{"title":"非联邦急症护理医院获取和使用互操作信息的障碍。","authors":"Jordan Everson, Chelsea Richwine","doi":"10.1093/jamia/ocae263","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To understand barriers to obtaining and using interoperable information at US hospitals.</p><p><strong>Materials and methods: </strong>Using 2023 nationally representative survey data on US hospitals (N = 2420), we examined major and minor barriers to exchanging information with other organizations, and how barriers vary by hospital characteristics and methods used to obtain information. Using a series of regression models, we examined how hospital experiences with barriers relate to routine use of information at responding hospitals.</p><p><strong>Results: </strong>In 2023, most hospitals experienced at least one minor (81%) or major (62%) barrier to exchange, with the most common major barriers relating to different vendors and exchange partners' capabilities. Higher-resourced hospitals and those often using network-based exchange tended to experience more minor barriers whereas lower-resourced hospitals and those often using mail/fax or direct access to outside electronic health records experienced more major barriers. In multivariate regression, hospitals indicating \"Patient matching\" and \"Costs to exchange\" were a major or minor barrier had the strongest independent negative association with the likelihood of reporting providers at their hospital frequently use information from outside organizations.</p><p><strong>Discussion: </strong>Despite progress in interoperable exchange, various barriers remain. The prevalence of barriers varied by hospital type and methods used, with barriers more often preventing exchange for lower-resourced hospitals and those using outdated exchange methods.</p><p><strong>Conclusion: </strong>While several technical and policy efforts are underway to address prevalent barriers, it will be important to monitor whether efforts are successful in ensuring information from outside organizations can be seamlessly exchanged and used to inform patient care.</p>","PeriodicalId":50016,"journal":{"name":"Journal of the American Medical Informatics Association","volume":null,"pages":null},"PeriodicalIF":4.7000,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Barriers to obtaining and using interoperable information among non-federal acute care hospitals.\",\"authors\":\"Jordan Everson, Chelsea Richwine\",\"doi\":\"10.1093/jamia/ocae263\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To understand barriers to obtaining and using interoperable information at US hospitals.</p><p><strong>Materials and methods: </strong>Using 2023 nationally representative survey data on US hospitals (N = 2420), we examined major and minor barriers to exchanging information with other organizations, and how barriers vary by hospital characteristics and methods used to obtain information. Using a series of regression models, we examined how hospital experiences with barriers relate to routine use of information at responding hospitals.</p><p><strong>Results: </strong>In 2023, most hospitals experienced at least one minor (81%) or major (62%) barrier to exchange, with the most common major barriers relating to different vendors and exchange partners' capabilities. Higher-resourced hospitals and those often using network-based exchange tended to experience more minor barriers whereas lower-resourced hospitals and those often using mail/fax or direct access to outside electronic health records experienced more major barriers. In multivariate regression, hospitals indicating \\\"Patient matching\\\" and \\\"Costs to exchange\\\" were a major or minor barrier had the strongest independent negative association with the likelihood of reporting providers at their hospital frequently use information from outside organizations.</p><p><strong>Discussion: </strong>Despite progress in interoperable exchange, various barriers remain. The prevalence of barriers varied by hospital type and methods used, with barriers more often preventing exchange for lower-resourced hospitals and those using outdated exchange methods.</p><p><strong>Conclusion: </strong>While several technical and policy efforts are underway to address prevalent barriers, it will be important to monitor whether efforts are successful in ensuring information from outside organizations can be seamlessly exchanged and used to inform patient care.</p>\",\"PeriodicalId\":50016,\"journal\":{\"name\":\"Journal of the American Medical Informatics Association\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2024-10-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Medical Informatics Association\",\"FirstCategoryId\":\"91\",\"ListUrlMain\":\"https://doi.org/10.1093/jamia/ocae263\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"COMPUTER SCIENCE, INFORMATION SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Medical Informatics Association","FirstCategoryId":"91","ListUrlMain":"https://doi.org/10.1093/jamia/ocae263","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
Barriers to obtaining and using interoperable information among non-federal acute care hospitals.
Objective: To understand barriers to obtaining and using interoperable information at US hospitals.
Materials and methods: Using 2023 nationally representative survey data on US hospitals (N = 2420), we examined major and minor barriers to exchanging information with other organizations, and how barriers vary by hospital characteristics and methods used to obtain information. Using a series of regression models, we examined how hospital experiences with barriers relate to routine use of information at responding hospitals.
Results: In 2023, most hospitals experienced at least one minor (81%) or major (62%) barrier to exchange, with the most common major barriers relating to different vendors and exchange partners' capabilities. Higher-resourced hospitals and those often using network-based exchange tended to experience more minor barriers whereas lower-resourced hospitals and those often using mail/fax or direct access to outside electronic health records experienced more major barriers. In multivariate regression, hospitals indicating "Patient matching" and "Costs to exchange" were a major or minor barrier had the strongest independent negative association with the likelihood of reporting providers at their hospital frequently use information from outside organizations.
Discussion: Despite progress in interoperable exchange, various barriers remain. The prevalence of barriers varied by hospital type and methods used, with barriers more often preventing exchange for lower-resourced hospitals and those using outdated exchange methods.
Conclusion: While several technical and policy efforts are underway to address prevalent barriers, it will be important to monitor whether efforts are successful in ensuring information from outside organizations can be seamlessly exchanged and used to inform patient care.
期刊介绍:
JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.