Are there differences in health information exchange by health system type?

Health Care Management Review
William Opoku-Agyeman, Nir Menachemi

Abstract

Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30% of U.S. hospitals doing so in 2012. The aim of this study was to explore the relationship between different health system types and how they engage in HIE. Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics. Ordinal logistic regression analyses were used to examine the relationship between a scale measuring the level of HIE engagement and health system type controlling for hospital and market characteristics. Data from 1552 hospitals were available for analyses. Overall, hospital in a health system of any kind exchanged more patient data elements (e.g., patient demographics, clinical summaries, laboratory results, medication history, and radiology report) compared with stand-alone hospitals (3.82 vs. 1.80, p < .001). Overall, 62.2% of hospitals were part of a health system, and among system hospitals, 125 (8.0%) were in centralized health systems, 75 (4.8%) were in centralized physician/insurance health system, 284 (18.3%) were in moderately centralized health system, 391 (25.2%) were in decentralized health system, and 91 ...Continue Reading

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Citations

Jun 4, 2018·Journal of the American Medical Informatics Association : JAMIA·Joshua R Vest, Kosali Simon
Jul 10, 2018·Journal of the American Medical Informatics Association : JAMIA·A Jay Holmgren, Eric W Ford
Feb 27, 2017·Health Care Management Science·Daniel M Walker
Mar 29, 2018·Journal of the American Medical Informatics Association : JAMIA·Aude MotulskyRobyn Tamblyn
Jul 28, 2019·Journal of the American Medical Informatics Association : JAMIA·Joshua R VestKosali Simon
Jan 12, 2021·Health Services Research·Stephen M ShortellA James O'Malley
Mar 30, 2021·Health Services Research·A Jay HolmgrenJulia Adler-Milstein

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