ArticleBMC health services research2021
A mixed-method service evaluation of health information exchange in England: technology acceptance and barriers and facilitators to adoption.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Investigating digital determinants shaping pharmacists' preparedness for interoperability and health informatics practice evolution: a systematic review.International journal of clinical pharmacy · 2025Pooled it
- Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange.Yearbook of medical informatics · 2022Pooled it
- Facilitators and Barriers of Using Smart Bedside Station Systems Among Hospitalized Patients: A Qualitative Study Based on UTAUT.Journal of general internal medicine · 2026Article
- Building a presence: implementation strategies used to expand palliative care services across six diverse health systems in a longitudinal mixed methods study.BMC palliative care · 2026Article
- Article
- Toward a Conceptual Framework for Digitally Supported Communication, Coordination, Cooperation, and Collaboration in Interprofessional Health Care: Scoping Review.Journal of medical Internet research · 2025Article
- Best Practices for Implementing Electronic Care Records in Adult Social Care: Rapid Scoping Review.JMIR aging · 2025Article
- Acceptability and perceived impact of a mental health and disability programme in Ghana.African journal of disability · 2025Article
- Informing existing technology acceptance models: a qualitative study with older persons and caregivers.European journal of ageing · 2024Article
- Enablers and barriers to adopt the locally developed Masi mechanical ventilator amid COVID-19 pandemic in Peru.Heliyon · 2023Article
- Health Information Exchange: Understanding the Policy Landscape and Future of Data Interoperability.Yearbook of medical informatics · 2023Review
- Information Technology Systems for Infection Control in German University Hospitals-Results of a Structured Survey a Year into the Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic.Methods of information in medicine · 2023Article
- Multilevel Determinants of Digital Health Equity: A Literature Synthesis to Advance the Field.Annual review of public health · 2023Review
- The use and impact of digital COVID-19 tracking in adult social care: a prospective cohort study of care homes in Greater Manchester.BMC infectious diseases · 2023Article
- Findings from the 2022 Yearbook Section on Health Information Exchange.Yearbook of medical informatics · 2022Review
- 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
- Applicability of Different Electronic Record Types for Use in Patient Recruitment Support Systems: Comparative Analysis.JMIR formative research · 2021Article
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
backgroundThe need for information exchange and integrated care has stimulated the development of interoperability solutions that bring together patient data across the health and care system to enable effective information sharing. Health Information Exchange (HIE) solutions have been shown to be effective in supporting patient care, however, user adoption often varies among users and care settings. This service evaluation aimed to measure user acceptance of HIE and explore barriers and facilitators to its wider uptake.
methodsA mixed-method study design was used. A questionnaire was developed using the Unified Theory of Acceptance and Use of Technology and administered to HIE users to assess technology acceptance. Pearson Chi
resultsA total of 105 HIE users completed the survey and another 12 participated in the interviews. Significant differences were found in HIE acceptance between users groups and care settings, with high adopters demonstrating higher acceptance and social care users showing lower acceptance. Participants identified several drivers to adoption, including increased information accessibility, better care coordination, informed decision-making, improved patient care, reduced duplication of procedures, and time and cost savings. However, they also highlighted a number of barriers, such as lack of awareness about the solution and its value, suboptimal communication strategies, inadequate training and lack of resources for knowledge dissemination, absence of champions to support the implementation, lack of end-user involvement in the implementation and evaluation of HIE, unclear accountability and responsibility for the overall success of the programme, and patient confidentiality concerns.
conclusionsWorking to better engage stakeholders, considering the needs of users from different care settings, providing users with training resources and support to increase their knowledge and confidence in using the system, developing implementation strategies to seek user feedback and monitor performance, and using communication strategies to increase awareness of the product and its value, can help improve uptake and adoption of HIE.
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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.