scholarly journals An Early Model for Value and Sustainability in Health Information Exchanges: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Sue S Feldman
Keyword(s):  
Qualitative Study ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Model Development ◽  
Perceived Value ◽  
Early Model ◽  
Theory Approach ◽  
Exchange Value ◽  
Health Information Exchanges

BACKGROUND The primary value relative to health information exchange has been seen in terms of cost savings relative to laboratory and radiology testing, emergency department expenditures, and admissions. However, models are needed to statistically quantify value and sustainability and better understand the dependent and mediating factors that contribute to value and sustainability. OBJECTIVE The purpose of this study was to provide a basis for early model development for health information exchange value and sustainability. METHODS A qualitative study was conducted with 21 interviews of eHealth Exchange participants across 10 organizations. Using a grounded theory approach and 3.0 as a relative frequency threshold, 5 main categories and 16 subcategories emerged. RESULTS This study identifies 3 core current perceived value factors and 5 potential perceived value factors—how interviewees predict health information exchanges may evolve as there are more participants. These value factors were used as the foundation for early model development for sustainability of health information exchange. CONCLUSIONS Using the value factors from the interviews, the study provides the basis for early model development for health information exchange value and sustainability. This basis includes factors from the research: fostering consumer engagement; establishing a provider directory; quantifying use, cost, and clinical outcomes; ensuring data integrity through patient matching; and increasing awareness, usefulness, interoperability, and sustainability of eHealth Exchange.

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 Perspectives of Patients, Health Care Professionals, and Developers Toward Blockchain-Based Health Information Exchange: Qualitative Study

10.2196/18582 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e18582
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 A framework for assessing patient crossover and health information exchange value

2011 ◽  
Vol 18 (5) ◽  
pp. 698-703 ◽  
Author(s):  
David V LaBorde ◽  
Jacqueline A Griffin ◽  
Hannah K Smalley ◽  
Pinar Keskinocak ◽  
George Mathew
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Exchange Value

scholarly journals Patients’ Attitudes Toward Electronic Health Information Exchange: Qualitative Study

2009 ◽  
Vol 11 (3) ◽  
pp. e30 ◽  
Author(s):  
Steven R Simon ◽  
J Stewart Evans ◽  
Alison Benjamin ◽  
David Delano ◽  
David W Bates
Keyword(s):  
Qualitative Study ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Electronic Health ◽  
Electronic Health Information
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