Show simple item record

dc.contributor.authorBuckman, Joseph R.
dc.contributor.authorWoutersen, Tiemen
dc.contributor.authorHashim, Matthew J.
dc.date.accessioned2022-04-05T20:41:47Z
dc.date.available2022-04-05T20:41:47Z
dc.date.issued2022-02
dc.identifier.citationBuckman, J. R., Woutersen, T., & Hashim, M. J. (2022). Avoidable mortality: The mediating role of communication in health IT. Decision Support Systems.en_US
dc.identifier.issn0167-9236
dc.identifier.doi10.1016/j.dss.2022.113764
dc.identifier.urihttp://hdl.handle.net/10150/663886
dc.description.abstractThe adoption of health IT transforms communication between care providers and patients. Unfortunately, research on the transformation of communication has produced conflicting results, creating tension regarding its efficacy among healthcare professionals. In this paper, we propose that nurse and physician communication performance mediate the relationship between health IT implementation and patient outcomes. We test the mediating role of communication with a hospital-level data set spanning 2011 through 2015. The specific health information technologies we investigate include EMR documentation, computerized physician order entry (CPOE) systems, clinical decision support (CDS) systems, and health information exchanges (HIE). Our results provide that EMR documentation, CPOE, and HIE directly improve communication between care providers and patients as well as patient outcomes. Further, nurse-patient and physician-patient communication mediates the relationship between health IT implementation and patient outcomes. The mediating effect extends the positive benefits to patient outcomes following technology implementation. We also find that poor communication with patients directly increases mortality, decreases satisfaction, and decreases loyalty. Surprisingly, CDS has a negative relationship on communication and patient outcomes. Our findings contribute to the information systems and healthcare literatures by demonstrating the need to account for the multidimensional nature of healthcare and by providing context for the positive and negative effects previously discovered. Furthermore, the results offer practical and theoretical implications for leveraging specific health IT adoption and for realigning federal incentive structures for hospitals.en_US
dc.language.isoenen_US
dc.publisherElsevier BVen_US
dc.rights© 2022 Elsevier B.V. All rights reserved.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en_US
dc.subjectCommunication performanceen_US
dc.subjectHealth ITen_US
dc.subjectMediationen_US
dc.subjectPatient outcomesen_US
dc.titleAvoidable mortality: The mediating role of communication in health ITen_US
dc.typeArticleen_US
dc.contributor.departmentEller College of Management, University of Arizonaen_US
dc.identifier.journalDecision Support Systemsen_US
dc.description.note24 month embargo; available online: 28 February 2022en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.identifier.piiS0167923622000355
dc.source.journaltitleDecision Support Systems
dc.source.beginpage113764


Files in this item

Thumbnail
Name:
Communication Paper 02-19-22.pdf
Size:
472.1Kb
Format:
PDF
Description:
Final Accepted Manuscript

This item appears in the following Collection(s)

Show simple item record