Abstract
The purpose of this analysis argues that the technology acceptance model and the theory of task technology fit offer justification for the introduction and integration of ehealth web sites (i.e., WebMd.com) into nursing home care facility operations in the United States and abroad. The driving force behind this study concerns the significant care deficiencies in nursing homes, and how ehealth can ameliorate these conditions. Ehealth has never been a focus of study in nursing homes. Examining logistics relating to nursing homes and their residents may reveal which nursing homes would benefit from integrating ehealth as a referential resource.
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Alexander, G. L., Rantz, M., Flesner, M., Diekemper, M., and Siem, C., Clinical information systems in nursing homes: An evaluation of initial implementation strategies. Computers, Informatics, Nursing 25(4):189–197, 2007.
Allen, J. E., Nursing home federal requirements: Guidelines to surveyors and survey protocols: Springer Publishing Company, New York, 2006.
Breen, G. M., and Matusitz, J., An interpersonal examination of telemedicine: Applying relevant communication theories. eHealth International Journal 3(1):18–23, 2007.
Buhler-Wilkerson, K., No place like home: A history of nursing and home care in the United States: The Johns Hopkins University Press, Baltimore, 2003.
Case: Negligent nursing care. Clinical Risk 13(4):160, 2007.
Cashen, M. S., Dykes, P., and Gerber, B., eHealth technology and Internet resources: Barriers for vulnerable populations. J. Cardiovasc. Nurs. 19(3):209–214, 2004.
Conrad, S. K., Making tele-health a viable component of our national health care system. Prof. Psychol. Res. Pract. 29(6):525–526, 1998.
Davis, F. D., Perceived usefulness, perceived ease of use, and user acceptance of information technology. Manage. Inf. Syst. Q. 13(3):319–339, 1989.
Digregorio, C., Everything you need to know about nursing homes: The family’s comprehensive guide to either working with the institution or finding care alternatives: Civetta Press, Portland, 2005.
Gerritsen, D. L., Steverink, N., Ooms, M. E., Vet, H. C., and Ribbe, M. W., Measurement of overall quality of life in nursing homes through self-report: The role of cognitive impairment. Qual. Life Res. 16(6):1029–1037, 2007.
Goodhue, D. L., and Thompson, R. L., Task technology fit and individual performance. Manage. Inf. Syst. Q. 19(2):213–236, 1995.
Grabowski, D. C., The admission of blacks to high-deficiency nursing homes. Med. Care, 42(5):456–464, 2004.
Harrington, C., Residential nursing facilities in the United States. Br. Med. J. 323:507–510, 2001.
Hu, P. J., Chau, P. Y., Sheng, O. R., and Tam, K. Y., Examining the technology acceptance model using physician acceptance of telemedicine technology. J. Manage. Inf. Syst. 16(2):91–112, 1999.
Institute of Medicine., Improving the quality of care in nursing homes: National Academy Press, Washington, D. C., 2001.
Lopez, S., Efficiency and fix revisited: Informal relations and mock routinization in a nonprofit nursing home. Qual. Sociol. 30(3):225–247, 2007.
Martin, S., Yen, D. C., and Tan, J. K. E-health: Impacts of Internet technologies on various healthcare and services sectors. Int. J. Healthc. Technol. Manag. 4(2):71–86, 2002.
Matusitz, J., The implications of the Internet for human communication. J. Info. Technol. Impact. 7(1):21–34, 2007.
Matusitz, J., and Breen, G. M., Telemedicine: Its effects on health communication. Health. Commun. 21(1):73–83, 2007.
Matusitz, J., and Breen, G. M., E-health: A new kind of telemedicine. Journal of Health and Social Policy 2007.
Mitka, M., Telemedicine eyes for mental health services: Approach could widen access for older patients. J. Am. Med. Assoc. 290(14):1842–1843, 2003.
Morris, J., Murphy, K., Mor, V., Berg, K., and Moore, T., Validation of long-term and post-acute care quality indicators. CMS Rep, 2003.
Ouslander, J. G., Osterweil, D., and Morley, J., Medical care in the nursing home: McGraw-Hill, New York, 1996.
Preston, J., Brown, F. W., and Hartley, B., Using telemedicine to improve health care in distant areas. Hospital and Community Psychiatry 43(1):25–32,1992.
Rice, R. E., and Katz, J. E., The Internet and health communication: Experiences and expectations: Sage Publications, Thousand Oaks, CA, 2001.
Robinson, A., and Cubit, K., Caring for older people with dementia in residential care: Nursing students’ experiences. J. Adv. Nurs. 59(3):255–263, 2007.
Rosen, E., The death of telemedicine? Telemedicine Today 8(1):14–17, 2000.
Stoil, M. J., Technology as a solution—and a policy problem? Nursing Homes 53(5):12–16, 2004.
Turner, J. W., Telemedicine: Expanding healthcare into virtual environments. In: T. L. Thompson, A. M. Dorsey, K. I. Miller, and R. Parrott (Eds.), Handbook of health communication (pp. 515–535). Lawrence Erlbaum Publishers, Mahwah, NJ, 2003.
Turner, J. W., and Peterson, C., Organizational telecompetence: Creating the virtual organization. In: S. Viegas, and K. Dunn (Eds.), Telemedicine: Practicing in the information age (pp. 41–48). Lippincott-Raven, New York, 1998.
Turner, J. W., Thomas, R. J., and Reinsch, N. L., Willingness to try a new communication technology: Perpetual factors and task situations in a health care context. J. Bus. Comm. 41(1):5–26, 2004.
Unruh, L., Zhang, N. J., and Wan, T. T., The impact of Medicare reimbursement changes on staffing and the quality of care in nursing homes. International Journal of Public Policy 1(4):421–434, 2006.
Wang, C., A pilot study of the perceived nursing home care needs instrument. eHealth International Journal 3(1):10–17, 2007.
WebMD.com. About WebMD.com: Our products and services. WebMD Corporation. 2005.
Wootton, R., Telemedicine. Br. Med. J. 323:557–560, 2001.
Wright, D., Telemedicine and developing countries. J. Telemed. Telecare. 4(2)L2–37,1998.
Zhang, N. J., and Wan, T. T., The measurement of nursing home quality: Multilevel confirmatory factor analysis of panel data. J. Med. Syst. 29(4):401–411, 2005.
Zhang, N. J., Unruh, L., Liu, R., and Wan, T. T., Minimum nurse staffing ratios for nursing homes. Nurs. Econ. 24(2):78–85, 2006.
Zimmerman, D. R., Karon, S. L., Arling, G., Clark, B. R., Collins, T., Ross, R., and Sainfort, F., Development and testing of nursing home quality indicators. Health Care Finance Review 16(4):107, 1995.
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This research is, in part, supported by the National Institute of Nursing Research, NIH under research grant number 1R01 NR008226-01A1.
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Breen, GM., Zhang, N.J. Introducing Ehealth to Nursing Homes: Theoretical Analysis of Improving Resident Care. J Med Syst 32, 187–192 (2008). https://doi.org/10.1007/s10916-007-9121-9
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DOI: https://doi.org/10.1007/s10916-007-9121-9