The state of regional health information organizations: Current activities and financing
The state of regional health information organizations: Current activities and financing
复制标题
DOI：
10.1377/hlthaff.27.1.w60
复制
发表时间：
2008-01-01
期刊：
影响因子：
9.7
通讯作者：
Jha, Ashish K.
中科院分区：
文献类型：
--
作者：
Adler-Milstein, Julia;McAfee, Andrew P.;Jha, Ashish K.
电子临床数据交换有望带来巨大的经济和社会效益，但目前尚不清楚它是否以及何时会普及。2007年初，我们调查了145个地区卫生信息组织（rhio），这些组织是致力于建立数据交换的美国实体。近四分之一的公司可能已经倒闭。只有20项努力至少是中等规模的，并且交换了临床数据。大多数早期的成功都涉及到测试结果的交换。为了维持自己的生计，13个rho从参与组织那里获得定期费用，8个严重依赖赠款。我们的研究结果引起了人们对当前方法实现广泛的电子临床数据交换能力的关注。
Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs),the U.S. entities working to establish data exchange. Nearly one in four was likely defunct. Only twenty efforts were of at least modest size and exchanging clinical data. Most early successes involved the exchange of test results. To support themselves, thirteen RHIOs received regular fees from participating organizations, and eight were heavily dependent on grants. Our findings raise concerns about the ability of the current approach to achieve widespread electronic clinical data exchange.