scholarly journals Consumer perceptions of health IT utilization and benefits

JAMIA Open ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Sue S Feldman ◽  
Grishma P Bhavsar ◽  
Benjamin L Schooley
Keyword(s):  
Conceptual Framework ◽  
Health Information ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Consumer Perceptions ◽  
Bivariate Analysis ◽  
Health It ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractObjectivesThe objective of this article is to examine consumer perceptions of health information technology (health IT) utilization and benefits through an integrated conceptual framework.Materials and MethodsThis article employs an integrated conceptual framework to examine consumer perceptions of health IT. A consumer survey yielded 1125 completed responses. A factor-based scale was developed for each sub-construct. Bivariate analysis using χ2 tests was performed to determine differences in the percentage of respondents who agreed with each sub-construct based on whether their physician used an electronic health record (EHR) system. Multivariable logistic regression that controlled for demographic characteristics of respondents was performed to determine adjusted odds of agreeing with selected opinions of health information exchange (HIE).ResultsResults indicate that respondents whose physicians used an EHR system were significantly more likely to agree that there was a perceived benefit with HIE and to care provided; that the patient should have control over the record; that they trust the physician and security of the medical information; that they understand the need for HIE, and that HIE must be easy to use.DiscussionThe results suggest that consumers who have experienced the use of one technology in the healthcare setting can recognize the potential benefit of another technology. Race/ethnicity, gender, and education played some role in respondents’ views of EHRs and HIE, more specifically, non-Hispanic African American participants indicated lower levels of trust in HIE when compared with non-Hispanic Whites.ConclusionThis cross-sectional survey indicated that physician use of EHRs significantly increases the odds of consumers’ seeing perceived benefits of HIE and understanding the need for HIE.

Missing Link of the Health Information Exchange Loop

2017 ◽  
pp. 1185-1196
Author(s):  
Alice Noblin ◽  
Kendall Cortelyou-Ward
Keyword(s):  
Health Information ◽  
Patient Engagement ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Medical Data ◽  
Patient Portals ◽  
Record Keeping ◽  
Care Industry ◽  
Basic Services

Since 2004, the services of the Florida Health Information Exchange (HIE) have grown, and in 2011, the state contracted with Harris Corporation to provide some basic services to the Florida health care industry and provide functional improvements to the expanding state-wide HIE. The endeavors of this public-private partnership continue to the present day; however, as HIE services have expanded, challenges continue to be encountered. Ultimately, successful exchange of medical data requires patient engagement and “buy-in.” The purpose of this article will consider why patient engagement is important for HIE success, offer recommendations to improve both patient and provider interest, and consider the importance of online patient portals to increase the effectiveness of health record keeping and the sharing of vital patient medical information needed by caregivers and their patients.

scholarly journals IT-Enabled Clinical Decision Support: An Empirical Study on Antecedents and Mechanisms

2018 ◽  
Vol 2018 ◽  
pp. 1-10
Author(s):  
Rogier van de Wetering
Keyword(s):  
Clinical Practice ◽  
Decision Support ◽  
Health Information ◽  
Clinical Decision Support ◽  
Information Exchange ◽  
Large Scale ◽  
Health Information Exchange ◽  
Clinical Decision ◽  
Future Research ◽  
Cross Sectional

Modern hospitals increasingly make use of innovations and information technology (IT) to improve workflow and patient’s clinical journey. Typical innovative solutions include patient records and clinical decision support systems to enhance the process of decision making by doctors and other healthcare practitioners. However, currently, it remains unclear how hospitals could facilitate and enable such a decision support capability in clinical practice. We ground our work on the resource-based view of the firm and put forth the notion of IT-enabled capabilities which emphasizes critical IT investment and capability development areas that hospitals could exploit in their quest to improve clinical decision support. We develop a research model that explains how “health information exchange” and enhanced “information capability” collectively drive a hospital’s “clinical decision support capability.” We used partial least squares path modeling on large-scale cross-sectional data from 720 European hospitals. Outcomes suggest that health information exchange positively impacts information capability. In turn, information capability complementary partially mediates the relationship between information exchange and clinical decision support. Hence, this research contributes to the literature on clinical decision support and provides valuable insights into how to support such innovative technologies and capabilities in clinical practice. We conclude with a discussion and conclusion. Also, we outline the inherent limitations of this study and outline directions for future research.

scholarly journals Health Information Systems

2012 ◽  
Vol 21 (01) ◽  
pp. 79-82
Author(s):  
C. Bréant ◽  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
Health It ◽  
It Impacts

SummarySummarize excellent current research in the field of Health Information Systems.Synopsis of the articles selected for the IMIA Yearbook 2012.Three papers from international peer reviewed journals have been selected for the section on health information systems.The selected articles illustrate current research regarding health IT impacts and evaluation and the latest developments in health information exchange.

scholarly journals Drivers of information disclosure on health information exchange platforms: insights from an exploratory empirical study

2015 ◽  
Vol 22 (6) ◽  
pp. 1183-1186 ◽  
Author(s):  
Niam Yaraghi ◽  
Raj Sharman ◽  
Ram Gopal ◽  
Ranjit Singh ◽  
R Ramesh
Keyword(s):  
Primary Care ◽  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Information Disclosure ◽  
Primary Care Physicians ◽  
Medical Information ◽  
Health Information Exchange ◽  
Care Physician ◽  
Willingness To Disclose

Abstract Objective The objective of this research is to empirically explore the drivers of patients’ consent to sharing of their medical records on health information exchange (HIE) platforms. Materials and Methods The authors analyze a dataset consisting of consent choices of 20 076 patients in Western New York. A logistic regression is applied to empirically investigate the effects of patients’ age, gender, complexity of medical conditions, and the role of primary care physicians on patients’ willingness to disclose medical information on HIE platforms. Results The likelihood of providing consent increases by age (odds ratio (OR) = 1.055; P  < .0001). Female patients are more likely to provide consent (OR = 1.460; P  = .0003). As the number of different physicians involved in the care of the patient increases, the odds of providing consent slightly increases (OR = 1.024; P  = .0031). The odds of providing consent is significantly higher for the patients whom a primary care physician has been involved in their medical care (OR = 1.323; P  < .0001). Conclusion Individual-level characteristics are important predictors of patients’ willingness to disclose their medical information on HIE platforms.

scholarly journals MEDICAL DROP BOX (MDB)

2010 ◽  
Vol 23 (04) ◽  
Author(s):  
Imran Khan ◽  
Muhammad Sher ◽  
Samina Aslam ◽  
Syed M. Saqlain ◽  
M. Usman Ashraf ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Technological Development ◽  
Personal Control ◽  
Medical Application ◽  
Geographic Region ◽  
Medical Data ◽  
New System

Introduction: National Health Information Exchange (NHIX) Systems are rapidlyevolving. Due to the cyber infrastructure and improvements in communication technology, itis possible to share healthcare related data within a geographic region electronically amonghealthcare related autonomous entities such as physicians, hospitals, test laboratories, insurers,emerging Health Information Organizations (HIO), and even government departments. StudyDesign: Whether data are collected with the RCT, Quasi-experimentation or Triangulationetc., we present to explore a NHIX system for EHR that has also been implemented as atest case. We particularly propose to demonstrate a concept application, Medical Drop Box(MDB) with the key technological components of a future NHIX System for medical industry.Setting: Data from different medical settings have been used for testing the new system butthe technological development has been done at IIU, Islamabad. Period: The proposed systemis not time bond in terms of data collection. Basically the proposed system can handle datacollected in any chunk of time in the history and can provide information as and when neededin future. Material & Methods: With MDB, a person is able to collect his/her health data andshare it with the whole medical industry according to his/her own preferences and setting.Besides the technology for handing numerous forms of health care data, the main challengeof NHIX system is to allow individuals and associated medical entities to manage and sharetheir medical information based on personal control and preferences given to each by medicallaws, information rights and privacy rules. The main focus in this research paper is to make astandard medical application for the medical data that is in exchangeable format according tothe standards defined in HL7. Results: The new system is able to make standardized Clinicaldocument for medical data in exchangeable format according to HL7 standard. The MDB isthe first step to setup NHIX system. With the help of MDB “Statistical Analyzer” now the healthindustry of the country can perform a variety of analysis for the future improvements in differenthealth settings. Conclusions: The availability of medical data of patients on MDB cloud hasimproved Clinical Impact, created new Business & Services opportunities and reduced theoverall Treatment Cost.

scholarly journals Barriers and facilitators to a health information exchange system for general practitioners

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N S Centemero ◽  
B Rechel
Keyword(s):  
Clinical Practice ◽  
Health Information ◽  
General Practitioners ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Barriers And Facilitators ◽  
Local Health ◽  
Care Providers

Abstract Background Health information exchange (HIE) systems, that are computer-based tools used by healthcare providers for secure access to share patient's medical information electronically, seem to help reduce the use of specific resources and improve the quality of care. This highlights the importance of this issue in the Public Health sector. This research goal is to identify barriers and facilitators perceived by general practitioners (GPs) when using an HIE system in a Southern Switzerland area. Methods we performed a qualitative study using semi-structured interviews, interviewed 10 GPs, randomly selected among some 500 HIE system local users and analysed interview transcripts using thematic content analysis with an abductive approach (a mix of deductive and inductive approaches). Results findings showed the following key facilitators: a) perception of dealing with a secure system; b) possibility of delegating management to secretaries and healthcare assistants; c) technical support and training; d) high quality of the information exchange; e) positive impact on clinical practice; and f) regional context. However, major challenges persist, and GPs reported the following main barriers to using an HIE system: a) frequent lack of all patient information needed; b) no effective workflow improvements; c) lack of some technical features. Conclusions We propose four recommendations based on findings: 1. Future initiatives should focus on developing HIE systems giving GPs access to all possible patient medical information; 2. Crucial data privacy and security issues should never be overlooked; 3. Technical and workflow improvements should particularly consider the socio-technical nature of HIE systems; 4. Much attention needs to be paid to the importance of relationships between health care providers and between these and local health institutions when implementing HIE systems. Key messages This study filled a research gap as it is the first that tackles HIE system barriers and facilitators in Ticino. When information sharing for clinical practice focuses on improving the quality and costs of healthcare, GP's trust in HIE system security is crucial.

scholarly journals Perspectives of Patients, Health Care Professionals, and Developers Toward Blockchain-Based Health Information Exchange: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Keehyuck Lee ◽  
Kahyun Lim ◽  
Se Young Jung ◽  
Hyerim Ji ◽  
Kyungpyo Hong ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Information ◽  
Health Care Professionals ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Health Management ◽  
The United States ◽  
Record System

BACKGROUND Although the electronic health record system adoption rate has reached 96% in the United States, implementation and usage of health information exchange (HIE) is still lagging behind. Blockchain has come into the spotlight as a technology to solve this problem. However, there have been no studies assessing the perspectives of different stakeholders regarding blockchain-based patient-centered HIE. OBJECTIVE The objective of this study was to analyze the awareness among patients, health care professionals, and information technology developers toward blockchain-based HIE, and compare their different perspectives related to the platform using a qualitative research methodology. METHODS In this qualitative study, we applied grounded theory and the Promoting Action on Research Implementation in the Health Service (PARiHS) framework. We interviewed 7 patients, 7 physicians, and 7 developers, for a total of 21 interviewees. RESULTS Regarding the leakage of health information, the patient group did not have concerns in contrast to the physician and developer groups. Physicians were particularly concerned about the fact that errors in the data cannot be easily fixed due to the nature of blockchain technology. Patients were not against the idea of providing information for clinical trials or research institutions. They wished to be provided with the results of clinical research rather than being compensated for providing data. The developers emphasized that blockchain must be technically mature before it can be applied to the health care scene, and standards of medical information to be exchanged must first be established. CONCLUSIONS The three groups’ perceptions of blockchain were generally positive about the idea of patients having the control of sharing their own health information. However, they were skeptical about the cooperation among various institutions and implementation for data standardization in the establishment process, in addition to how the service will be employed in practice. Taking these factors into consideration during planning, development, and operation of a platform will contribute to establishing practical treatment plans and tracking in a more convenient manner for both patients and physicians. Furthermore, it will help expand the related research and health management industry based on blockchain.

scholarly journals Modelling, Simulation and Social Network Data: What’s New for Public Health and Epidemiology Informatics?

2015 ◽  
Vol 24 (01) ◽  
pp. 216-219
Author(s):  
L. Toubiana ◽  
N Griffon ◽  
Keyword(s):  
Public Health ◽  
Social Network ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Network Data ◽  
Health It ◽  
Social Network Data ◽  
The Impact ◽  
Modelling Simulation

Summary Objectives: Summarize excellent current research in the field of Public Health and Epidemiology Informatics. Method: Synopsis of the articles selected for the IMIA Yearbook 2015. Results: Four papers from international peer-reviewed journals have been selected as best papers for the section on Public Health and Epidemiology Informatics. Conclusions: The selected articles illustrate current research regarding the impact and assessment of health IT and the latest developments in health information exchange.

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