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) | ||