Accessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case study
Abstract Background Patients and citizens need access to their health information to get a retrospective as well as a prospective view on their care and rehabilitation processes. However, patients’ health information is stored in several health information systems and interoperability problems often...
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Medical Informatics and Decision Making |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12911-019-0816-x |
| _version_ | 1819330739591708672 |
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| author | Nadia Davoody Sabine Koch Ingvar Krakau Maria Hägglund |
| author_facet | Nadia Davoody Sabine Koch Ingvar Krakau Maria Hägglund |
| author_sort | Nadia Davoody |
| collection | DOAJ |
| description | Abstract Background Patients and citizens need access to their health information to get a retrospective as well as a prospective view on their care and rehabilitation processes. However, patients’ health information is stored in several health information systems and interoperability problems often hamper accessibility. In Sweden a national health information exchange (HIE) platform has been developed that enables information exchange between different health information systems. The aim of this study is to explore the opportunities and limitations of accessing and interacting with important health information through the Swedish national HIE platform. Methods A single case study approach was used for this study as an in-depth understanding of the subject was needed. A fictive patient case with a pseudo-name was created based on an interview with a stroke coordinator in Stockholm County. Information access through the national health information exchange platform and available service contracts and application programming interfaces were studied using different scenarios. Results Based on the scenarios created in this study, patients would be able to access some health related information from their electronic health records using the national health information exchange platform. However, there is necessary information which is not retrievable as it is either stored in electronic health records and eHealth services which are not connected to the national health information exchange platform or there is no service contract developed for these types of information. In addition, patients are not able to share information with healthcare professionals. Conclusion The national Swedish HIE platform provides the building blocks needed to allow patients online access to their health information in a fragmented and distributed health system. However, more complex interaction scenarios allowing patients to communicate with their health care providers or to update their health related information are not yet supported. Therefore it is of great importance to involve patients throughout the design and evaluation of eHealth services on both national and local levels to ensure that their needs for interoperability and information exchange are met. |
| first_indexed | 2024-12-24T14:03:19Z |
| format | Article |
| id | doaj.art-0143f159d2b746678804a318e149715d |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-12-24T14:03:19Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-0143f159d2b746678804a318e149715d2022-12-21T16:52:25ZengBMCBMC Medical Informatics and Decision Making1472-69472019-05-0119111610.1186/s12911-019-0816-xAccessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case studyNadia Davoody0Sabine Koch1Ingvar Krakau2Maria Hägglund3Department of Learning, Informatics, Management and Ethics, Health Informatics Centre, Karolinska InstitutetDepartment of Learning, Informatics, Management and Ethics, Health Informatics Centre, Karolinska InstitutetDepartment of Medicine, Karolinska InstitutetDepartment of Womens and Childrens Health, Uppsala Universitet, Akademiska sjukhusetAbstract Background Patients and citizens need access to their health information to get a retrospective as well as a prospective view on their care and rehabilitation processes. However, patients’ health information is stored in several health information systems and interoperability problems often hamper accessibility. In Sweden a national health information exchange (HIE) platform has been developed that enables information exchange between different health information systems. The aim of this study is to explore the opportunities and limitations of accessing and interacting with important health information through the Swedish national HIE platform. Methods A single case study approach was used for this study as an in-depth understanding of the subject was needed. A fictive patient case with a pseudo-name was created based on an interview with a stroke coordinator in Stockholm County. Information access through the national health information exchange platform and available service contracts and application programming interfaces were studied using different scenarios. Results Based on the scenarios created in this study, patients would be able to access some health related information from their electronic health records using the national health information exchange platform. However, there is necessary information which is not retrievable as it is either stored in electronic health records and eHealth services which are not connected to the national health information exchange platform or there is no service contract developed for these types of information. In addition, patients are not able to share information with healthcare professionals. Conclusion The national Swedish HIE platform provides the building blocks needed to allow patients online access to their health information in a fragmented and distributed health system. However, more complex interaction scenarios allowing patients to communicate with their health care providers or to update their health related information are not yet supported. Therefore it is of great importance to involve patients throughout the design and evaluation of eHealth services on both national and local levels to ensure that their needs for interoperability and information exchange are met.http://link.springer.com/article/10.1186/s12911-019-0816-xHealth information exchangeeHealth servicesInteroperability |
| spellingShingle | Nadia Davoody Sabine Koch Ingvar Krakau Maria Hägglund Accessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case study BMC Medical Informatics and Decision Making Health information exchange eHealth services Interoperability |
| title | Accessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case study |
| title_full | Accessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case study |
| title_fullStr | Accessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case study |
| title_full_unstemmed | Accessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case study |
| title_short | Accessing and sharing health information for post-discharge stroke care through a national health information exchange platform - a case study |
| title_sort | accessing and sharing health information for post discharge stroke care through a national health information exchange platform a case study |
| topic | Health information exchange eHealth services Interoperability |
| url | http://link.springer.com/article/10.1186/s12911-019-0816-x |
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