US

Hospital

EHR

Clinical and decision support

-

Quantitative

3.921 hospitals

Process quality (↑ and ↓)

HIMSS (Analytics Database)

[2]

Decision Support Systems

US

Disease specific

HIT

Clinical, decision support and administrative

=

Quantitative

2664 to 2727 hospitals per medical condition

Efficiency (operating expenses ↓) Process Quality (↑)

HIMSS (Analytics Database)

[54]

Health Services Research

North America and Europe

Hospital

EHR

Clinical

-

Qualitative

21 publications where analyzed

n/a (only usage/adoption)

N/a (literature review)

[32]

Decision Support Systems

US

Hospital

HIT

Clinical and decision support

-

Quantitative

7.871 to 11.286 observations on patient outcomes, 1.862 to 3.479 hospitals

Quality of Care (heart attack mortality ↓ and ↑) Patient satisfaction (satisfaction & loyalty ↑ and ↓)

HIMSS (Analytics Database) and AHA

[43]

International Journal of Information Management

Portugal

Hospital

Clinical Information System

Clinical and administrative

=

Qualitative + Quantitative

1 hospital,

Efficiency (↓) Patient satisfaction (↑) Medical Professional Satisfaction (↑) Quality of care (medical errors ↓)

Other (self-collected data)

[47]

Government Information Quaterley

Taiwan

(China)

Hospital

EMR

Clinical

-

Quantitative

217 physicians/nurses and 25 hospitals

Medical Professional Satisfaction (↑and ↓)

Other (self-collected data)

[14]

Information and management

33 Countries

Divers levels

HIT

Patient engagement

TAM, UTAUT

Quantitative

214 independent samples reported in 193 articles, 83.619 technology users

n/a (only usage/adoption)

Other (meta-analysis)

[33]

JAMIA

England

Hospital

CPOE and CDS

Clinical and decision support

Self-made framework

Qualitative

2 hospitals

Other (workload ↑, reuse of data ↑) Quality of care (safety ↑ and ↓)

Other (self-collected data)

[34]

Health Policy & Technology

US

Disease specific

HIT and HIE

Clinical and decision support

=

Quantitative

3200 hospitals

Quality of Care (30 day readmissions ↓) Efficiency (average length of stay n)

HIMSS (analytic data) and AHA

[41]

IEEE transactions on engineering management

Washington state (US)

Hospital

PMIT, TSIT, CIT,

AIT

Clinical and Administrative

-

Quantitative

47 hospitals

Efficiency (operating expenses (↑ and ↓) and medical and administrative labor productivity (↑)

Other (secondary data)

[29]

Health Services Research

California (US)

Hospital

EMR

Clinical and decision support

-

Quantitative

326 shot-term general acute care hospitals

Efficiency (costs per patient day ↑, length of stay n, nurse cost per hour ↑, nurse staffing levels ↑) Quality of Care (complications ↑ and mortality ↓)

HIMSS (Analytics Database)

[49]

Journal of Operations management

US

Hospital

HIT

Clinical and Administrative

=

Quantitative

258 hospitals

Quality of Care (comply with standardized evidence-based clinical care processes ↑ and ↓) Patient satisfaction (↑ and ↓)

HIMSS (Analytics Database)

[19]

Health Services Research

33 OECD/ UE countries

Divers levels

Health Technologies

n/a

Self-made framework

Qualitative

33 articles

n/a (only usage/adoption)

N/a (literature review)

[25]

International Journal of Information Management

Bangladesh

Hospital

EHR

n/a

UTAUT

Quantitative

249 participants, from private and public hospitals

n/a (only usage/adoption)

Other (self-collected data)

[39]

Decision Support Systems

US

Hospital

EHR

Clinical, decision support and patient engagement

=

Quantitative

4165 hospitals

Efficiency (total factor productivity ↑ and ↓)

AHA

[3]

MIS Quaterley

US

Hospital

HIT

Clinical, decision support, administrative and patient engagement

Literature review: Bourdieu’s Forms of Capital

Data analysis: =

Qualitative + Quantitative

953 hospitals

n/a (only usage/adoption)

HIMSS (Analytics database) and AHA

[38]

Health Services Research

California (US)

Medical Department

EHR

n/a

-

Quantitative

9,970 unique ambulance patient visits

Efficiency (reduction in CT scans ↓, throughput time n, other imaging studies n, cost savings per patient ↓)

Other (self-collected data)

[20]

Health Services Research

Turkey

Hospital

EHR

Clinical and decision support

=

Quantitative

State hospitals. 600 survey's

n/a (only usage/adoption)

HIMSS (EMRAM)

[28]

Health Services Research

US

Divers levels

EHR

Clinical and decision support

=

Quantitative

14,9 million beneficiaries,

Quality of Care (admissions ↓ and readmissions n)

AHA

[40]

Health Policy & Technology

California (US)

Hospital

HIT

n/a

-

Quantitative

180 hospitals

Other (CMI value ↑)

Other (secondary data)

[55]

Health Services Research

Italy

Hospital

Information System

Clinical

TAM/ Information System Success Model

Quantitative

1 public and 1 private hospital. 172 respondent.

n/a (only usage/adoption)

Other (self-collected data)

[50]

Health Services Research

US

Medical Department

HIT

n/a

Self-made framework

Qualitative

3 academic hospitals

Other (less communication ↓)

Other (self-collected data)

[16]

Information and management

China

Hospital

HIS

Clinical and patient engagement

Four dimension theory of service fairness

Quantitative

1 hospital, 229 filled-in and valid questionnaires

Patient Satisfaction (↑)

Other (self-collected data)

[7]

Information Systems research

US

Hospital

EHR

Clinical, decision support and patient engagement

HIMSS: adoption, MU1 and MU2

Quantitative

2507 nonfederal acute care hospitals

Process quality (↑)

HIMSS (Analytics Database)

[56]

JAMIA

England

Hospital

EHR

n/a

Semiotic Interoperability Evaluation Framework

Quantitative

12 NHS hospitals

n/a (only usage/adoption)

Other (secondary data)

[21]

Information Systems Research

Washington State (US)

Hospital

HIT

n/a

-

Quantitative

66 hospitals

Quality of care (Readmissions and mortality ↓) Other (malpractice insurance premium ↓)

Other (secondary data)

[24]

Health Services Research

Italy

Hospital

HIT

n/a

TAM

Quantitative

1 hospital, 160 questionnaires, filled-in

n/a (only usage/adoption)

Other (self-collected data)

[46]

JAMIA

Eastern Pennsylvania (US)

Medical Department

EHR

Clinical

-

Qualitative + Quantitative

8071 patient survey’s, 325 clinical and non-clinical staff survey’s

Medical professional satisfaction (↑) Patient satisfaction (↓)

Other (self-collected data)

[5]

Information Systems research

US

Hospital

HIT

Clinical and decision support

-

Quantitative

Between 499 and 715 hospitals

Quality of care (IQI 91 ↑ and ↓) Efficiency (healthcare costs for acute and chronic conditions↑ and ↓)

AHA

[57]

JAMIA

US

Hospital

EHR

Clinical and decision support

Self-made framework

Quantitative

100 general acute care children’s hospitals

n/a (only usage/adoption)

Other (self-collected data)

[35]

Production and Operations Management

North Texas (US)

Disease specific

HIT

Clinical, decision support and administrative

=

Quantitative

67 non-federal hospitals

Efficiency (LOS ↓) Quality of care (30 day readmission ↓)

HIMSS (Analytics Database)

[30]

International Journal of Production Economics

Pennsylvania (US)

Hospital

EHR and HIE

Clinical, decision support and patient engagement

=

Quantitative

115 acute care hospitals

Efficiency (cost per inpatient day, cost per inpatient admission ↓, LOS n) Quality of care (mortality ↓, readmission n)

AHA

[44]

Journal of the Association for Information Systems

California (US)

Hospital

Clinical IT and business IT

Clinical and administrative

-

Quantitative

Between 2968 and 3155 observations

Efficiency (net patient revenue ↑, uncompensated care ratio ↓)

HIMSS (Analytics Database)

[45]

Health Services Research

Norwegian

Hospital

EHR

Clinical and decision support

Self-made framework

Quantitative

3 hospitals, 208 questionnaires filled in by physicians

Medical Professional Satisfaction (↑ and ↓, workload ↑)

Other (self-collected data)

[23]

Health Services Research

Turkey

Hospital

HIS

n/a

Computer end-users’ satisfaction model

Quantitative

543 employees

n/a (factors for satisfaction)

Other (self-collected data)

[4]

Health Services Research

US

Medical Department

HIT

Clinical and decision support

=

Quantitative

105.709 visits, 442 Emergency Departments

Efficiency (resource use ↑ and waiting times ↓)

Other (secondary data)

[36]

Information and management

California (US)

Hospital

EHR

Clinical, decision support and administrative

-

Quantitative

137 hospitals

Efficiency (cost per patient, LOS ↓) Quality of Care (readmission rate ↓)

HIMSS and AHA

[6]

Journal of Operations management

US

Hospital

HIT

Clinical, decision support and administrative

=

Quantitative

3615 hospitals

Efficiency (total hospital operating expenses per bed ↑) Process quality (conformance quality and experiential quality ↑)

HIMSS (Analytics)

[17]

Production and Operations Management

England

Hospital

HIT

Clinical, decision support and administrative

=

Quantitative

168 acute care hospitals

Other (lawsuits ↓)

HIMSS (Analytics)

[48]

JAMIA

US?

Hospital

EMR

Clinical and decision support

Self-made framework

Quantitative

151 physicians and 8440 patient satisfaction surveys

Patient Satisfaction (↑)

Other (self-collected data)

[26]

Health Services Research

England

Hospital

EHR

N/a

Sociotechnical changing framework

Qualitative (mixed method)

1 hospital, 48 interviews, 26 hour observations and 65 documents

Medical professional satisfaction (↑ and ↓)

Other (self-collected data)

[31]

Health Services Research

New York (US)

Disease specific

EHR

N/a

-

Quantitative

2 tertiary care teaching hospitals

Quality of care (composite, postoperative removal of urinary catheter and post– cardiac surgery glucose control ↑)

Other (self-collected data)

[58]

Information and management

Turkey

Hospital

HIT

N/a

Self-made framework

Quantitative

public and private hospitals, 93 complete responses

n/a (IT issues)

Other (self-collected data)

[15]

Journal of Operations management

California (US)

Disease specific

EHR

Clinical and decision support

CMS MU

Quantitative

269 hospitals

Efficiency (LOS ↓) Quality of Care (readmission ↓)

HIMSS (not further specified)

[59]

Health Services Research

Tanzania

Hospital

HIS

Clinical and administrative

Self-made framework

Qualitative

Divers per method, and numbers not always available

n/a (only usage/adoption)

Other (self-collected data)

[27]

International Journal of Information Management

Taiwan

(China)

Hospital

E-health

n/a

Self-made framework

Quantitative

104 respondents

Safety, effectiveness, efficiency, timeliness, patient centeredness and equity of care (↑)

Other (self-collected data)

[22]

JAMIA

US

Hospital and Disease specific

EHR

Clinical, decision support and patient engagement

CMS MU stage 1 and 2

Quantitative

1246 hospitals

Process quality (11 process measures ↑) Quality of Care (30-day hospital readmission and mortality n)

AHA

[37]

JAMIA

Wisconsin (US)

Hospital

EHR

Clinical

-

Quantitative

1 hospital

Efficiency (Laboratory tests, Radiology examinations, transcription costs↓) Quality of Care (medication errors, medication near misses ↓)

Other (self-collected data)