Collaborating for COVID-19: Hospital Health Information Exchange and Public Health Partnership.
Collaborating for COVID-19: Hospital Health Information Exchange and Public Health Partnership.
复制标题
合作应对 COVID-19：医院健康信息交换和公共卫生伙伴关系。
DOI：
10.1089/tmj.2023.0056
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Chen,Jie
中科院分区：
文献类型：
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作者：
Maguire,TeaganKnapp;Yoon,Sunjung;Chen,Jie
背景：冠状病毒病(新冠肺炎)大流行突显了卫生保健组织和公共卫生系统(PHS)之间有效沟通和信息共享的必要性。卫生信息交换(HIE)在改善医院环境中的质量控制和效率方面起着至关重要的作用，特别是在服务不足的地区。目的：本研究旨在调查2020年医院与PHS的合作和与责任关怀组织(ACO)的联系，以及社区社会健康决定因素的差异。方法：本研究使用的主要数据集包括2020年美国医院协会(AHA)年度调查和AHA信息技术补充资料的关联数据集。所使用的措施包括医院参与缺氧缺血性脑病网络的情况、数据交换的可用性以及在新冠肺炎大流行期间采取的措施，包括医院是否有效地接收了来自外部提供者的电子传输信息以用于新冠肺炎治疗。结果：医院的样本量从1,316到1,436，取决于与缺氧缺血性脑病问题相关的不同结果。在接受调查的医院中，67%的∼报告了公共卫生合作和ACO从属关系，而7%的医院报告两者都没有。没有公共卫生合作或ACO从属关系的医院更有可能位于服务不足的地区。与没有公共卫生合作或ACO从属关系的医院相比，两者都有的医院报告外部提供者提供的电子传输临床信息的可能性高9%，并参与地方和国家HIE网络。此外，这些医院有30%(边际效应[ME] = 0.30，p<；0.001)更有可能报告有效接收来自外部提供者的新冠肺炎治疗信息，12%(ME = 0.12，p= 0.02)总是/经常收到新冠肺炎治疗的临床信息。结论：医院与小灵通和ACO合作与更多地获得电子健康数据有关，尤其是在新冠肺炎大流行期间。
Background:The coronavirus disease (COVID-19) pandemic highlighted the need for effective communication and information sharing among health care organizations and public health systems (PHSs). Health information exchange (HIE) plays a vital role in improving quality control and efficiency in hospital settings, particularly in underserved areas.Objective:This study aimed to investigate the variation of HIE availability among hospitals based on their collaboration with the PHS and affiliation with Accountable Care Organizations (ACOs) in 2020, as well as variation by community social determinants of health.Methods:The primary data set used for this study comprised the linked data set of the 2020 American Hospital Association (AHA) Annual Survey and the AHA Information Technology Supplement. The measures used included the hospital's participation in HIE networks, availability of data exchange, and HIE measures during the COVID-19 pandemic, including whether hospitals effectively received electronically transmitted information from outside providers for COVID-19 treatment.Results:The sample size of hospitals ranged from 1,316 to 1,436, depending on different outcomes related to HIE questions. Of the hospitals surveyed, ∼67% reported public health collaboration and ACO affiliation, while 7% reported neither. Hospitals without public health collaboration or ACO affiliation were more likely to be located in underserved areas. Compared with hospitals without public health collaboration or ACO affiliation, hospitals with both were 9% more likely to report the availability of electronically transmitted clinical information from outside providers and to participate in local and national HIE networks. Furthermore, these hospitals were 30% (marginal effect [ME] = 0.30,p< 0.001) more likely to report effective receipt of information from outside providers for COVID-19 treatment and 12% (ME = 0.12,p= 0.02) more likely to always/often receive clinical information for COVID-19 treatment electronically.Conclusions:Hospital collaboration with the PHS and ACO affiliation are associated with greater availability of electronic health data, particularly during the COVID-19 pandemic.