ArticleJournal of the American Medical Informatics Association : JAMIA2020
The complementary nature of query-based and directed health information exchange in primary care practice.
Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Health Information Exchange between Specialists and General Practitioners Benefits Rural Patients.Applied clinical informatics · 2021Trial
- Health Information Exchange Usage in Japan: Content Analysis of Audit Logs.JMIR medical informatics · 2025Article
- Health Care Worker Usage of Large-Scale Health Information Exchanges in Japan: User-Level Audit Log Analysis Study.JMIR medical informatics · 2024Article
- Changes in Health Information Exchange Use Behavior After Introduction of a Fast Healthcare Interoperability Resources (FHIR) Application.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- 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 Do Dental Clinicians Obtain Up-To-Date Patient Medical Histories? Modeling Strengths, Drawbacks, and Proposals for Improvements.Frontiers in digital health · 2022Article
- Practice and market factors associated with provider volume of health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Health information exchange use during dental visits.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveMany policymakers and advocates assume that directed and query-based health information exchange (HIE) work together to meet organizations' interoperability needs, but this is not grounded in a substantial evidence base. This study sought to clarify the relationship between the usage of these 2 approaches to HIE. MATERIALS AND
methodsSystem user log files from a regional HIE organization and electronic health record system were combined to model the usage of HIE associated with a patient visit at 3 federally qualified health centers in New York. Regression models tested the hypothesis that directed HIE usage was associated with query-based usage and adjusted for factors reflective of the FITT (Fit between Individuals, Task & Technology) framework. Follow-up interviews with 8 key informants helped interpret findings.
resultsUsage of query-based HIE occurred in 3.1% of encounters and directed HIE in 23.5%. Query-based usage was 0.6 percentage points higher when directed HIE provided imaging information, and 4.8 percentage points higher when directed HIE provided clinical documents. The probability of query-based HIE was lower for specialist visits, higher for postdischarge visits, and higher for encounters with nurse practitioners. Informants used query-based HIE after directed HIE to obtain additional information, support transitions of care, or in cases of abnormal results. DISCUSSION: The complementary nature of directed and query-based HIE indicates that both HIE functionalities should be incorporated into EHR Certification Criteria.
conclusionsQuantitative and qualitative findings suggest that directed and query-based HIE exist in a complementary manner in ambulatory care settings.
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Registered trials
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