Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems
ObjectivesThis study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals.Meth...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Medical Informatics
2017-10-01
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| Series: | Healthcare Informatics Research |
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| Online Access: | http://e-hir.org/upload/pdf/hir-23-314.pdf |
| _version_ | 1819001644906446848 |
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| author | Hyerim Ji Sooyoung Yoo Eun-Young Heo Hee Hwang Jeong-Whun Kim |
| author_facet | Hyerim Ji Sooyoung Yoo Eun-Young Heo Hee Hwang Jeong-Whun Kim |
| author_sort | Hyerim Ji |
| collection | DOAJ |
| description | ObjectivesThis study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals.MethodsIn this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work.ResultsTwenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field.ConclusionsThe issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed. |
| first_indexed | 2024-12-20T22:52:30Z |
| format | Article |
| id | doaj.art-0aa8abd34f6f440bb6089836cfec298d |
| institution | Directory Open Access Journal |
| issn | 2093-3681 2093-369X |
| language | English |
| last_indexed | 2024-12-20T22:52:30Z |
| publishDate | 2017-10-01 |
| publisher | The Korean Society of Medical Informatics |
| record_format | Article |
| series | Healthcare Informatics Research |
| spelling | doaj.art-0aa8abd34f6f440bb6089836cfec298d2022-12-21T19:24:12ZengThe Korean Society of Medical InformaticsHealthcare Informatics Research2093-36812093-369X2017-10-0123431432110.4258/hir.2017.23.4.314875Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange SystemsHyerim Ji0Sooyoung Yoo1Eun-Young Heo2Hee Hwang3Jeong-Whun Kim4Office of e-Health Research and Business, Seoul National University Bundang Hospital, Seongnam, Korea.Office of e-Health Research and Business, Seoul National University Bundang Hospital, Seongnam, Korea.Office of e-Health Research and Business, Seoul National University Bundang Hospital, Seongnam, Korea.Office of e-Health Research and Business, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Otorhinolaryngology, Seoul National University Bundang Hospital, Seongnam, Korea.ObjectivesThis study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals.MethodsIn this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work.ResultsTwenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field.ConclusionsThe issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed.http://e-hir.org/upload/pdf/hir-23-314.pdfhealth information exchangehealth level sevenelectronic health recordshealth information management |
| spellingShingle | Hyerim Ji Sooyoung Yoo Eun-Young Heo Hee Hwang Jeong-Whun Kim Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems Healthcare Informatics Research health information exchange health level seven electronic health records health information management |
| title | Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems |
| title_full | Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems |
| title_fullStr | Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems |
| title_full_unstemmed | Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems |
| title_short | Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems |
| title_sort | technology and policy challenges in the adoption and operation of health information exchange systems |
| topic | health information exchange health level seven electronic health records health information management |
| url | http://e-hir.org/upload/pdf/hir-23-314.pdf |
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