ArticleJMIR medical informatics2025
Influences on Emergency Clinician Use of Health Information Exchange: Interview Study.
Article in JMIR medical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
- Acceptance of Electronic Medical Records Among Practitioner Nurses and Nurse Managers Using the UTAUT Framework in Hospital Settings: A Scoping Review.Journal of multidisciplinary healthcare · 2026Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundHealth information exchange (HIE) supports clinical decision-making in emergency medicine settings. Despite evidence and policies that encourage the adoption of HIE, use by clinicians is limited. Moreover, few studies examine HIE use years after adoption by hospitals or clinics.
objectiveThis study aims to examine the perceptions and use of a mature, operational HIE system by emergency department clinicians years after its implementation.
methodsWe interviewed 21 clinicians in various roles (eg, attending physician and nurse practitioner) across multiple health systems that participate in a statewide HIE network. We asked questions about their use of the HIE system and the factors that facilitate or inhibit use. Analysis of interview transcripts was guided by a theoretical framework derived from information systems theories describing individual perception of, and use behavior toward, HIE systems.
resultsA total of 26 factors across 6 domains were identified by respondents. All respondents recognized the value of HIE for medical decision-making in the emergency department, and access to information via the HIE system was preferred over traditional methods of telephoning other facilities or waiting for faxed records. Ease of use, particularly single sign-on functionality, was recognized as a key facilitator of routine use, enabling clinicians to access a patient's HIE record with a single click from within their electronic health record system. Access to integrated data and advanced search features supported clinical decision-making. Limited training and poor system usability were identified as barriers to use.
conclusionsAchieving widespread adoption and use of HIE systems globally will require a focused effort to address multiple individual perception and behavioral factors. Researchers, leaders of HIE organizations, and policymakers alike should leverage these factors to achieve the goals of HIE and interoperability.
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