Appl Clin Inform - Interest in health information exchange in ambulatory care: a statewide survey.

Tópicos

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Resumo

JECTIVE: Assess the interest in and preferences of ambulatory practitioners in HIE.BACKGROUND: Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.METHODS: Survey of primary care and specialist practitioners in the State of Colorado.RESULTS: Clinical data were commonly (always [2%], often [29%] or sometimes [49%]) missing during clinic visits. Of 12 data types proposed as available through HIE, ten were considered "extremely useful" by most practitioners. "Clinical notes/consultation reports," "diagnosis or problem lists," and "hospital discharge summaries" were considered the three most useful data types. Interest in EKG reports, diagnosis/problem lists, childhood immunizations, and discharge summaries differed among ambulatory practitioner groups (primary care, obstetrics-gynecology, and internal medicine subspecialties).CONCLUSION: Practitioners express strong interest in most of the data types, but opinions differed by specialties on what types were most important. All providers felt that a system that provided all data types would be useful. These results support the potential benefit of HIE in ambulatory practices.

Resumo Limpo

jectiv assess interest prefer ambulatori practition hiebackground health inform exchang hie may improv qualiti effici care identifi valu proposit smaller ambulatori practic may help practic engag hiemethod survey primari care specialist practition state coloradoresult clinic data common alway often sometim miss clinic visit data type propos avail hie ten consid extrem use practition clinic notesconsult report diagnosi problem list hospit discharg summari consid three use data type interest ekg report diagnosisproblem list childhood immun discharg summari differ among ambulatori practition group primari care obstetricsgynecolog intern medicin subspecialtiesconclus practition express strong interest data type opinion differ specialti type import provid felt system provid data type use result support potenti benefit hie ambulatori practic

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