Adoption of Health Information Technologies by Area Socioeconomic Deprivation Among US Hospitals

作者：Alice Shijia Yan, Nate C. Apathy, Jie Chen · 发表于：JAMA Health Forum · 年份：2025 · DOI：10.1001/jamahealthforum.2025.3035 · 被引用次数：7 · 研究领域：Telemedicine and Telehealth Implementation、Electronic Health Records Systems、Mobile Health and mHealth Applications

Importance: Access to and quality of care vary substantially by area socioeconomic status. Expanding hospital health information technology (HIT) adoption may help reduce these disparities, given hospitals' central role in serving underserved populations. Objective: To examine variations in US hospital adoption of telehealth and health information exchange (HIE) functionalities by hospital service area (HSA) socioeconomic deprivation. Design, Setting, and Participants: This cross-sectional study links data from the 2018-2023 American Hospital Association Annual Survey and Information Technology Survey with HSA-level area deprivation index. Nonfederal acute care hospitals with complete data on HIT outcomes, comprising 16 646 observations for the telehealth outcomes and 9218 observations for the HIE outcomes across 6 years, were included. Data were analyzed from February 2024 to February 2025. Exposures: HSA-level area deprivation index in quartiles. Main Outcomes and Measures: Hospital adoption of treatment-stage telehealth and postdischarge telehealth services and HIE infrastructure supporting electronic data query and availability. Descriptive, regression, and Blinder-Oaxaca decomposition analyses and visualized time trends in hospital HIT adoption were used in analyses. Results: This study included 16 646 hospital-level observations and 9218 observations for health information exchange functionalities. Hospitals in the most socioeconomically deprived HSAs were significantly...