美国医院的与健康相关的社会需求数据的互操作性
Sahil Sandhu1,2,3, Michael Liu1, Laura M Gottlieb4,5
1Harvard Medical School, Boston, MA 02115, United States.
概括
超过60%的医院收到与健康相关的社会需求 (HRSN) 数据,但参与度因所有权和EHR系统而异. 需要进一步的支持来改善HRSN数据的互操作性.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 互操作的健康相关社会需求 (HRSN) 数据交换对于整体的患者护理至关重要.
- 了解医院参与HRSN数据交换对于改善健康结果至关重要.
研究的目的:
- 测量医院参与与健康相关的社会需求 (HRSN) 数据的互操作交换.
- 识别与从外部组织接收HRSN数据相关的医院特征.
主要方法:
- 利用了2022年美国医院协会 (AHA) 年度调查,AHA IT补充和医疗保险和医疗补助服务影响档案中心的全国数据.
- 使用多变量逻辑回归来分析影响HRSN数据接收的因素.
主要成果:
- 在2502家医院中,61.4%的医院报告以电子方式接收HRSN数据,主要来自健康信息交换组织.
- 负责护理组织或以患者为中心的医疗机构的医院,以及使用Epic或Cerner EHR的医院,更有可能接收HRSN数据.
- 营利性和公共医院不太可能参与HRSN数据交换.
结论:
- 医院的所有权,基于价值的护理参与,和EHR供应商的能力显著影响HRSN数据交换.
- 需要加强政策和技术支持,以推进HRSN数据的互操作性.
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