Vest Joshua R, Greenberger Mari F, Garnatz Audrey
Indiana University Richard M Fairbanks School of Public Health-Indianapolis Center for Health Policy Indianapolis Indiana.
Health Information and Management Systems Society (HIMSS) Chicago Illinois.
Learn Health Syst. 2017 Jun 12;1(3):e10031. doi: 10.1002/lrh2.10031. eCollection 2017 Jul.
Health information exchange (HIE) capabilities meet the demands for a more effective, efficient, and safer health care system. However, organizations and individual providers have pursued different strategies to meet their respective needs for HIE capabilities. Because effective information sharing is necessary to a learning health system, this study sought to explore the perceptions of different approaches' effect on key features of an effective health care system.
An anonymous web-based survey was sent to a convenience sample of the membership of the Healthcare Information and Management Systems Society and the Strategic Health Information Exchange Collaborative with knowledge of HIE (n=68). A series of 7-point Likert-type items measured perceptions of enterprise health information exchanges (eHIEs) and community health information organizations (cHIOs) in the areas of effect on exchange participation, effect on market dynamics, relationship to DIRECT Secure Messaging and vendor-mediated exchange, and effect on quality. Also, respondents were asked to rate 13 qualities and services as "more about eHIE" or "more about cHIO."
Respondents tended to agree on the importance of cHIO and eHIE. Community benefits and support for public health agencies were concepts more often applied to cHIOs.
This study affirmed much of the conventional wisdom and anecdotal comments about perceptions of cHIOs and eHIEs. Although the respondents viewed cHIOs and eHIEs differently in terms of broader societal benefit and strategic advantage, nonetheless consistent agreement appeared in areas of importance in relationship to other information sharing strategies and overall effect on the quality of care.
健康信息交换（HIE）功能满足了对更有效、高效和安全的医疗保健系统的需求。然而，组织和个体提供者采取了不同的策略来满足他们对HIE功能的各自需求。由于有效的信息共享对于学习型健康系统至关重要，本研究旨在探讨不同方法对有效医疗保健系统关键特征的影响的看法。
向医疗保健信息与管理系统学会成员以及了解HIE的战略健康信息交换协作组织的便利样本发送了一份基于网络的匿名调查问卷（n = 68）。一系列7点李克特式项目测量了对企业健康信息交换（eHIE）和社区健康信息组织（cHIO）在对交换参与的影响、对市场动态的影响、与直接安全消息传递和供应商介导的交换的关系以及对质量的影响等方面的看法。此外，要求受访者将13种质量和服务评为“更属于eHIE”或“更属于cHIO”。
受访者倾向于认同cHIO和eHIE的重要性。社区利益和对公共卫生机构的支持等概念更多地适用于cHIO。
本研究证实了许多关于对cHIO和eHIE看法的传统观点和轶事评论。尽管受访者在更广泛的社会效益和战略优势方面对cHIO和eHIE的看法不同，但在与其他信息共享策略的关系的重要性领域以及对护理质量的总体影响方面仍出现了一致的认同。
