Patterns of health information exchange strategies underlying health information technologies capabilities building.

Autor: Poba-Nzaou P; Human Resource and Organization Department, University of Quebec in Montréal (UQAM), Montreal, QC, Canada., Uwizeyemungu S; Department of Accounting, University of Quebec in Trois - Rivières (UQTR), Trois-Rivières, Canada., Dakouo M; Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada., Tchibozo A; ICN ARTEM, Nancy, France., Mboup B; Banque Nationale, Montreal, Canada.
Jazyk: angličtina
Zdroj: Health systems (Basingstoke, England) [Health Syst (Basingstoke)] 2021 Jul 16; Vol. 11 (3), pp. 211-231. Date of Electronic Publication: 2021 Jul 16 (Print Publication: 2022).
DOI: 10.1080/20476965.2021.1952113
Abstrakt: The combination of electronic health records (EHRs), health information exchange (HIE), and telehealthholds a high potential for improving the coordination of care and saving lives. As well, the benefits of the three HIT on hospitals' depend on the patterns of capabilities that are available and used by clinicians. However, little is known about how the three HIT, actually empirically coexist and about the strategies underlying the use of HIE in hospital settings. Based on data from a European Union survey, we use a combination of hierarchical and non-hierarchical clustering and discriminant analysis to identify patterns of hospitals' HIT capabilities. Five statistically significantly separated configurations were derived from a data set of 1038 acute care hospitals. The actual empirical coexistence of the three HIT capabilities and associated HIE strategies revealed by this study can be counter-intuitive and shed light on misalignments that may impede the realisation of the potential benefits.
Competing Interests: No potential conflict of interest was reported by the author(s).
(© Operational Research Society 2021.)
Databáze: MEDLINE