ArticleJMIR medical informatics2014
Barriers over time to full implementation of health information exchange in the United States.
Article in JMIR medical informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 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
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature.Journal of medical Internet research · 2018Pooled it
- A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review.Journal of medical Internet research · 2016Pooled it
- Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review.Journal of medical Internet research · 2015Pooled it
- Implementation of an EHR-integrated web-based depression assessment in primary care: PORTAL-Depression.JAMIA open · 2024Article
- Successes and Barriers of Health Information Exchange Participation Across Hospitals in South Carolina From 2014 to 2020: Longitudinal Observational Study.JMIR medical informatics · 2023Observational
- Asymmetric Interoperability as a Strategy Among Provider Group Health Information Exchange: Directional Analysis.Journal of medical Internet research · 2023Article
- Investigating a Work System Approach to Implement an Emergency Department Surge Management System: Case Study.Journal of medical Internet research · 2022Article
- Hospital's adoption of multiple methods of obtaining outside information and use of that information.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- How to Implement Digital Services in a Way That They Integrate Into Routine Work: Qualitative Interview Study Among Health and Social Care Professionals.Journal of medical Internet research · 2021Article
- Health Data Sharing in US Nursing Homes: A Mixed Methods Study.Journal of the American Medical Directors Association · 2021Article
- The Need for Sustainable Teleconsultation Systems in the Aftermath of the First COVID-19 Wave.Journal of medical Internet research · 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
- Writing a Systematic Review for Publication in a Health-Related Degree Program.JMIR research protocols · 2019Article
- Interoperable Electronic Health Records and Health Information Exchanges: Systematic Review.JMIR medical informatics · 2019Review
- Vendor of choice and the effectiveness of policies to promote health information exchange.BMC health services research · 2018Article
- A strategic gaming model for health information exchange markets.Health care management science · 2018Article
- Overcoming Barriers to Experience Benefits: A Qualitative Analysis of Electronic Health Records and Health Information Exchange Implementation in Local Health Departments.EGEMS (Washington, DC) · 2017Article
- Facilitators and barriers experienced by federal cross-sector partners during the implementation of a healthy eating campaign.Public health nutrition · 2017Article
- Conversion of Provider EMR Training from Instructor-Led Training to eLearning at an Academic Medical Center.Applied clinical informatics · 2017Article
- Readiness for Delivering Digital Health at Scale: Lessons From a Longitudinal Qualitative Evaluation of a National Digital Health Innovation Program in the United Kingdom.Journal of medical Internet research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough health information exchanges (HIE) have existed since their introduction by President Bush in his 2004 State of the Union Address, and despite monetary incentives earmarked in 2009 by the health information technology for economic and clinical health (HITECH) Act, adoption of HIE has been sparse in the United States. Research has been conducted to explore the concept of HIE and its benefit to patients, but viable business plans for their existence are rare, and so far, no research has been conducted on the dynamic nature of barriers over time.
objectiveThe aim of this study is to map the barriers mentioned in the literature to illustrate the effect, if any, of barriers discussed with respect to the HITECH Act from 2009 to the early months of 2014.
methodsWe conducted a systematic literature review from CINAHL, PubMed, and Google Scholar. The search criteria primarily focused on studies. Each article was read by at least two of the authors, and a final set was established for evaluation (n=28).
resultsThe 28 articles identified 16 barriers. Cost and efficiency/workflow were identified 15% and 13% of all instances of barriers mentioned in literature, respectively. The years 2010 and 2011 were the most plentiful years when barriers were discussed, with 75% and 69% of all barriers listed, respectively.
conclusionsThe frequency of barriers mentioned in literature demonstrates the mindfulness of users, developers, and both local and national government. The broad conclusion is that public policy masks the effects of some barriers, while revealing others. However, a deleterious effect can be inferred when the public funds are exhausted. Public policy will need to lever incentives to overcome many of the barriers such as cost and impediments to competition. Process improvement managers need to optimize the efficiency of current practices at the point of care. Developers will need to work with users to ensure tools that use HIE resources work into existing workflows.
Indexed as
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.