Physicians' opinions of a health information exchange: Table 1

Hincapie, Ana L.; Warholak, Terri; Murcko, Anita C.; Slack, Marion; Malone, Daniel C.

doi:10.1136/jamia.2010.006502

Cited by 60 publications

(66 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results indicated that a greater volume of information, including data about a larger variety of medical services, flows from the tertiary-care hospital to the clinics compared with the information flow in the opposite direction. Hincapie et al 20 concluded in a focus group study of 29 physicians who have experienced the Arizona Medical Information Exchange program that the data availability in the system would be the limiting factor in realizing the expected effects of the technology, and the finding implies that the benefit potential of the technology would be larger in clinics than in hospitals. We found in both the pre-implementation and the postimplementation survey that information containing pathology and lab results, diagnostic imaging, medication, and working diagnosis were the most needed and valued by physicians in both practice settings, which implies a potential of the HIE for saving healthcare costs by reducing duplicate lab or imaging tests and improving the quality of care by assisting physicians in clinical decision-making.…”

Section: Discussionmentioning

confidence: 99%

Physicians' Perceptions and Use of a Health Information Exchange: A Pilot Program in South Korea

Lee

Park

Kim³

et al. 2012

Telemedicine and e-Health

View full text Add to dashboard Cite

Objective: We examined physicians' perceived needs, benefits, and concerns regarding health information exchange (HIE) technology prior to experiencing it and their actual usage of exchanged information in care processes during an HIE pilot program in South Korea. Materials and Methods: We conducted a survey through a structured questionnaire to collect data on physician perceptions about an HIE prior to implementation. We analyzed responses using descriptive statistics and one-way analyses of variance. We also conducted a post-implementation survey through a computerized tool designed to collect data on physician assessment of HIE item usefulness. We defined two indices to measure the volume of information flow and usefulness for individual HIE items and analyzed the indices with Fisher's exact test. Results: Physicians' overall perceptions about the need for an HIE and benefits of the technology were positive despite their concerns about information safety and security, system costs, and disputes between care providers in cases of malpractice. We found that physician practice settings significantly influenced the details of their perceptions. In the both pre-and post-implementation studies, the most needed and valued information were pathology and lab results, diagnostic imaging, medication, and working diagnosis. Physicians most agreed with the benefit potentials in the quality domain, least agreed with those in time and cost savings of healthcare delivery, and least worried about the decrease in revenues resulting from the technology. Conclusions: The overall physician acceptance of the HIE technology in South Korea is promising, but the adoption and diffusion strategy needs to be tailored to the type of physician practice. Concerted efforts may be needed to realize the much-anticipated potential of healthcare cost savings.

show abstract

Section: Discussionmentioning

confidence: 99%

Physicians' Perceptions and Use of a Health Information Exchange: A Pilot Program in South Korea

Lee

Park

Kim³

et al. 2012

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…Advocates of health IT point to innovations, including digital radiology, electronic medical records, and computerized physician order entry as tools to enhance clinical productivity. 12,13 Our results suggest that surgical residents may also recognize improvements in hospital IT as an important way of increasing efficiency, thereby allowing greater opportunities for time to be devoted toward education. Additionally, the high rating of health IT as a benefit to education may incorporate and reflect the immediate availability of digital and web-based educational resources.…”

Section: Discussionmentioning

confidence: 93%

Strategies to Accommodate Resident Work-Hour Restrictions: Impact on Surgical Education

Freiburg

James

Ashikaga

et al. 2011

Journal of Surgical Education

View full text Add to dashboard Cite

“…Several studies have identified missing information as a significant barrier to HIE utilization. (17)(18)(19) In our project, participants reported that they rarely found the prescription information they queried.…”

Section: Discussionmentioning

confidence: 99%

Health Information Exchange to Support a Prescription Drug Monitoring Program

Cochran¹,

Klepser²,

Morien³

et al. 2015

Innov Pharm

View full text Add to dashboard Cite

Objective: To describe barriers to the utilization of a query based Health Information Exchange (HIE) that supports a statewide Prescription Drug Monitoring Program (PDMP Recommendation: Financial and human resources must be available for training and integration of a HIE based PDMP into the ER's clinical workflow. Minimizing information gaps is also necessary to increase utilization. BackgroundThe prevalence of prescription drug abuse continues to increase in the United States.(1-5) Opioid pain relievers (OPRs) were responsible for 14,800 of the 20,044 (73.8%) prescription drug overdose deaths in 2008.(6) The number of OPR deaths continued to increase to 16,651 in 2010. (7) The rate for OPR deaths was four times the rate for cocaine and heroin deaths combined.(7) According to the Centers for Disease Control and Prevention (CDC) report, "enough opioid pain relievers were sold to medicate every adult in the United States with the equivalent of a typical dose of 5mg of hydrocodone every 4 hours for 1 month". (7)

show abstract

Physicians' opinions of a health information exchange: Table 1

Abstract: Respondents reported that AMIE had the potential to improve care, but they felt that AMIE impact was limited due to the data available.

Cited by 60 publications

References 27 publications

Physicians' Perceptions and Use of a Health Information Exchange: A Pilot Program in South Korea

Physicians' Perceptions and Use of a Health Information Exchange: A Pilot Program in South Korea

Strategies to Accommodate Resident Work-Hour Restrictions: Impact on Surgical Education

Health Information Exchange to Support a Prescription Drug Monitoring Program

Contact Info

Product

Resources

About