Sociotechnical challenges to developing technologies for patient access to health information exchange data
نویسندگان
چکیده
BACKGROUND Providing patients with access to their medical data is widely expected to help educate and empower them to manage their own health. Health information exchange (HIE) infrastructures could potentially help patients access records across multiple healthcare providers. We studied three HIE organizations as they developed portals to give consumers access to HIE data previously exchanged only among healthcare organizations. OBJECTIVE To follow the development of new consumer portal technologies, and to identify barriers and facilitators to patient access to HIE data. METHODS Semistructured interviews of 15 key informants over a 2-year period spanning the development and early implementation of three new projects, coded according to a sociotechnical framework. RESULTS As the organizations tried to develop functionality that fully served the needs of both providers and patients, plans were altered by technical barriers (primarily related to data standardization) and cultural and legal issues surrounding data access. Organizational changes also played an important role in altering project plans. In all three cases, patient access to data was significantly scaled back from initial plans. CONCLUSIONS This prospective study revealed how sociotechnical factors previously identified as important in health information technology success and failure helped to shape the evolution of three novel consumer informatics projects. Barriers to providing patients with seamless access to their HIE data were multifactorial. Remedies will have to address technical, organizational, cultural, and other factors.
منابع مشابه
چالش های اخلاق پزشکی در جوامع اطلاعاتی
Information is the symbol of the present age due to the significant development in accessing, processing, storage and transferring information. Information societies have been formed by the widespread utilization of information and communication technologies in human social life and generally focus on the computer systems and information networks. Nowadays, various technologies of medical infor...
متن کاملIdentifying the Opportunities and Challenges of Establishing an Information Therapy Center
Introduction: Information therapy is a simple solution to facilitate patients' access to health information, which can contribute to patient self-care. Considering the importance of treatment and health information, and engagement of people with different specialties in the process of information therapy, this research was conducted to identify the opportunities and challenges of establish...
متن کاملIdentifying the Potentials, Challenges, and Barriers to the Application of New Communication Technologies in the Field of Health with a Focus on Rare Patients: A Qualitative Study
Introduction: Advances in new communication technologies have created a good environment for the provision of various services. Due to the importance of using new communication technologies in health care, this study was conducted to identify opportunities, threats, strengths, and weaknesses of these technologies in the field of health with a focus on rare patients. Method: This qualitative st...
متن کاملA Review of the Process of Meaningful Use Program and its Challenges in the Electronic Health Record Roadmap
Introduction: Meaningful use program indicates that health care organizations make meaningful use of an accredited electronic health record system. The objective of this study was to investigate the process of “meaningful use” program and the related challenges for the development of electronic health record. Method: This review study was conducted in 2020. The PubMed, Scopus, Science Direct, a...
متن کاملA Review of the Process of Meaningful Use Program and its Challenges in the Electronic Health Record Roadmap
Introduction: Meaningful use program indicates that health care organizations make meaningful use of an accredited electronic health record system. The objective of this study was to investigate the process of “meaningful use” program and the related challenges for the development of electronic health record. Method: This review study was conducted in 2020. The PubMed, Scopus, Science Direct, a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of the American Medical Informatics Association : JAMIA
دوره 21 4 شماره
صفحات -
تاریخ انتشار 2014