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 -