Haleigh M Kampman, Rebecca L Rivera, Seho Park, Jason T Schaffer, Amy Hancock, Saurabh Rahurkar, Paul Musey, Diane Kuhn, Joshua R Vest, Titus K Schleyer
{"title":"引入快速医疗互操作性资源（FHIR）应用程序后医疗信息交换使用行为的变化。","authors":"Haleigh M Kampman, Rebecca L Rivera, Seho Park, Jason T Schaffer, Amy Hancock, Saurabh Rahurkar, Paul Musey, Diane Kuhn, Joshua R Vest, Titus K Schleyer","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The aim of our study was to characterize emergency department clinicians' health information exchange (HIE) use patterns after the implementation of a Fast Healthcare Interoperability Resources (FHIR) application. Using longitudinal electronic health record log data, we categorized HIE use behavior as: no HIE use (0), Web-based viewer use only (1), FHIR application use only (2), or Web-based viewer and FHIR application use (3). We sequenced HIE use behavior from September 2019 to February 2023, then employed hierarchical agglomerative clustering to identify clinician characteristics associated with each HIE use pattern. Our results showed four usage patterns representing (1) clinicians who \"lagged\" in HIE use and continued as sporadic HIE users (n=66, 46.1%), (2) \"late adopters\" who had more consistent usage over time (n=32, 22.4%), (3) \"legacy users\" whose preferred modality was the Web-based viewer (n=25, 17.5%), and (4) \"mixed modality users\" who displayed frequent changes in HIE access modality (n=20, 14.0%).</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"581-589"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099321/pdf/","citationCount":"0","resultStr":"{\"title\":\"Changes in Health Information Exchange Use Behavior After Introduction of a Fast Healthcare Interoperability Resources (FHIR) Application.\",\"authors\":\"Haleigh M Kampman, Rebecca L Rivera, Seho Park, Jason T Schaffer, Amy Hancock, Saurabh Rahurkar, Paul Musey, Diane Kuhn, Joshua R Vest, Titus K Schleyer\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The aim of our study was to characterize emergency department clinicians' health information exchange (HIE) use patterns after the implementation of a Fast Healthcare Interoperability Resources (FHIR) application. Using longitudinal electronic health record log data, we categorized HIE use behavior as: no HIE use (0), Web-based viewer use only (1), FHIR application use only (2), or Web-based viewer and FHIR application use (3). We sequenced HIE use behavior from September 2019 to February 2023, then employed hierarchical agglomerative clustering to identify clinician characteristics associated with each HIE use pattern. Our results showed four usage patterns representing (1) clinicians who \\\"lagged\\\" in HIE use and continued as sporadic HIE users (n=66, 46.1%), (2) \\\"late adopters\\\" who had more consistent usage over time (n=32, 22.4%), (3) \\\"legacy users\\\" whose preferred modality was the Web-based viewer (n=25, 17.5%), and (4) \\\"mixed modality users\\\" who displayed frequent changes in HIE access modality (n=20, 14.0%).</p>\",\"PeriodicalId\":72180,\"journal\":{\"name\":\"AMIA ... Annual Symposium proceedings. AMIA Symposium\",\"volume\":\"2024 \",\"pages\":\"581-589\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099321/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AMIA ... Annual Symposium proceedings. AMIA Symposium\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AMIA ... Annual Symposium proceedings. AMIA Symposium","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Changes in Health Information Exchange Use Behavior After Introduction of a Fast Healthcare Interoperability Resources (FHIR) Application.
The aim of our study was to characterize emergency department clinicians' health information exchange (HIE) use patterns after the implementation of a Fast Healthcare Interoperability Resources (FHIR) application. Using longitudinal electronic health record log data, we categorized HIE use behavior as: no HIE use (0), Web-based viewer use only (1), FHIR application use only (2), or Web-based viewer and FHIR application use (3). We sequenced HIE use behavior from September 2019 to February 2023, then employed hierarchical agglomerative clustering to identify clinician characteristics associated with each HIE use pattern. Our results showed four usage patterns representing (1) clinicians who "lagged" in HIE use and continued as sporadic HIE users (n=66, 46.1%), (2) "late adopters" who had more consistent usage over time (n=32, 22.4%), (3) "legacy users" whose preferred modality was the Web-based viewer (n=25, 17.5%), and (4) "mixed modality users" who displayed frequent changes in HIE access modality (n=20, 14.0%).
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