Miller Robert H, Miller Bradley S
Institute for Health and Aging, University of California, San Francisco, CA, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):w568-80. doi: 10.1377/hlthaff.26.5.w568. Epub 2007 Aug 1.
The Santa Barbara County Care Data Exchange was once one of the most ambitious and publicized U.S. health information exchange (HIE) efforts. Eight years after its inception, and several months after providing some data, the Santa Barbara Project shut down operations. Despite its developed HIE infrastructure, participants found no compelling value proposition in initial HIE services. Even with fewer technology delays and more community leadership, other regional health information organizations (RHIOs) may also stumble over HIE service-value propositions without some combination of grants, incentives, and mandates that develop initial RHIO infrastructure and services and ensure provision of unprofitable yet socially valuable services.
圣巴巴拉县医疗数据交换曾是美国最雄心勃勃且备受瞩目的健康信息交换（HIE）项目之一。在其成立八年后，以及提供了一些数据几个月后，圣巴巴拉项目停止了运营。尽管其健康信息交换基础设施已建成，但参与者在最初的健康信息交换服务中未发现有令人信服的价值主张。即使技术延误减少且社区领导力增强，若没有拨款、激励措施和指令的某种组合来发展最初的区域健康信息组织基础设施及服务，并确保提供无利可图但具有社会价值的服务，其他区域健康信息组织（RHIOs）在健康信息交换服务价值主张方面也可能会遇到困难。
