Format

Send to

Choose Destination
Am J Public Health. 2009 May;99(5):950-5. doi: 10.2105/AJPH.2008.144873. Epub 2009 Mar 19.

Understanding the decisions and values of stakeholders in health information exchanges: experiences from Massachusetts.

Author information

1
Partners Healthcare System Inc, Boston, MA, USA. bobrudin@mit.edu

Abstract

OBJECTIVES:

We studied how health information exchange systems are established by examining the decisions (and thus, indirectly, the values) of key stakeholders (health care providers) participating in a health information exchange pilot project in 3 Massachusetts communities. Our aim was to understand how these kinds of information exchanges can be made viable.

METHODS:

We used semistructured interviews to assess health care providers' decision-making processes in selecting technical architectures and vendors for the pilot projects to uncover their needs, expectations, and motivations.

RESULTS:

Our interviews indicated that, after extensive evaluations, health care providers in all 3 communities eventually selected a hybrid architecture that included a central data repository. However, the reasons for selecting this architecture varied considerably among the 3 communities, reflecting their particular values. Plans to create a community patient portal also differed across communities.

CONCLUSIONS:

Our findings suggest that, to become established, health information exchange efforts must foster trust, appeal to strategic interests of the medical community as a whole, and meet stakeholder expectations of benefits from quality measurements and population health interventions. If health information exchange organizations cannot address these factors, sustainability will remain precarious.

PMID:
19299671
PMCID:
PMC2667860
DOI:
10.2105/AJPH.2008.144873
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center