ArticleJournal of medical systems2012
How are health professionals using health information exchange systems? Measuring usage for evaluation and system improvement.
Article in Journal of medical systems, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors associated with nurse well-being in relation to electronic health record use: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review.Journal of medical Internet research · 2016Pooled it
- Health Care Worker Usage of Large-Scale Health Information Exchanges in Japan: User-Level Audit Log Analysis Study.JMIR medical informatics · 2024Article
- Article
- Definitions, components and processes of data harmonisation in healthcare: a scoping review.BMC medical informatics and decision making · 2020Article
- Exploring How Professionals Within Agile Health Care Informatics Perceive Visualizations of Log File Analyses: Observational Study Followed by a Focus Group Interview.JMIR human factors · 2020Article
- Evaluating the impact of organisational digital maturity on clinical outcomes in secondary care in England.NPJ digital medicine · 2019Article
- Health Information Exchange Use (1990-2015): A Systematic Review.EGEMS (Washington, DC) · 2017Article
- Linking the health data system in the U.S.: Challenges to the benefits.International journal of nursing sciences · 2017Review
- Assessment of the usability and impact of the Idaho Health Data Exchange (IHDE).Journal of medical systems · 2016Article
- A user needs assessment to inform health information exchange design and implementation.BMC medical informatics and decision making · 2015Article
- Organizational Uses of Health Information Exchange to Change Cost and Utilization Outcomes: A Typology from a Multi-Site Qualitative Analysis.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2015Article
- Development and application of a Chinese webpage suicide information mining system (sims).Journal of medical systems · 2014Article
- Barriers over time to full implementation of health information exchange in the United States.JMIR medical informatics · 2014Article
- Health information exchange implementation: lessons learned and critical success factors from a case study.JMIR medical informatics · 2014Article
- Factors related to health information exchange participation and use.Journal of medical systems · 2014Article
- The impact of electronic health records on people with diabetes in three different emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2014Article
- Association between use of a health information exchange system and hospital admissions.Applied clinical informatics · 2014Article
- Using a health information exchange system for imaging information: patterns and predictors.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- Improving access to longitudinal patient health information within an emergency department.Applied clinical informatics · 2012Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Health information exchange (HIE) is an avenue to improving patient care and an important priority under the Meaningful Use requirements. However, we know very little about the usage of HIE systems. Understanding how healthcare professionals actually utilize HIE systems will provide practical insights to system evaluation, help guide system improvement, and help organizations assess performance. We developed a novel way of describing professionals' HIE usage from the log files of an operational HIE-facilitating organization. The system employed a webpage-style interface. The screen number, types, and variation served to cluster all sessions in to five categories of HIE usage: minimal usage, repetitive searching, clinical information, mixed information, and demographic information. This method reduced the 1,661 different patterns into five recognizable groups for analysis. Overall, most users engaged with the system in a minimal fashion. In terms of user characteristics, minimal usage was highest among physicians and the highest percentage of clinical information usage was among nurses. Usage also differed by organization with repetitive searching most common in settings with scheduled encounters and uncommon in the faster-paced emergency department. Lastly, usage also varied by timing of the patient encounter. Within a single HIE system, discernible types of users behavior existed and varied across jobs, organizations, and time. This approach relied on objective data and can be replicated. In addition, our approach demonstrates that substantial variation in user behaviors exists beyond the more simplistic measures of adoption/non-adoption or access/no-access applied in previous research. This approach can help leaders and evaluators assess their own and other organizations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.