ArticleJournal of medical systems2013
Challenges, alternatives, and paths to sustainability for health information exchange efforts.
Article in Journal of medical systems, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 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.
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange.Yearbook of medical informatics · 2022Pooled it
- Findings from 2017 on Health Information ManagementYearbook of medical informatics · 2018Pooled it
- A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review.Journal of medical Internet research · 2016Pooled it
- Acceptance of Smart Contracts in Patients Receiving Primary Care: Exploratory Study.JMIR formative research · 2026Article
- Article
- Experiences with information blocking in the United States: a national survey of hospitals.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Promoting TEFCA with Blockchain Technology: A Decentralized Approach to Patient-centered Healthcare Data Management.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Hospital's adoption of multiple methods of obtaining outside information and use of that information.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Determinants Affecting the Health Information Sharing Management and Practice for Patient Referral in Thailand: The Perceptions of Patients and Healthcare Professionals.Perspectives in health information managemen · 2022Article
- A qualitative study of prevalent laboratory information systems and data communication patterns for genetic test reporting.Genetics in medicine : official journal of the American College of Medical Genetics · 2021Article
- A qualitative investigation of biomedical informatics interoperability standards for genetic test reporting: benefits, challenges, and motivations from the testing laboratory's perspective.Genetics in medicine : official journal of the American College of Medical Genetics · 2021Article
- Information blocking remains prevalent at the start of 21st Century Cures Act: results from a survey of health information exchange organizations.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- The complementary nature of query-based and directed health information exchange in primary care practice.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Mind the gap: the potential of alternative health information exchange.The American journal of managed care · 2019Article
- Gaps in health information exchange between hospitals that treat many shared patients.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Does participation in health information exchange improve hospital efficiency?Health care management science · 2018Article
- Hospitals' adoption of intra-system information exchange is negatively associated with inter-system information exchange.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Vendor of choice and the effectiveness of policies to promote health information exchange.BMC health services research · 2018Article
- Falling short: how state laws can address health information exchange barriers and enablers.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- The relationship between hospital and ehr vendor market dynamics on health information organization presence and participation.BMC medical informatics and decision making · 2018Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health information exchange (HIE) is a promising approach to improving the cost and quality of healthcare. We sought to identify the strengths and weaknesses of organizational models to achieve exchange, and what can be done to ensure the sustainability and effectiveness of exchange efforts. We interviewed state and national health informatics policy experts (n = 17). Data were collected as part of an evaluation of the Health Care Efficiency and Affordability Law for New Yorkers (HEAL NY) program and included respondents from both the private and public sectors. Data were analyzed using a general inductive and comparative approach with open coding of themes. Interviewees generally viewed HIE as a public or societal good to be valued. However, they identified challenges with the regional health information organization (RHIO) model of facilitating exchange including: economics, organizational issues, and geography. RHIOs were contrasted against alternative methods of exchange such as Direct, enterprise HIE, and vendor-mediated exchange. HIE is a difficult undertaking due to political and economic reasons. Alternatives to the RHIO model have features that may be more attractive to participants, but may be of less public benefit. Using states as intermediaries and mandating exchange under public health law may avoid the challenges facing exchange efforts. Moving forward, policies will have to address the shortcomings of each HIE model to ensure information is effectively shared between providers to maximize health benefits.
Indexed as
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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.