Geographical distribution of patients visiting a health information exchange in New York City.
Geographical distribution of patients visiting a health information exchange in New York City.
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DOI：
10.1136/amiajnl-2012-001217
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发表时间：
2013-06
期刊：
影响因子：
--
通讯作者：
Shapiro JS
中科院分区：
文献类型：
--
作者：
Onyile A;Vaidya SR;Kuperman G;Shapiro JS
健康信息交换 (HIE) 组织要想在任何特定地区取得成功，了解其所服务的患者群体的最佳服务区域非常重要。此分析的目的是了解纽约市 (NYC) 的一个 HIE 组织所服务的患者的地理分布。患者人口统计数据来自纽约临床信息交换中心 (NYCLIX)，这是一个代表纽约市曼哈顿区大多数主要医疗中心的区域健康信息组织 (RHIO)。患者的家庭住址邮政编码用于创建一个研究数据集，其中包含按美国县和国际标准组织国家划分的患者总数。时代广场被指定为 RHIO 的地理中心点，用于距离计算。大多数患者 (87.7%) 居住在时代广场 30 英里半径范围内，而前往距离超过 100 英里的 RHIO 附属设施就诊的患者急剧减少。到 NYCLIX 设施就诊的患者中有 43.6% 来自纽约市其他行政区，而不是来自曼哈顿本身 (31.9%)。大多数在 NYCLIX 成员寻求护理的患者居住在明确的区域内，并且随着距离的增加，前往 NYCLIX 站点就诊的患者明显减少。了解到 RHIO 大型医疗中心就诊的患者的地理分布可以为 RHIO 的规划提供信息，因为它希望在周边地理区域添加新的参与组织。
For a health information exchange (HIE) organization to succeed in any given region, it is important to understand the optimal catchment area for the patient population it is serving. The objective of this analysis was to understand the geographical distribution of the patients being served by one HIE organization in New York City (NYC). Patient demographic data were obtained from the New York Clinical Information Exchange (NYCLIX), a regional health information organization (RHIO) representing most of the major medical centers in the borough of Manhattan in NYC. Patients’ home address zip codes were used to create a research dataset with aggregate counts of patients by US county and international standards organization country. Times Square was designated as the geographical center point of the RHIO for distance calculations. Most patients (87.7%) live within a 30 mile radius from Times Square and there was a precipitous drop off of patients visiting RHIO-affiliated facilities at distances greater than 100 miles. 43.6% of patients visiting NYCLIX facilities were from the other NYC boroughs rather than from Manhattan itself (31.9%). Most patients who seek care at members of NYCLIX live within a well-defined area and a clear decrease in patients visiting NYCLIX sites with distance was identified. Understanding the geographical distribution of patients visiting the large medical centers in the RHIO can inform the RHIO's planning as it looks to add new participant organizations in the surrounding geographical area.
DOI：
10.1136/amiajnl-2010-000021
发表时间：
2011-09-01
影响因子：
6.4
作者：
Kuperman, Gilad J.
通讯作者：
Kuperman, Gilad J.
影响因子：
5.5
作者：
Thornewill, Judah;Dowling, Alan F.;Esterhay, Robert J.
通讯作者：
Esterhay, Robert J.
影响因子：
9.7
作者：
Williams, Claudia;Mostashari, Farzad;Atwal, Parmeeth
通讯作者：
Atwal, Parmeeth