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Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems

OBJECTIVES: This study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals. M...

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Autores principales: Ji, Hyerim, Yoo, Sooyoung, Heo, Eun-Young, Hwang, Hee, Kim, Jeong-Whun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Medical Informatics 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688031/
https://www.ncbi.nlm.nih.gov/pubmed/29181241
http://dx.doi.org/10.4258/hir.2017.23.4.314
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author Ji, Hyerim
Yoo, Sooyoung
Heo, Eun-Young
Hwang, Hee
Kim, Jeong-Whun
author_facet Ji, Hyerim
Yoo, Sooyoung
Heo, Eun-Young
Hwang, Hee
Kim, Jeong-Whun
author_sort Ji, Hyerim
collection PubMed
description OBJECTIVES: This study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals. METHODS: In this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work. RESULTS: Twenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field. CONCLUSIONS: The issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed.
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spelling pubmed-56880312017-11-27 Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems Ji, Hyerim Yoo, Sooyoung Heo, Eun-Young Hwang, Hee Kim, Jeong-Whun Healthc Inform Res Original Article OBJECTIVES: This study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals. METHODS: In this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work. RESULTS: Twenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field. CONCLUSIONS: The issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed. Korean Society of Medical Informatics 2017-10 2017-10-31 /pmc/articles/PMC5688031/ /pubmed/29181241 http://dx.doi.org/10.4258/hir.2017.23.4.314 Text en © 2017 The Korean Society of Medical Informatics http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ji, Hyerim
Yoo, Sooyoung
Heo, Eun-Young
Hwang, Hee
Kim, Jeong-Whun
Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems
title Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems
title_full Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems
title_fullStr Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems
title_full_unstemmed Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems
title_short Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems
title_sort technology and policy challenges in the adoption and operation of health information exchange systems
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688031/
https://www.ncbi.nlm.nih.gov/pubmed/29181241
http://dx.doi.org/10.4258/hir.2017.23.4.314
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