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Moving Toward Seamless Interinstitutional Electronic Image Transfer.

David B Larson1, Arun Krishnaraj2, David S Mendelson3

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Summary
This summary is machine-generated.

Interinstitutional medical image exchange remains inefficient due to coordination issues, not technical limitations. A linked multihub model, with vendors exchanging images, is proposed for a patient-friendly electronic system.

Keywords:
Health policy and practiceimage exchangeinformaticspatient-centered care

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Area of Science:

  • Health Informatics
  • Health Services Research
  • Systems Analysis

Background:

  • Current medical image exchange relies heavily on physical media, hindering value-based healthcare.
  • Technical solutions exist, but market dynamics and coordination problems impede progress in electronic image exchange.

Purpose of the Study:

  • To analyze the interinstitutional medical image exchange problem using a macrosystem approach.
  • To propose a strategy for guiding the market toward a patient-centric electronic image exchange solution.

Main Methods:

  • Macrosystem analysis of the medical image exchange network.
  • Evaluation of various network configurations (carriers, peer-to-peer, hubs, hybrid).

Main Results:

  • The linked multihub model, where institutions connect via image exchange companies, is identified as optimal for patient-friendly electronic exchange.
  • Vendor-to-vendor image exchange is crucial for achieving this multihub configuration.

Conclusions:

  • Image exchange vendors must commit to inter-vendor data sharing to enable an efficient system.
  • Stakeholders, including providers, societies, payers, and regulators, should incentivize this vendor coordination.
  • Institutions should prioritize vendors committed to vendor-to-vendor exchange by 2024 to drive market change.