Impact of Provider Prior Use of HIE on System Complexity, Performance, Patient Care, Quality and System Concerns

Sue S. Feldman (), Neset Hikmet, Shikha Modi and Benjamin Schooley
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Sue S. Feldman: University of Alabama at Birmingham
Neset Hikmet: University of South Carolina
Shikha Modi: University of Alabama at Birmingham
Benjamin Schooley: University of South Carolina

Information Systems Frontiers, 2022, vol. 24, issue 1, No 7, 131 pages

Abstract: Abstract To date, most HIE studies have investigated user perceptions of value prior to use. Few studies have assessed factors associated with the value of HIE through its actual use. This study investigates provider perceptions on HIE comparing those who had prior experience vs those who had no experience with it. In so doing, we identify six constructs: prior use, system complexity, system concerns, public/population health, care delivery, and provider performance. This study uses a mixed methods approach to data collection. From 15 interviews of medical community leaders, a survey was constructed and administered to 263 clinicians. Descriptive statistics and analysis of variance was used, along with Tukey HSD tests for multiple comparisons. Results indicated providers whom previously used HIE had more positive perceptions about its benefits in terms of system complexity (p = .001), care delivery (p = .000), population health (p = .003), and provider performance (p = .005); women providers were more positive in terms of system concerns (p = .000); patient care (p = .031), and population health (p = .009); providers age 44–55 were more positive than older and younger groups in terms of patient care (p = .032), population health (p = .021), and provider performance (p = .014); while differences also existed across professional license groups (physician, nurse, other license, admin (no license)) for all five constructs (p

Keywords: Health information exchange; Medical informatics; Clinical informatics (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1007/s10796-020-10064-x

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