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Health information exchange: What matters at the organizational level?
Journal of Biomedical informatics ( IF 4.0 ) Pub Date : 2020-01-10 , DOI: 10.1016/j.jbi.2020.103375
Claudia Guerrazzi 1 , Sue S Feldman 2
Affiliation  

The introduction of bundled payment reimbursement focuses on rewarding efficient and high-quality care. In order for bundled payment programs to be successful, collaboration across care settings is essential. Consequently, the introduction of this reimbursement program is expected to be associated with an increase of Health Information Exchange (HIE) among health providers. This paper aims at understanding how the use of HIE can be shaped by organization-specific factors such as trust, power, organizational culture, and leadership, especially when participating in bundled payment initiatives. The study was based on qualitative semi-structured interviews with hospital administrators. Very diverse opinions arose from the interviewees, which leads to the main conclusion that policymakers should take into account differences between diverse hospital settings when adopting policies regarding technological innovations.

中文翻译:

健康信息交流:在组织层面上重要的是什么?

捆绑式付款报销的引入着重于奖励高效和高质量的护理。为了使捆绑的付款程序成功,跨医疗机构的协作至关重要。因此,预计该报销计划的引入将与健康提供者之间健康信息交换(HIE)的增加有关。本文旨在了解如何通过特定于组织的因素(例如信任,权力,组织文化和领导力)来塑造HIE的使用,特别是在参与捆绑式付款计划时。该研究基于对医院管理者的定性半结构化访谈。受访者提出了各种各样的意见,
更新日期:2020-01-11
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