非联邦急症护理医院之间获取和使用互操作信息的障碍
Jordan Everson1, Chelsea Richwine1
1Office of the Assistant Secretary for Technology Policy, US Department of Health and Human Services, Washington, DC 20201, United States.
Journal of the American Medical Informatics Association : JAMIA
|October 14, 2024
概括
大多数美国医院都面临着卫生信息交换的障碍,特别是资源较低的设施. 患者匹配和交换成本显著阻碍了外部信息的使用,影响了患者的护理.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 卫生信息交换健康信息交换
背景情况:
- 互操作的健康信息交换对于有效的患者护理至关重要.
- 尽管取得了进展,但仍有重大障碍阻碍美国医院之间无共享数据.
研究的目的:
- 识别和分析美国医院获取和利用互操作健康信息的障碍.
- 了解这些障碍如何根据医院的特点和数据交换方法而有所不同.
主要方法:
- 分析了2023年来自美国2420家医院的全国代表性调查数据.
- 检查与其他组织信息交换的主要和次要障碍.
- 使用回归模型来评估障碍与常规信息使用之间的关系.
主要成果:
- 81%的医院报告说,在2023年,在信息交换方面存在小障碍,62%的医院报告说,在信息交换方面存在重大障碍.
- 常见的主要障碍包括不同的供应商能力和交换伙伴的局限性.
- 资源较少的医院和使用邮件/传真或直接EHR访问的医院面临着更大的障碍.
结论:
- 卫生信息交换的障碍仍然存在,不成比例地影响着资源较低的医院和使用旧交换方法的医院.
- 患者匹配和交换成本是与使用外部健康信息负面相关的关键因素.
- 必须对正在进行的技术和政策努力进行监测,以确定它们在改善互操作性和患者护理方面的有效性.
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