ArticleEGEMS (Washington, DC)2017
Health Information Exchange Use (1990-2015): A Systematic Review.
Article in EGEMS (Washington, DC), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis 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
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of interorganisational information technology networks on patient safety: a realist synthesis.BMJ open · 2020Pooled it
- Article
- Influences on Emergency Clinician Use of Health Information Exchange: Interview Study.JMIR medical informatics · 2025Article
- The health data utility and the resurgence of health information exchanges as a national resource.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Delivering Guideline-Concordant Care for Patients With High-Risk HPV and Normal Cytologic Findings.JAMA network open · 2025Article
- Health Care Worker Usage of Large-Scale Health Information Exchanges in Japan: User-Level Audit Log Analysis Study.JMIR medical informatics · 2024Article
- Clinicians' use of Health Information Exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis.BMC health services research · 2024Article
- Accessibility of Criteria to Exit Cervical Cancer Screening at Age 65 Years in the Electronic Health Record.O&G open · 2024Article
- A Mortality Surveillance Collaboration Between a Health System and Public Health Department.American journal of public health · 2023Article
- Developing electronic clinical quality measures to assess the cancer diagnostic process.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- A State Health Department and Health Information Exchange Partnership: An Effective Collaboration for a Data-Driven Response for COVID-19 Contact Tracing in Maryland.Sexually transmitted diseases · 2023Article
- Patients' and health care providers' perspectives on quality of hemophilia care in the Netherlands: a questionnaire and interview study.Research and practice in thrombosis and haemostasis · 2023Article
- The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities - An Exploratory Study.Journal of multidisciplinary healthcare · 2023Article
- The medical cyborg concept.EMBnet.journal · 2022Article
- Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes.BMJ quality & safety · 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
- Status of health information exchange: a comparison of six countries.Journal of global health · 2019Article
- The Impacts of the Perceived Transparency of Privacy Policies and Trust in Providers for Building Trust in Health Information Exchange: Empirical Study.JMIR medical informatics · 2019Article
- The associations between query-based and directed health information exchange with potentially avoidable use of health care services.Health services research · 2019Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn June 2014, the Office of the National Coordinator for Health Information Technology published a 10-year roadmap for the United States to achieve interoperability of electronic health records (EHR) by 2024. A key component of this strategy is the promotion of nationwide health information exchange (HIE). The 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act provided significant investments to achieve HIE.
objectiveWe conducted a systematic literature review to describe the use of HIE through 2015.
methodsWe searched MEDLINE, PsycINFO, CINAHL, and Cochrane databases (1990 - 2015); reference lists; and tables of contents of journals not indexed in the databases searched. We extracted data describing study design, setting, geographic location, characteristics of HIE implementation, analysis, follow-up, and results. Study quality was dual-rated using pre-specified criteria and discrepancies resolved through consensus.
resultsWe identified 58 studies describing either level of use or primary uses of HIE. These were a mix of surveys, retrospective database analyses, descriptions of audit logs, and focus groups. Settings ranged from community-wide to multinational. Results suggest that HIE use has risen substantially over time, with 82% of non-federal hospitals exchanging information (2015), 38% of physician practices (2013), and 17-23% of long-term care facilities (2013). Statewide efforts, originally funded by HITECH, varied widely, with a small number of states providing the bulk of the data. Characteristics of greater use include the presence of an EHR, larger practice size, and larger market share of the health-system.
conclusionsUse of HIE in the United States is growing but is still limited. Opportunities remain for expansion. Characteristics of successful implementations may provide a path forward.
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.