The State of Nursing Home Information Technology Sophistication in Rural and Nonrural US Markets

J Rural Health. 2017 Jun;33(3):266-274. doi: 10.1111/jrh.12188. Epub 2016 Jun 22.

Abstract

Objective: To test for significant differences in information technology sophistication (ITS) in US nursing homes (NH) based on location.

Methods: We administered a primary survey January 2014 to July 2015 to NH in each US state. The survey was cross-sectional and examined 3 dimensions (IT capabilities, extent of IT use, degree of IT integration) among 3 domains (resident care, clinical support, administrative activities) of ITS. ITS was broken down by NH location. Mean responses were compared across 4 NH categories (Metropolitan, Micropolitan, Small Town, and Rural) for all 9 ITS dimensions and domains. Least square means and Tukey's method were used for multiple comparisons.

Principal findings: Methods yielded 815/1,799 surveys (45% response rate). In every health care domain (resident care, clinical support, and administrative activities) statistical differences in facility ITS occurred in larger (metropolitan or micropolitan) and smaller (small town or rural) populated areas.

Conclusions: This study represents the most current national assessment of NH IT since 2004. Historically, NH IT has been used solely for administrative activities and much less for resident care and clinical support. However, results are encouraging as ITS in other domains appears to be greater than previously imagined.

Keywords: health services research; long-term care; rural; technology.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cross-Sectional Studies
  • Humans
  • Information Technology / standards*
  • Information Technology / statistics & numerical data
  • Information Technology / trends*
  • Nursing Homes / trends*
  • Rural Population / statistics & numerical data
  • Rural Population / trends
  • Surveys and Questionnaires
  • United States
  • Urban Population / statistics & numerical data
  • Urban Population / trends