The benefits of health information exchange: an updated systematic review

dc.contributor.authorMenachemi, Nir
dc.contributor.authorRahurkar, Saurabh
dc.contributor.authorHarle, Christopher A.
dc.contributor.authorVest, Joshua R.
dc.contributor.departmentHealth Policy and Management, School of Public Healthen_US
dc.date.accessioned2022-01-12T22:10:13Z
dc.date.available2022-01-12T22:10:13Z
dc.date.issued2018-09
dc.description.abstractObjective Widespread health information exchange (HIE) is a national objective motivated by the promise of improved care and a reduction in costs. Previous reviews have found little rigorous evidence that HIE positively affects these anticipated benefits. However, early studies of HIE were methodologically limited. The purpose of the current study is to review the recent literature on the impact of HIE. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to conduct our systematic review. PubMed and Scopus databases were used to identify empirical articles that evaluated HIE in the context of a health care outcome. Results Our search strategy identified 24 articles that included 63 individual analyses. The majority of the studies were from the United States representing 9 states; and about 40% of the included analyses occurred in a handful of HIEs from the state of New York. Seven of the 24 studies used designs suitable for causal inference and all reported some beneficial effect from HIE; none reported adverse effects. Conclusions The current systematic review found that studies with more rigorous designs all reported benefits from HIE. Such benefits include fewer duplicated procedures, reduced imaging, lower costs, and improved patient safety. We also found that studies evaluating community HIEs were more likely to find benefits than studies that evaluated enterprise HIEs or vendor-mediated exchanges. Overall, these finding bode well for the HIEs ability to deliver on anticipated improvements in care delivery and reduction in costs.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationMenachemi, N., Rahurkar, S., Harle, C. A., & Vest, J. R. (2018). The benefits of health information exchange: An updated systematic review. Journal of the American Medical Informatics Association, 25(9), 1259–1265. https://doi.org/10.1093/jamia/ocy035en_US
dc.identifier.issn1067-5027, 1527-974Xen_US
dc.identifier.urihttps://hdl.handle.net/1805/27413
dc.language.isoen_USen_US
dc.publisherOxford Academicen_US
dc.relation.isversionof10.1093/jamia/ocy035en_US
dc.relation.journalJournal of the American Medical Informatics Associationen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjecthealth information exchangeen_US
dc.subjectmedical informaticsen_US
dc.subjectelectronic health recordsen_US
dc.subjecthealth care costsen_US
dc.titleThe benefits of health information exchange: an updated systematic reviewen_US
dc.typeArticleen_US
ul.alternative.fulltexthttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7646861/en_US
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