ArticleApplied clinical informatics2011
What Affects Clinicians' Usage of Health Information Exchange?
Article in Applied clinical informatics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange.Yearbook of medical informatics · 2022Pooled it
- Barriers and facilitators to exchanging health information: a systematic review.International journal of medical informatics · 2016Pooled it
- Influences on Emergency Clinician Use of Health Information Exchange: Interview Study.JMIR medical informatics · 2025Article
- Scratch Where It Itches: Electronic Sharing of Health Information and Costs.Healthcare (Basel, Switzerland) · 2023Article
- Impact of Provider Prior Use of HIE on System Complexity, Performance, Patient Care, Quality and System Concerns.Information systems frontiers : a journal of research and innovation · 2022Article
- Practice and market factors associated with provider volume of health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Searching the PDF Haystack: Automated Knowledge Discovery in Scanned EHR Documents.Applied clinical informatics · 2021Article
- Mental health professional perspectives on health data sharing: Mixed methods study.Health informatics journal · 2020Article
- Hospital adoption of multiple health information exchange approaches and information accessibility.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- The complementary nature of query-based and directed health information exchange in primary care practice.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Key Factors Affecting Ambulatory Care Providers' Electronic Exchange of Health Information With Affiliated and Unaffiliated Partners: Web-Based Survey Study.JMIR medical informatics · 2019Article
- The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients' Perspectives.Journal of medical Internet research · 2019Article
- Ethnographic analysis on the use of the electronic medical record for clinical handoff.Internal and emergency medicine · 2017Article
- Linking the health data system in the U.S.: Challenges to the benefits.International journal of nursing sciences · 2017Review
- A qualitative study of patient and provider experiences during preoperative care transitions.Journal of clinical nursing · 2017Article
- The implications and impact of 3 approaches to health information exchange: community, enterprise, and vendor-mediated health information exchange.Learning health systems · 2017Article
- Health Information Exchange in the ED: What Do ED Clinicians Think?Southern medical journal · 2016Article
- Assessment of the usability and impact of the Idaho Health Data Exchange (IHDE).Journal of medical systems · 2016Article
- What is the extent of research on the characteristics, behaviors, and impacts of health information technology champions? A scoping review.BMC medical informatics and decision making · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe ability to electronically exchange health information among healthcare providers holds enormous promise to improve care coordination and reduce costs. Provider-to-provider data exchange is an explicit goal of the American Recovery and Reinvestment Act of 2009 and may be essential for the long-term success of the Affordable Care Act of 2010. However, little is known about what factors affect clinicians' usage of health information exchange (HIE) functionality.
objectiveTo identify factors that affect clinicians' HIE usage - in terms of frequency of contributing data to and accessing data from aggregate patient records - and suggest policies for fostering its usage.
methodsWe performed a qualitative study using grounded theory by interviewing clinician-users and HIE staff of one operational HIE which supported aggregate patient record functionality. Fifteen clinicians were interviewed for one hour each about what factors affect their HIE usage. Five HIE staff were asked about technology and training issues to provide context. Interviews were recorded, transcribed and analyzed. Recruitment excluded clinicians with little or no familiarity with the HIE and was restricted to one community and a small number of specialties.
resultsClinicians were motivated to access the HIE by perceived improvements in care quality and time savings, but their motivation was moderated by an extensive list of factors including gaps in data, workflow issues and usability issues. HIE access intensities varied widely by clinician. Data contribution intensities to the HIE also varied widely and were affected by billing concerns and time constraints.
conclusionsClinicians, EHR and HIE product vendors and trainers should work toward integrating HIE into clinical workflows. Policies should create incentives for HIE organizations to assist clinicians in using HIE, develop measures of HIE contributions and accesses, and create incentives for clinicians to contribute data to HIEs.
Identifiers
What OpenQuestion holds
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.