Diverging views on health information exchange organizations.
Diverging views on health information exchange organizations.
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对健康信息交换组织的不同看法。
DOI：
10.1002/lrh2.10031
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发表时间：
2017
影响因子：
3.1
通讯作者：
Garnatz,Audrey
中科院分区：
文献类型：
--
作者：
Vest,JoshuaR;Greenberger,MariF;Garnatz,Audrey
健康信息交换（HIE）功能满足了更有效、更高效、更安全的医疗保健系统的需求。然而，组织和个人供应商追求不同的战略，以满足各自的需要HIE能力。由于有效的信息共享是必要的学习卫生系统，本研究旨在探讨不同的方法的效果上的关键功能的一个有效的health care system.MethodsAn匿名的基于网络的调查被发送到一个方便的样本的成员的医疗保健信息和管理系统的社会和战略健康信息交流协作与知识的HIE（n=68）。一系列7点Likert类型的项目测量了企业健康信息交换（eHIE）和社区健康信息组织（希奥斯）在对交换参与的影响，对市场动态的影响，与直接安全消息传递和供应商中介交换的关系以及对质量的影响方面的看法。此外，受访者还被要求将13项质量和服务评为“更多关于eHIE”或“更多关于cHIO”。结果受访者倾向于同意cHIO和eHIE的重要性。社区福利和公共卫生机构的支持是更经常适用于希奥斯研究肯定了许多传统的智慧和轶事评论的看法希奥斯和eHIEs的概念。虽然受访者认为希奥斯和eHIE在更广泛的社会效益和战略优势方面有所不同，但在与其他信息共享策略的关系以及对护理质量的整体影响方面的重要性方面出现了一致的一致意见。
IntroductionHealth information exchange (HIE) capabilities meet the demands for a more effective, efficient, and safer health care system. However, organizations and individual providers have pursued different strategies to meet their respective needs for HIE capabilities. Because effective information sharing is necessary to a learning health system, this study sought to explore the perceptions of different approaches' effect on key features of an effective health care system.MethodsAn anonymous web‐based survey was sent to a convenience sample of the membership of the Healthcare Information and Management Systems Society and the Strategic Health Information Exchange Collaborative with knowledge of HIE (n=68). A series of 7‐point Likert‐type items measured perceptions of enterprise health information exchanges (eHIEs) and community health information organizations (cHIOs) in the areas of effect on exchange participation, effect on market dynamics, relationship to DIRECT Secure Messaging and vendor‐mediated exchange, and effect on quality. Also, respondents were asked to rate 13 qualities and services as “more about eHIE” or “more about cHIO.”ResultsRespondents tended to agree on the importance of cHIO and eHIE. Community benefits and support for public health agencies were concepts more often applied to cHIOs.DiscussionThis study affirmed much of the conventional wisdom and anecdotal comments about perceptions of cHIOs and eHIEs. Although the respondents viewed cHIOs and eHIEs differently in terms of broader societal benefit and strategic advantage, nonetheless consistent agreement appeared in areas of importance in relationship to other information sharing strategies and overall effect on the quality of care.