Abstract
AbstractHealth information exchange (HIE) is seen as a key component of effective care but remains poorly evidenced at a health system level. In the UK National Health Service (NHS), the ability to share primary care data with secondary care clinicians is a focus of continued digital investment. In this study, we report the evolution of interoperable technology across a period of rapid digital transformation in NHS England from 2015 to 2019, and test association of primary to secondary care data-sharing capabilities with clinical care quality indicators across all acute secondary care providers (n = 135 NHS Trusts). In multivariable analyses, data-sharing capabilities are associated with reduction in patients breaching an Accident & Emergency (A&E) 4-h decision time threshold, and better patient-reported experience of acute hospital care quality. Using synthetic control analyses, we estimate mean 2.271% (STD+/−3.371) absolute reduction in A&E 4-h decision time breach, 12 months following introduction of data-sharing capabilities. Our findings support current digital transformation programmes for developing regional HIE networks but highlight the need to focus on implementation factors in addition to technological procurement.
Publisher
Springer Science and Business Media LLC
Subject
Health Information Management,Health Informatics,Computer Science Applications,Medicine (miscellaneous)
Reference60 articles.
1. Lehne, M., Sass, J., Essenwanger, A., Schepers, J. & Thun, S. Why digital medicine depends on interoperability. Npj Digit. Med. 2, 79 (2019).
2. Craig, J., Callen, J., Marks, A., Saddik, B. & Bramley, M. Electronic discharge summaries: the current state of play. Health Inf. Manag. J. 36, 31–36 (2007).
3. Jung, H.-Y., Vest, J. R., Unruh, M. A., Kern, L. M. & Kaushal, R. Use of health information exchange and repeat imaging costs. J. Am. Coll. Radiol. 12, 1364–1370 (2015).
4. Warren, L. R., Clarke, J., Arora, S. & Darzi, A. Improving data sharing between acute hospitals in England: an overview of health record system distribution and retrospective observational analysis of inter-hospital transitions of care. BMJ Open 9, e031637 (2019).
5. Kripalani, S. et al. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA 297, 831 (2007).
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献