27 Profile of the digitization of patient medical records in Dutch hospitals Table 1: Non-Response Analysis N total non response N nresp response N resp Number of beds large (>=562) 31 16.1% 5 83.9% 26 medium (>340; <562) 31 9.7% 4 87.1% 27 small (<=340) 31 38.7% 12 61.3% 19 Type of hospital university 8 25.0% 2 75.0% 6 general 55 29.1% 16 70.9% 39 teaching hospital 30 10.0% 3 90.0% 27 Region east 16 31.3% 5 68.8% 11 north 19 36.8% 7 63.2% 12 south 21 4.8% 1 95.2% 20 west 37 21.6% 8 78.4% 29 Small hospitals were less likely to participate. Remarkably is the high participation in the south. Representing approximately 22% of all Dutch acute-care hospitals, perhaps the most remarkable characteristic differentiating survey participates was hospital size. Over 57% of non-participants were small hospital providers as defined by the number of beds associated with the hospital (see Table 1). Hospital size as an influencer on survey participation is not unique to this survey effort and may be the result of a multiplicity of factors (e.g., limited staff availability to complete the survey). Regional variances also seemed to play a factor in survey participation as hospital non-participation rates ranged from 4.8% in the southern part of the Netherlands, to 36.8% in northern NL. The remarkably high non-participation rate in the northern part of the country maybe due to the relatively high concentration of smaller hospitals in this region compared to other regions. EMRAM scores of Dutch hospital Table 2 describes the different EMRAM stages and profiles of the EMRAM distribution of NL hospitals. 2
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