Physicians' potential use and preferences related to health information exchange
Physicians' potential use and preferences related to health information exchange
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DOI：
10.1016/j.ijmedinf.2010.11.008
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发表时间：
2011-03-01
影响因子：
4.9
通讯作者：
Kaushal, Rainu
中科院分区：
文献类型：
--
作者：
Patel, Vaishali;Abramson, Erika L.;Kaushal, Rainu
目的：为了表征医生的态度和偏好对健康信息交换（HIE），这是能够以电子方式跨机构传输健康信息，并确定影响医生的兴趣在使用HIE为他们的临床working.Methods的因素：进行了一项调查的医生附属于机构，是一个区域性的健康信息组织在美国（美国）。2009年5月至10月，在教育会议和现场在医生practices.Results：328名医生要求参加，44%（n = 144）完成了调查。68%（n = 88）的医生表示有兴趣在临床工作中使用HIE。大多数医生希望HIE能够改善提供者的沟通（89%），协调和护理的连续性（87%）和效率（87%）。采用或使用HIE的潜在障碍包括启动成本（57%）和选择和实施系统的资源（38%）。大多数人报告说，技术援助（70%）和财政奖励使用（65%）或购买（54%）卫生信息技术系统将积极影响他们采用和使用HIE。医生认为，财政奖励将是有益的，HIE将易于使用，或谁喜欢查看病人的健康信息电子被发现至少有三倍以上的可能性表明，他们将采用和使用HIE.Conclusions：这些研究结果表明，供应商在很大程度上认为HIE的潜在价值和大多数愿意使用HIE。最近美国S.联邦卫生信息技术政策，提供财政奖励以及技术援助，可以解决潜在的障碍，采用和使用HIE。出版社：Elsevier爱尔兰Ltd
Purpose: To characterize physician attitudes and preferences towards health information exchange (HIE), which is the ability to transmit health information electronically across institutions, and identify factors that influence physicians' interest in using HIE for their clinical work.Methods: A survey was conducted of physicians affiliated with institutions that are stake-holders of a regional health information organization in the United States (U.S.). Surveys were administered between May and October, 2009 at educational conferences and on site at physician practices.Results: Of the 328 physicians asked to participate, 44% (n = 144) completed the survey. Sixty-eight percent (n = 88) of physicians expressed interest in using HIE for their clinical work. Most physicians expected HIE to improve provider communication (89%), coordination and continuity of care (87%) and efficiency (87%). Potential barriers to adopting or using HIE included start-up costs (57%) and resources to select and implement a system (38%). A majority reported that technical assistance (70%) and financial incentives to use (65%) or purchase (54%) health IT systems would positively influence their adoption and use of HIE. Physicians who believe that financial incentives would be helpful, that HIE would be easy to use, or who prefer viewing patient health information electronically were found to be at least three times more likely to indicate they would adopt and use HIE.Conclusions: These findings suggest that providers largely consider HIE as potentially valuable and a majority would be willing to use HIE. Recent U. S. federal health IT policies that provide financial incentives as well as technical assistance may address potential barriers to adoption and usage of HIE. Published by Elsevier Ireland Ltd