Appl Clin Inform - How could health information exchange better meet the needs of care practitioners?

Tópicos

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Resumo

CKGROUND: Health information exchange (HIE) has the potential to improve the quality of healthcare by enabling providers with better access to patient information from multiple sources at the point of care. However, HIE efforts have historically been difficult to establish in the US and the failure rates of organizations created to foster HIE have been high.OBJECTIVES: We sought to better understand how RHIO-based HIE systems were used in practice and the challenges care practitioners face using them. The objective of our study were to so investigate how HIE can better meet the needs of care practitioners.METHODS: We performed a multiple-case study using qualitative methods in three communities in New York State. We conducted interviews onsite and by telephone with HIE users and non-users and observed the workflows of healthcare professionals at multiple healthcare organizations participating in a local HIE effort in New York State.RESULTS: The empirical data analysis suggests that challenges still remain in increasing provider usage, optimizing HIE implementations and connecting HIE systems across geographic regions. Important determinants of system usage and perceived value includes users experienced level of available information and the fit of use for physician workflows.CONCLUSIONS: Challenges still remain in increasing provider adoption, optimizing HIE implementations, and demonstrating value. The inability to find information reduced usage of HIE. Healthcare organizations, HIE facilitating organizations, and states can help support HIE adoption by ensuring patient information is accessible to providers through increasing patient consents, fostering broader participation, and by ensuring systems are usable.

Resumo Limpo

ckground health inform exchang hie potenti improv qualiti healthcar enabl provid better access patient inform multipl sourc point care howev hie effort histor difficult establish us failur rate organ creat foster hie highobject sought better understand rhiobas hie system use practic challeng care practition face use object studi investig hie can better meet need care practitionersmethod perform multiplecas studi use qualit method three communiti new york state conduct interview onsit telephon hie user nonus observ workflow healthcar profession multipl healthcar organ particip local hie effort new york stateresult empir data analysi suggest challeng still remain increas provid usag optim hie implement connect hie system across geograph region import determin system usag perceiv valu includ user experienc level avail inform fit use physician workflowsconclus challeng still remain increas provid adopt optim hie implement demonstr valu inabl find inform reduc usag hie healthcar organ hie facilit organ state can help support hie adopt ensur patient inform access provid increas patient consent foster broader particip ensur system usabl

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