Emergency physicians' perceptions of health information exchange
Emergency physicians' perceptions of health information exchange
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DOI：
10.1197/jamia.m2507
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发表时间：
2007-11-01
影响因子：
6.4
通讯作者：
Kuperman, Gilad
中科院分区：
文献类型：
--
作者：
Shapiro, Jason S.;Kannry, Joseph;Kuperman, Gilad
背景：健康信息交换(Health Information Exchange，HIE)是一种潜在的强大技术，可以提高急诊科的护理质量，但对急诊医生目前对HIE的看法知之甚少。目的：本研究旨在评估急诊医生对HIE的感知需求和知识。方法：基于文献中的启发式方法开发问卷，并在基于网络的工具中实施。这份调查通过电子邮件以超链接的形式发送给了纽约市12家医院的371名急诊医生。结果：应答率为58%(n=216)。虽然63%的患者表示超过四分之一的患者将受益于外部健康信息，但在没有HIE的情况下获取这些信息的门槛太高-85%的人表示很难或很难获得外部数据，平均花费66分钟，72%的人表示他们的尝试一半时间失败，56%的人目前尝试获取外部数据的时间不到10%。当被要求创建一个等级排序列表时，心电图(ECG)排名最高，其次是出院总结。对于心电图和X光检查，受访者也选择图像而不是书面报告，但对于高级成像和心脏研究，他们更喜欢书面报告。结论：对于HIE有强烈的感知需求，大多数受访者在本研究之前并不知道HIE，而且纽约市地区的急诊医生更喜欢某些类型的数据和数据演示。
Background: Health information exchange (HIE) is a potentially powerful technology that can improve the quality of care delivered in emergency departments, but little is known about emergency physicians' current perceptions of HIE. Objectives: This study sought to assess emergency physicians' perceived needs and knowledge of HIE.Methods: A questionnaire was developed based on heuristics from the literature and implemented in a Web-based tool. The survey was sent as a hyperlink via e-mail to 371 attending emergency physicians at 12 hospitals in New York city.Results: The response rate was 58% (n = 216). Although 63% said more than one quarter of their patients would benefit from external health information, the barriers to obtain it without HIE are too high-85% said it was difficult or very difficult to obtain external data, taking an average of 66 minutes, 72% said that their attempts fail half of the time, and 56% currently attempt to obtain external data less than 10% of the time. When asked to create a rank-order list, electrocardiograms (ECGs) were ranked the highest, followed by discharge summaries. Respondents also chose images over written reports for ECGs and X-rays, but preferred written reports for advanced imaging and cardiac studies.Conclusion: There is a strong perceived need for HIE, most respondents were not aware of HIE prior to this study, and there are certain types of data and presentations of data that are preferred by emergency physicians in the New York City region.