Despite the spread of health information exchange, there is little evidence of its impact on cost, use, and quality of care

Health information exchange (HIE), which is the transfer of electronic information such as laboratory results, clinical summaries, and medication lists, is believed to boost efficiency, reduce health care costs, and improve outcomes for patients. Stimulated by federal financial incentives, about two...

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Vydané v:Health affairs (Millwood, Va.) Ročník 34; číslo 3; s. 477 - 483
Hlavní autori: Rahurkar, Saurabh, Vest, Joshua R, Menachemi, Nir
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States The People to People Health Foundation, Inc., Project HOPE 01.03.2015
Predmet:
Benefits
Clinical outcomes
Clinical trials
Cost control
Cost-Benefit Analysis
Costs
Drugs
Electronic health records
Electronic Health Records - utilization
Experiments
Female
Financial incentives
Health care
Health Care Costs
Health care expenditures
Health care measures
Health care policy
Health information
Health Information Exchange - economics
Health Information Exchange - statistics & numerical data
Health Information Systems - economics
Health Information Systems - organization & administration
Health services
Health services utilization
Hospital costs
Hospitals
Humans
Impact analysis
Information
Information sharing
Internal validity
Laboratories
Male
Medical research
Monetary incentives
Patient satisfaction
Patients
Physicians
Primary care
Quality of care
Quality of Health Care
Studies
United States
United States > US
Information Technology
ISSN:0278-2715, 1544-5208
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Popis
Shrnutí:Health information exchange (HIE), which is the transfer of electronic information such as laboratory results, clinical summaries, and medication lists, is believed to boost efficiency, reduce health care costs, and improve outcomes for patients. Stimulated by federal financial incentives, about two-thirds of hospitals and almost half of physician practices are now engaged in some type of HIE with outside organizations. To determine how HIE has affected such health care measures as cost, service use, and quality, we identified twenty-seven scientific studies, extracted selected characteristics from each, and meta-analyzed these characteristics for trends. Overall, 57 percent of published analyses reported some benefit from HIE. However, articles employing study designs having strong internal validity, such as randomized controlled trials or quasi-experiments, were significantly less likely than others to associate HIE with benefits. Among six articles with strong internal validity, one study reported paradoxical negative effects, three studies found no effect, and two studies reported that HIE led to benefits. Furthermore, these two studies had narrower focuses than the others. Overall, little generalizable evidence currently exists regarding benefits attributable to HIE.
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ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2014.0729