Int J Med Inform - Patients' perceptions of a health information exchange: a pilot program in South Korea.

Tópicos

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Resumo

JECTIVES: We examined patients' perceived need for a Health Information Exchange (HIE), their preferences regarding information exchange operations, endorsement of the technology, and expected and perceived benefits and concerns about the technology. Through an HIE pilot program in South Korea, we also explored the influence of demographic characteristics and HIE experience on patients' perceptions.MATERIAL AND METHODS: We collected data from patient surveys administered through a structured questionnaire pre- and post-implementation of an HIE in South Korea. The study database contained 730 records collected by survey before program rollout, 306 records from patients who had experienced the HIE, and 180 records in the comparison group A who experienced an offline-based exchange through procedures such as bringing copies of medical records and imaging results from the clinic to the hospital and 208 records in the comparison group B who brought only a referral letter. We computed descriptive statistics based on survey responses and performed multiple analyses of variance and chi-square tests to examine whether patient characteristics and HIE experience influenced responses.RESULTS: Despite their concerns about information safety and security, respondents in all 4 (1 pre-implementation and 3 post-implementation) surveyed groups indicated an acceptance of and willingness to endorse HIE technology. Eighty percent of respondents with the HIE experience chose HIE as their preferred operation of information exchange whereas the figure was 55% and 59% in the comparison groups A and B, respectively. The proportion of respondents who indicated improved quality as the reason for their willingness to recommend or to participate was higher than the proportion who cited reduced healthcare bills in all 3 groups - 8% in the HIE group and 13% and 23% in the comparison groups A and B, respectively, cited improved quality as the reason and .4% in the HIE group and 4% and 8% in the comparison groups A and B, respectively, cited reduced healthcare bills as the reason.CONCLUSIONS: The public sentiment is favorable for HIE technology in South Korea, but study findings indicate a gap among perceptions of different patient groups. Education and other efforts to give the public accurate information on benefits and adverse effects of the technology are needed. Also, additional objective studies with empirical data should be conducted to obtain quantitative evidence of benefits and adverse effects of the technology.

Resumo Limpo

jectiv examin patient perceiv need health inform exchang hie prefer regard inform exchang oper endors technolog expect perceiv benefit concern technolog hie pilot program south korea also explor influenc demograph characterist hie experi patient perceptionsmateri method collect data patient survey administ structur questionnair pre postimplement hie south korea studi databas contain record collect survey program rollout record patient experienc hie record comparison group experienc offlinebas exchang procedur bring copi medic record imag result clinic hospit record comparison group b brought referr letter comput descript statist base survey respons perform multipl analys varianc chisquar test examin whether patient characterist hie experi influenc responsesresult despit concern inform safeti secur respond preimplement postimplement survey group indic accept willing endors hie technolog eighti percent respond hie experi chose hie prefer oper inform exchang wherea figur comparison group b respect proport respond indic improv qualiti reason willing recommend particip higher proport cite reduc healthcar bill group hie group comparison group b respect cite improv qualiti reason hie group comparison group b respect cite reduc healthcar bill reasonconclus public sentiment favor hie technolog south korea studi find indic gap among percept differ patient group educ effort give public accur inform benefit advers effect technolog need also addit object studi empir data conduct obtain quantit evid benefit advers effect technolog

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