Min Chen (
Sheng Guo is an instructor in the Department of Economics, Steven J. Green School of International and Public Affairs, Florida International University.
Health Aff (Millwood). 2019 Feb;38(2):197-204. doi: 10.1377/hlthaff.2018.05447.
Achieving widespread exchange of health information is a national health policy objective, for it is believed to boost treatment efficiency, reduce health care costs, and improve patient outcomes. We used state-level data for 2011-14 from Florida to examine the relationship between hospitals' participation in health information exchange (HIE) and quality and health outcomes. HIE participation was associated with a decrease in the probability of unplanned, thirty-day readmissions for acute myocardial infarction that was 1.3 percentage points greater than that seen at nonparticipating hospitals. This decrease was driven primarily by reduced readmissions to hospitals other than those that provided initial inpatient treatment. These findings indicate that HIE can be leveraged to improve quality measures targeted by the Hospital Readmissions Reduction Program and may hold promise for achieving broader policy goals.
实现广泛的健康信息交流是国家卫生政策的目标，因为这被认为可以提高治疗效率、降低医疗成本并改善患者的预后。我们使用了佛罗里达州 2011-2014 年的州级数据，考察了医院参与健康信息交换（HIE）与质量和健康结果之间的关系。HIE 的参与与急性心肌梗死患者非计划性、三十天内再入院的概率降低有关，这一概率比未参与 HIE 的医院高出 1.3 个百分点。这种下降主要是由于除了提供初始住院治疗的医院之外，其他医院的再入院率降低所致。这些发现表明，HIE 可以用来提高医院再入院率降低计划所针对的质量指标，并且可能为实现更广泛的政策目标提供希望。
