非联邦急症护理医院获取和使用互操作信息的障碍。

IF 4.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS
Jordan Everson, Chelsea Richwine
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引用次数: 0

摘要

目的:了解美国医院获取和使用可互操作信息的障碍:了解美国医院获取和使用可互操作信息的障碍:利用 2023 年美国医院的全国代表性调查数据(N = 2420),我们研究了与其他组织交换信息的主要障碍和次要障碍,以及不同医院的特点和获取信息的方法所造成的障碍差异。通过一系列回归模型,我们研究了医院遇到的障碍与受访医院日常信息使用的关系:2023 年,大多数医院在交换信息时至少遇到过一次轻微(81%)或严重(62%)的障碍,其中最常见的严重障碍与不同供应商和交换合作伙伴的能力有关。资源较多的医院和经常使用网络交换的医院往往遇到更多的小障碍,而资源较少的医院和经常使用邮件/传真或直接访问外部电子病历的医院则遇到更多的大障碍。在多变量回归中,表示 "患者匹配 "和 "交换成本 "是主要或次要障碍的医院与报告其医院的医疗服务提供者经常使用外部机构信息的可能性呈最强的独立负相关:尽管在互操作性交换方面取得了进展,但仍存在各种障碍。障碍的普遍程度因医院类型和使用的方法而异,资源较少的医院和使用过时的交换方法的医院更常因障碍而无法交换信息:尽管目前正在开展一些技术和政策方面的工作来解决普遍存在的障碍,但重要的是要监测这些工作是否能成功确保来自外部机构的信息能够无缝交换并用于为患者护理提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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type and methods used, with barriers more often preventing exchange for lower-resourced hospitals and those using outdated exchange methods.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.

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来源期刊
Journal of the American Medical Informatics Association
Journal of the American Medical Informatics Association 医学-计算机:跨学科应用
CiteScore
14.50
自引率
7.80%
发文量
230
审稿时长
3-8 weeks
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.
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