在引入快速医疗互操作资源 (FHIR) 应用程序后,健康信息交换使用行为的变化
Haleigh M Kampman1, Rebecca L Rivera2,3, Seho Park4
1Richard M. Fairbanks School of Public Health - Indiana University, Indianapolis, IN.
概括
紧急部门的临床医生在Fast Healthcare Interoperability Resources (FHIR) 应用程序实施后展示了各种各样的健康信息交换 (HIE) 使用模式. 出现了四个不同的群体:零星用户,晚期采用者,传统网络观看用户和混合模式用户.
科学领域:
- 医疗信息学 医疗信息学
- 临床信息系统临床信息系统
- 医疗保健技术采用 医疗保健技术采用
背景情况:
- 健康信息交换 (HIE) 对于协调的患者护理至关重要.
- 快速医疗互操作资源 (FHIR) 应用程序的实施旨在提高HIE的可访问性和可用性.
- 了解临床医生采用和使用新HIE工具的模式对于优化其影响至关重要.
研究的目的:
- 描述急诊室临床医生中HIE利用的不同模式.
- 分析FHIR应用程序集成后的HIE使用行为.
- 识别与不同HIE参与水平相关的临床医生特征.
主要方法:
- 分析了从2019年9月到2023年2月的纵向电子健康记录日志数据.
- 临床医生HIE使用被分为四种不同的模式:没有使用,仅网页浏览器,仅FHIR应用程序或混合模式.
- 使用分层聚合集群来识别模式和相关的临床医生特征.
主要成果:
- 在临床医生中确定了四种主要的HIE使用模式.
- "滞后"的用户 (46.1%) 随着时间的推移显示出零星的HIE参与.
- "后期采用者" (22.4%) 显示了一致的HIE使用情况.
- "传统用户" (17.5%) 主要使用网络浏览器,而"混合模式用户" (14.0%) 经常切换访问方法.
结论:
- 临床采用HIE,包括FHIR应用程序是异质的.
- 不同的用户配置文件 (零星,迟采用者,传统,混合) 强调了与HIE技术的各种参与.
- 未来的干预应考虑这些不同的模式,以促进紧急部门有效使用HIE.
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