Behavioral health providers' beliefs about health information exchange: a statewide survey.
Behavioral health providers' beliefs about health information exchange: a statewide survey.
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行为健康提供者对健康信息交换的信念：全州范围的调查。
DOI：
10.1136/amiajnl-2011-000374
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Shank,Nancy
中科院分区：
文献类型：
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作者：
Shank,Nancy
目的评估行为健康提供者对健康信息交流（HIE）的益处和障碍的信念。方法对中西部一个州的2010名行为健康提供者进行调查（33%的响应率），与问题的基础上，以前报告的开放式的信念引出interviews. ResultsFactor分析导致四个分组：相信HIE会改善护理和沟通，增加成本和时间负担，提出访问和脆弱性问题，并影响工作流程和控制（积极和消极）。包括所有四个因素的回归模型吝啬地预测对HIE的态度。提供者根据他们的信念分为两组：大多数（67%）对HIE的影响持积极态度，其余（33%）则持消极态度。有一些专业/人口统计学差异的两个集群的providers. DiscussionMost行为健康提供者是支持HIE，但是，他们的采用和使用它可能会继续落后于医疗服务提供者，由于感知成本和时间负担和关注的访问和信息的脆弱性。
ObjectiveTo assess behavioral health providers' beliefs about the benefits and barriers of health information exchange (HIE).MethodsSurvey of a total of 2010 behavioral health providers in a Midwestern state (33% response rate), with questions based on previously reported open-ended beliefs elicitation interviews.ResultsFactor analysis resulted in four groupings: beliefs that HIE would improve care and communication, add cost and time burdens, present access and vulnerability concerns, and impact workflow and control (positively and negatively). A regression model including all four factors parsimoniously predicted attitudes toward HIE. Providers clustered into two groups based on their beliefs: a majority (67%) were positive about the impact of HIE, and the remainder (33%) were negative. There were some professional/demographic differences between the two clusters of providers.DiscussionMost behavioral health providers are supportive of HIE; however, their adoption and use of it may continue to lag behind that of medical providers due to perceived cost and time burdens and concerns about access to and vulnerability of information.