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01.12.2017 | Research article | Ausgabe 1/2017 Open Access

BMC Medical Informatics and Decision Making 1/2017

Patients’ support for health information exchange: a literature review and classification of key factors

Zeitschrift:
BMC Medical Informatics and Decision Making > Ausgabe 1/2017
Autoren:
Pouyan Esmaeilzadeh, Murali Sambasivan
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12911-017-0436-2) contains supplementary material, which is available to authorized users.

Abstract

Background

Literature indicates that one of the most important factors affecting the widespread adoption of Health Information Exchange (HIE) is patient support and endorsement. In order to reap all the expected benefits of HIE, patients’ acceptance of technology is a challenge that is not fully studied. There are a few studies which have focused on requirements of electronic medical information exchange from consumers’ views and expectations. This study is aimed at reviewing the literature to articulate factors that affect patients to support HIE efforts.

Methods

A literature review of current studies addressing patients’ views on HIE from 2005 was undertaken. Five electronic research databases (Science Direct, PubMed, Web of Science, CINAHL, and Academic Search Premiere) were searched to retrieve articles reporting pros and cons of HIE from patients’ opinion.

Results

One hundred and ninety six articles were initially retrieved from the databases. Out of 196, 36 studies met the inclusion criteria and were fully reviewed. Our findings indicate that patient’s attitude toward HIE is affected by seven main factors: perceived benefits, perceived concerns, patient characteristics, patient participation level in HIE, type of health information, identity of recipients, and patient preferences regarding consent and features.

Conclusions

The findings provide useful theoretical implications for research by developing a classification of significant factors and a framework based on the lessons learned from the literature to help guide HIE efforts. Our results also have fundamental practical implications for policy makers, current and potential organizers of HIEs by highlighting the role of patients in the widespread implementation of HIE. The study indicates that new approaches should be applied to completely underline HIE benefits for patients and also address their concerns.
Zusatzmaterial
Additional file 1: Full search strategy: this file contains details of full search strategy in the five databases. (DOCX 13 kb)
12911_2017_436_MOESM1_ESM.docx
Additional file 2: Quality scoring of included studies: this file contains details of the scores corresponding to the four quality assessment factors for each of the 36 studies included in the analysis. (DOCX 16 kb)
12911_2017_436_MOESM2_ESM.docx
Literatur
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