Int J Med Inform - Perceptions regarding the ease of use and usefulness of health information exchange systems among medical providers, case managers and non-clinical staff members working in HIV care and community settings.

Tópicos

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Resumo

RPOSE: The objective of this paper is to describe how members of HIV patients' care teams perceived the usefulness and ease of use of newly implemented, innovative health information exchange systems (HIEs) in diverse HIV treatment settings. Five settings with existing electronic medical records (EMRs) received special funding to test enhancements to their systems. Participating clinics and community-based organizations added HIEs permitting bi-directional exchange of information across multiple provider sites serving the same HIV patient population.METHODS: We conducted in-depth qualitative interviews and quantitative web-based surveys with case managers, medical providers, and non-clinical staff members to assess the systems' perceived usefulness and ease of use shortly after the HIEs were implemented. Our approach to data analysis was iterative. We first conducted a thematic analysis of the qualitative data and discovered that there were key differences in perceptions and actual use of HIEs across occupational groups. We used these results to guide our analysis of the quantitative survey data, stratifying by occupational group.RESULTS: We found differences in reports of how useful and how well-used HIEs were, by occupation. Medical providers were more likely to use HIEs if they provided easier access to clinical information than was present in existing EMRs. Case managers working inside medical clinics found HIEs to be less helpful because they already had access to the clinical data. In contrast, case managers working in community settings appreciated the new access to patient information that the HIEs provided. Non-clinical staff uniformly found the HIEs useful for a broad range of tasks including clinic administration, grant writing and generating reports for funders.CONCLUSION: Our study offers insights into the use and potential benefits of HIE in the context of HIV care across occupational groups.

Resumo Limpo

rpose object paper describ member hiv patient care team perceiv use eas use newli implement innov health inform exchang system hie divers hiv treatment set five set exist electron medic record emr receiv special fund test enhanc system particip clinic communitybas organ ad hie permit bidirect exchang inform across multipl provid site serv hiv patient populationmethod conduct indepth qualit interview quantit webbas survey case manag medic provid nonclin staff member assess system perceiv use eas use short hie implement approach data analysi iter first conduct themat analysi qualit data discov key differ percept actual use hie across occup group use result guid analysi quantit survey data stratifi occup groupresult found differ report use wellus hie occup medic provid like use hie provid easier access clinic inform present exist emr case manag work insid medic clinic found hie less help alreadi access clinic data contrast case manag work communiti set appreci new access patient inform hie provid nonclin staff uniform found hie use broad rang task includ clinic administr grant write generat report fundersconclus studi offer insight use potenti benefit hie context hiv care across occup group

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