Information retrieval pathways for health information exchange in multiple care settings
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Information retrieval pathways for health information exchange in multiple care settings. / Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R.
I: American Journal of Managed Care, Bind 20, Nr. 11 Spec No. 17, 2014, s. SP494-SP501.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Information retrieval pathways for health information exchange in multiple care settings
AU - Kierkegaard, Patrick
AU - Kaushal, Rainu
AU - Vest, Joshua R.
PY - 2014
Y1 - 2014
N2 - Objectives To determine which health information exchange (HIE) technologies and information retrieval pathways healthcare professionals relied on to meet their information needs in the context of laboratory test results, radiological images and reports, and medication histories. Study Design Primary data was collected over a 2-month period across 3 emergency departments, 7 primary care practices, and 2 public health clinics in New York state. Methods Qualitative research methods were used to collect and analyze data from semi-structured interviews and participant observation. Results The study reveals that healthcare professionals used a complex combination of information retrieval pathways for HIE to obtain clinical information from external organizations. The choice for each approach was setting- and information-specific, but was also highly dynamic across users and their information needs. Conclusions Our findings about the complex nature of information sharing in healthcare provide insights for informatics professionals about the usage of information; indicate the need for managerial support within each organization; and suggest approaches to improve systems for organizations and agencies working to expand HIE adoption.
AB - Objectives To determine which health information exchange (HIE) technologies and information retrieval pathways healthcare professionals relied on to meet their information needs in the context of laboratory test results, radiological images and reports, and medication histories. Study Design Primary data was collected over a 2-month period across 3 emergency departments, 7 primary care practices, and 2 public health clinics in New York state. Methods Qualitative research methods were used to collect and analyze data from semi-structured interviews and participant observation. Results The study reveals that healthcare professionals used a complex combination of information retrieval pathways for HIE to obtain clinical information from external organizations. The choice for each approach was setting- and information-specific, but was also highly dynamic across users and their information needs. Conclusions Our findings about the complex nature of information sharing in healthcare provide insights for informatics professionals about the usage of information; indicate the need for managerial support within each organization; and suggest approaches to improve systems for organizations and agencies working to expand HIE adoption.
KW - Faculty of Health and Medical Sciences
KW - Health Information Exchange
KW - Information Retrieval
KW - Push
KW - Pull
M3 - Journal article
VL - 20
SP - SP494-SP501
JO - American Journal of Managed Care
JF - American Journal of Managed Care
SN - 1096-1860
IS - 11 Spec No. 17
ER -
ID: 128231887