OBJECTIVES (1) To understand the extent to which nursing homes have the capability for data sharing and (2) to explore nursing home leaders' perceptions of data sharing with other health care facilities and with residents and family members. DESIGN Exploratory, mixed-methods. SETTING AND PARTICIPANTS We conducted a secondary analysis of data from a national survey of nursing home administrative leaders (n = 815) representing every state in the United States. Next, semistructured interviews were used to elicit rich contextual information from (n = 12) administrators from nursing homes with varying data-sharing capabilities. METHODS We used descriptive statistics along with Rao-Scott chi-square and logistic regression models to examine the relationship between health data-sharing capabilities and nursing home characteristics such as location, bed size, and type of ownership. Qualitative data were analyzed using content analysis. RESULTS Of the 815 nursing homes completing the survey, 95% had computerized (electronic) medical records, and 46% had some capability for health information exchange. Nursing homes located in metropolitan areas had 2.53 (95% confidence interval = 1.53, 4.18) times greater odds for having health information exchange capability compared with nursing homes in small towns. Perceived challenges to health data sharing with residents and family members and external clinical partners include variance in systems and software, privacy and security concerns, and organizational factors slowing uptake of technology. Perceived benefits of health data sharing included improved communication, improved care planning, and anticipating future demand. CONCLUSIONS AND IMPLICATIONS As health data sharing becomes more ubiquitous in acute care settings, policy makers, nursing home leaders, and other stakeholders should prepare by working to mitigate barriers and capitalize on potential benefits of implementing this technology in nursing homes.

中文翻译：

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美国疗养院的健康数据共享：一项混合方法研究

目标 (1) 了解疗养院在多大程度上具备数据共享的能力，以及 (2) 探讨疗养院领导者对与其他医疗机构以及与居民和家庭成员共享数据的看法。设计 探索性的混合方法。设置和参与者 我们对代表美国每个州的疗养院行政领导人（n = 815）的全国调查数据进行了二次分析。接下来，使用半结构化访谈从具有不同数据共享能力的疗养院 (n = 12) 管理员那里获得丰富的背景信息。方法 我们使用描述性统计以及 Rao-Scott 卡方和逻辑回归模型来检查健康数据共享能力与疗养院特征（如位置、床的大小和所有权类型。使用内容分析对定性数据进行分析。结果 在完成调查的 815 家疗养院中，95% 拥有计算机化（电子）病历，46% 具有一定的健康信息交换能力。与小城镇的疗养院相比，位于大都市地区的疗养院拥有健康信息交换能力的几率高出 2.53（95% 置信区间 = 1.53, 4.18）倍。与居民和家庭成员以及外部临床合作伙伴共享健康数据面临的挑战包括系统和软件的差异、隐私和安全问题以及减缓技术采用的组织因素。健康数据共享的感知好处包括改进沟通、改进护理计划和预测未来需求。