Evidence map›Paper›PMID 25589903›Full record

ArticleApplied clinical informatics2014

How could health information exchange better meet the needs of care practitioners?

P Kierkegaard, R Kaushal, J R Vest

Abstract read
In one paragraph

Article in Applied clinical informatics, 2014. 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.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Analysing the Suitability of Artificial Intelligence in Healthcare and the Role of AI Governance.Health care analysis : HCA : journal of health philosophy and policy · 2025
    Article
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  7. Enhancing the nation's public health information infrastructure: a report from the ACMI symposium.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  8. Article
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  10. The complementary nature of query-based and directed health information exchange in primary care practice.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  11. Article
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  14. Linking the health data system in the U.S.: Challenges to the benefits.International journal of nursing sciences · 2017
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

P KierkegaardUniversity of Copenhagen, Department of Computer Science , København S, Denmark.
R KaushalDepartment of Healthcare Policy and Research, Center for Healthcare Informatics and Policy, Weill Cornell Medical College , New York, USA , Health Information Technology Evalution Collaborative (HITEC), New York, USA.
J R VestWeill Cornell Medical College , Department of Healthcare Policy and Research, New York, New York, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth information exchange (HIE) has the potential to improve the quality of healthcare by enabling providers with better access to patient information from multiple sources at the point of care. However, HIE efforts have historically been difficult to establish in the US and the failure rates of organizations created to foster HIE have been high.

objectivesWe sought to better understand how RHIO-based HIE systems were used in practice and the challenges care practitioners face using them. The objective of our study were to so investigate how HIE can better meet the needs of care practitioners.

methodsWe performed a multiple-case study using qualitative methods in three communities in New York State. We conducted interviews onsite and by telephone with HIE users and non-users and observed the workflows of healthcare professionals at multiple healthcare organizations participating in a local HIE effort in New York State.

resultsThe empirical data analysis suggests that challenges still remain in increasing provider usage, optimizing HIE implementations and connecting HIE systems across geographic regions. Important determinants of system usage and perceived value includes users experienced level of available information and the fit of use for physician workflows.

conclusionsChallenges still remain in increasing provider adoption, optimizing HIE implementations, and demonstrating value. The inability to find information reduced usage of HIE. Healthcare organizations, HIE facilitating organizations, and states can help support HIE adoption by ensuring patient information is accessible to providers through increasing patient consents, fostering broader participation, and by ensuring systems are usable.

Indexed as

Health Information ExchangeHealth PersonnelConsent FormsHumansInterviews as TopicPatient CareProgram EvaluationWorkflowcommunityconsent modelevaluation studiesHealth information exchangeinformation systems

Identifiers

PMID25589903
PMCPMC4287667

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.