AMIA Annu Symp Proc - Using a health information exchange system for imaging information: patterns and predictors.

Tópicos

{ inform(2794) health(2639) internet(1427) }
{ ehr(2073) health(1662) electron(1139) }
{ health(1844) social(1437) communiti(874) }
{ time(1939) patient(1703) rate(768) }
{ chang(1828) time(1643) increas(1301) }
{ studi(1119) effect(1106) posit(819) }
{ implement(1333) system(1263) develop(1122) }
{ method(1219) similar(1157) match(930) }
{ patient(2837) hospit(1953) medic(668) }
{ imag(1057) registr(996) error(939) }
{ research(1085) discuss(1038) issu(1018) }
{ record(1888) medic(1808) patient(1693) }
{ data(3008) multipl(1320) sourc(1022) }
{ analysi(2126) use(1163) compon(1037) }
{ use(976) code(926) identifi(902) }
{ sequenc(1873) structur(1644) protein(1328) }
{ surgeri(1148) surgic(1085) robot(1054) }
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{ perform(1367) use(1326) method(1137) }
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{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ use(2086) technolog(871) perceiv(783) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Health information exchange (HIE) systems may address the challenges that prevent easy access to patients' existing radiological information at the point of care. However, little is known about the factors associated with usage of HIE for radiology reports, nor about how reports are shared with an exchange network. We analyzed the system log files from a regional health information organization in upstate New York matched with insurance claims files using network analysis and regression modeling. The exchange network was dominated by a few key information sources. Outpatient users overall accessed 17 times more radiology reports than inpatient and ED users combined. Additionally, as the number of exchange partners increased per organization, the average number of reports exchanged by that organization also increased. Radiology reports were most likely to be accessed by physicians and other clinical users. These findings have implications for those operating and fostering exchange activity.

Resumo Limpo

health inform exchang hie system may address challeng prevent easi access patient exist radiolog inform point care howev littl known factor associ usag hie radiolog report report share exchang network analyz system log file region health inform organ upstat new york match insur claim file use network analysi regress model exchang network domin key inform sourc outpati user overal access time radiolog report inpati ed user combin addit number exchang partner increas per organ averag number report exchang organ also increas radiolog report like access physician clinic user find implic oper foster exchang activ

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