To date, most HIE studies have investigated user perceptions of value prior to use. Few studies have assessed factors associated with the value of HIE through its actual use. This study investigates provider perceptions on HIE comparing those who had prior experience vs those who had no experience with it. In so doing, we identify six constructs: prior use, system complexity, system concerns, public/population health, care delivery, and provider performance. This study uses a mixed methods approach to data collection. From 15 interviews of medical community leaders, a survey was constructed and administered to 263 clinicians. Descriptive statistics and analysis of variance was used, along with Tukey HSD tests for multiple comparisons. Results indicated providers whom previously used HIE had more positive perceptions about its benefits in terms of system complexity (p = .001), care delivery (p = .000), population health (p = .003), and provider performance (p = .005); women providers were more positive in terms of system concerns (p = .000); patient care (p = .031), and population health (p = .009); providers age 44–55 were more positive than older and younger groups in terms of patient care (p = .032), population health (p = .021), and provider performance (p = .014); while differences also existed across professional license groups (physician, nurse, other license, admin (no license)) for all five constructs (p < .05); and type of organization setting (hospital, ambulatory clinic, medical office, other) for three constructs including system concerns (p = .017), population health (p = .018), and provider performance (p = .018). There were no statistically significant differences found between groups based on a provider’s role in an organization (patient care, administration, teaching/research, other). Different provider perspectives about the value derived from HIE use exist depending on prior experience with HIE, age, gender, license (physician, nurse, other license, admin (no license)), and type of organization setting (hospital, ambulatory clinic, medical office, other). This study draws from the theory of planned behavior to understand factors related to physicians’ perceptions about HIE value, serving as a departure point for more detailed investigations of provider perceptions and behavior in regard to future HIE use and promoting interoperability.

迄今为止，大多数 HIE 研究都调查了用户在使用前对价值的看法。很少有研究通过其实际使用评估与 HIE 价值相关的因素。本研究调查了提供者对 HIE 的看法，比较了有经验的人和没有经验的人。在此过程中，我们确定了六个结构：先前使用、系统复杂性、系统问题、公共/人口健康、护理提供和提供者绩效。本研究采用混合方法收集数据。通过对医学界领袖的 15 次采访，构建了一项调查并对 263 名临床医生进行了调查。使用描述性统计和方差分析，以及用于多重比较的 Tukey HSD 测试。p  = .001)、护理服务 ( p  = .000)、人口健康 ( p  = .003) 和提供者绩效 ( p  = .005)；女性提供者在系统问题方面更为积极（p  = .000）；患者护理 ( p  = .031) 和人口健康 ( p = .009  )；在患者护理 ( p  = .032)、人口健康 ( p  = .021) 和提供者绩效 ( p  = .014)方面，44-55 岁的提供者比老年人和年轻群体更积极；而对于所有五个构造（p < .05); 以及包括系统问题（p  = .017）、人口健康（p = .018) 和提供者绩效 (p = .018)。根据提供者在组织中的角色（患者护理、管理、教学/研究等），组之间没有发现统计学上的显着差异。根据先前使用 HIE 的经验、年龄、性别、执照（医师、护士、其他执照、管理员（无执照））和组织设置类型（医院、门诊诊所、医疗办公室，其他）。本研究借鉴计划行为理论来了解与医生对 HIE 价值的看法相关的因素，作为更详细调查提供者对未来 HIE 使用和促进互操作性的看法和行为的出发点。