System dynamics simulation modeling of health information exchange (HIE) adoption and policy intervention: A case study in the State of Maryland

Edaibat, Emad A.; Dever, Jason; Stuban, Steven M. F.

doi:10.1016/j.orhc.2017.02.001

Cited by 20 publications

(10 citation statements)

References 21 publications

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“…Consistent with previous studies, in the process of forming trust in technology (as an impersonal entity), consumers’ awareness of the unknown should be resolved [66]. Previous research indicates that the public awareness about HIE mechanisms, functions, integrity, and security safeguards needs to be raised [2,26]. For example, one area could be the differences between the open transparency of information in cryptocurrency and blockchain-based HIE.…”

Section: Discussionmentioning

confidence: 64%

“…Accordingly, without a systematic connection among providers, patients’ medical information can become fragmented, outdated, and incomplete in health care organizations [1]. Health information exchange (HIE) is a data exchange mechanism that was introduced and prompted by the Health Information Technology for Economic and Clinical Health Act in 2009 to improve care coordination among health care providers and reduce medical errors [2]. HIE refers to the process of electronic transfer of patient health information and medical data among health care providers and institutions [3].…”

Section: Introductionmentioning

confidence: 99%

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The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients’ Perspectives

Esmaeilzadeh¹,

Mirzaei²

2019

J Med Internet Res

106

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Background Nowadays, a number of mechanisms and tools are being used by health care organizations and physicians to electronically exchange the personal health information of patients. The main objectives of different methods of health information exchange (HIE) are to reduce health care costs, minimize medical errors, and improve the coordination of interorganizational information exchange across health care entities. The main challenges associated with the common HIE systems are privacy concerns, security risks, low visibility of system transparency, and lack of patient control. Blockchain technology is likely to disrupt the current information exchange models utilized in the health care industry. Objective Little is known about patients’ perceptions and attitudes toward the implementation of blockchain-enabled HIE networks, and it is still not clear if patients (as one of the main HIE stakeholders) are likely to opt in to the applications of this technology in HIE initiatives. Thus, this study aimed at exploring the core value of blockchain technology in the health care industry from health care consumers’ views. Methods To recognize the potential applications of blockchain technology in health care practices, we designed 16 information exchange scenarios for controlled Web-based experiments. Overall, 2013 respondents participated in 16 Web-based experiments. Each experiment described an information exchange condition characterized by 4 exchange mechanisms (ie, direct, lookup, patient-centered, and blockchain), 2 types of health information (ie, sensitive vs nonsensitive), and 2 types of privacy policy (weak vs strong). Results The findings show that there are significant differences in patients’ perceptions of various exchange mechanisms with regard to patient privacy concern, trust in competency and integrity, opt-in intention, and willingness to share information. Interestingly, participants hold a favorable attitude toward the implementation of blockchain-based exchange mechanisms for privacy protection, coordination, and information exchange purposes. This study proposed the potentials and limitations of a blockchain-based attempt in the HIE context. Conclusions The results of this research should be of interest to both academics and practitioners. The findings propose potential limitations of a blockchain-based HIE that should be addressed by health care organizations to exchange personal health information in a secure and private manner. This study can contribute to the research in the blockchain area and enrich the literature on the use of blockchain in HIE efforts. Practitioners can also identify how to leverage the benefit of blockchain to promote HIE initiatives nationwide.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients’ Perspectives

Esmaeilzadeh¹,

Mirzaei²

2019

J Med Internet Res

106

View full text Add to dashboard Cite

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“…A handful of papers present SD models as the main results and outcome, including for a methadone maintenance treatment [ 118 ], water regulation in the human body [ 119 ], depression [ 120 , 121 ], fatigue [ 122 ], alcohol misuse [ 123 , 124 ], urban community health services [ 125 ], construction workers’ health behavior [ 126 ], Hispanic immigrant worker health [ 127 ], patient satisfaction [ 128 , 129 ], urban health policy-making [ 130 ], healthy eating [ 131 ], oral health [ 132 ], the total costs associated with hip joint endoprosthesis [ 133 ], mobile stroke units [ 134 ], occupational health and safety (OHS) performance [ 135 , 136 ], and electronic health information exchange (HIE) [ 137 , 138 ].…”

Section: Discussionmentioning

confidence: 99%

A System Dynamics Simulation Applied to Healthcare: A Systematic Review

Davahli

Karwowski

Taı̈ar

2020

IJERPH

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In recent years, there has been significant interest in developing system dynamics simulation models to analyze complex healthcare problems. However, there is a lack of studies seeking to summarize the available papers in healthcare and present evidence on the effectiveness of system dynamics simulation in this area. The present paper draws on a systematic selection of published literature from 2000 to 2019, in order to form a comprehensive view of current applications of system dynamics methodology that address complex healthcare issues. The results indicate that the application of system dynamics has attracted significant attention from healthcare researchers since 2013. To date, articles on system dynamics have focused on a variety of healthcare topics. The most popular research areas among the reviewed papers included the topics of patient flow, obesity, workforce demand, and HIV/AIDS. Finally, the quality of the included papers was assessed based on a proposed ranking system, and ways to improve the system dynamics models’ quality were discussed.

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“…14-32 DOI: 10.14488/BJOPM.2019 rettes and that system dynamics could be a useful approach to assess the potential population health effects of nicotine products when epidemiological data are not available. Edaibat et al (2017) examined the health information exchange (HIE) adoption barriers, challenges, influencing factors, and the impacts of policy interventions among ambulatory providers and acute-hospitals in the State of Maryland health care system. Alonge at al.…”

Section: System Dynamics Applicationsmentioning

confidence: 99%

Computer Simulation Model for Outpatient Clinics in a Brazilian Large Public Hospital Specialized in Cardiology

Chang

Lima

Fernandes

et al. 2019

BJO&PM

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Goal: the main objective of this study is to analyze the behavior of the outpatient department of a large public hospital specialized in cardiology, understanding how the components of this system are related, in order to improve the hospital's performance. Design / Methodology / Approach: a case study was carried out in a public hospital specializing in cardiology with the aid of Modeling and Simulation of System Dynamics. Results: the result showed that variables such as doctor availability and average consultation time have great influence on the service capacity. Limitations of the investigation: the proceedings and times related to the medical staff are particular to each team and they are not standardized. However, in the system dynamics modeling these particularities cannot be included. Practical implications: for theory, there is the state-of-the-art development in terms of how to manage and regarding the methodologies should be applied in a complex referential model composed of several moderating variables, in order to obtain the best use of the available resources (human and material) of the hospital. For practice, the flow of patients in the hospital should be predicted and optimized, adding value to the services provided to its users. Originality / Value: the originality of the work is based on the unprecedented application of quantitative methods for solving problems in Brazilian hospitals.

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System dynamics simulation modeling of health information exchange (HIE) adoption and policy intervention: A case study in the State of Maryland

Cited by 20 publications

References 21 publications

The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients’ Perspectives

The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients’ Perspectives

A System Dynamics Simulation Applied to Healthcare: A Systematic Review

Computer Simulation Model for Outpatient Clinics in a Brazilian Large Public Hospital Specialized in Cardiology

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