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. 2021 Jul 16;11(3):211-231.
doi: 10.1080/20476965.2021.1952113. eCollection 2022.

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

Placide Poba-Nzaou  1 , Sylvestre Uwizeyemungu  2 , Mamadou Dakouo  3 , Anicet Tchibozo  4 , Bocar Mboup  5
Affiliations

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

Placide Poba-Nzaou et al. Health Syst (Basingstoke). .

Abstract

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.

Keywords: Electronic health records (EHRs); adoption; capabilities; clinical information systems (CIS); configuration; health information exchange (HIE); health information technology (HIT); hospital; telehealth.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Five profiles of HIT capabilities.
Figure 2.
Figure 2.
Percentage of hospitals that exchange health information with other providers by profile.
Figure 3.
Figure 3.
Percentage of hospitals that exchange different types of information by profile.
See this image and copyright information in PMC

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