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Primary care provider's acceptance of health information exchange utilizing IHE XDS. 2013

Birger Haarbrandt, and Jonas Schwartze, and Nathalie Gusew, and Christoph Seidel, and Thorsten Kleinschmidt, and Reinhold Haux
Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig and Hannover Medical School, Germany.

OBJECTIVE We assessed primary care providers' perception of a health information exchange system (HIE) based on IHE XDS in the metropolitan area of Braunschweig, Lower Saxony, Germany. METHODS An application enabling access to medical documents in an XDS Affinity Domain was developed. We examined usability and factors related to user acceptance. METHODS User perception was probed using system usability scale (SUS) and semi-structured interviews. The framework analysis was used in the review and interpretation of the interview data. RESULTS The evaluation was performed on 7 participants. The SUS showed an above average usability with a median score of 77.5. Participants submitted suggestions for additional features and improvement of usability. Poor integration of functionality into existing workflows was most frequently criticized. CONCLUSIONS We found, that, while usability was well perceived by primary care providers, challenges remain in adoption of XDS based IHE.

UI MeSH Term Description Entries
D008498 Medical Record Linkage The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals. Record Linkage, Medical,Linkage, Medical Record,Linkages, Medical Record,Medical Record Linkages,Record Linkages, Medical
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D001292 Attitude to Computers The attitude and behavior associated with an individual using the computer. Attitude to Computer,Computer, Attitude to,Computers, Attitude to,to Computer, Attitude,to Computers, Attitude
D057286 Electronic Health Records Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online CONSUMER HEALTH INFORMATION that is relevant to the health conditions and treatments related to a specific patient. Electronic Health Record Data,Electronic Medical Record,Electronic Medical Records,Computerized Medical Record,Computerized Medical Records,Electronic Health Record,Medical Record, Computerized,Medical Records, Computerized,Health Record, Electronic,Health Records, Electronic,Medical Record, Electronic,Medical Records, Electronic
D033181 Information Dissemination The circulation or wide dispersal of information. Data Sharing,Information Distribution,Information Sharing,Data Sharings,Dissemination, Information,Distribution, Information,Information Sharings,Sharing, Data,Sharing, Information,Sharings, Data,Sharings, Information
D066275 Health Information Exchange Organizational framework for the dissemination of electronic healthcare information or clinical data, across health-related institutions and systems. Its overall purpose is to enhance PATIENT CARE. Medical Information Exchange,Exchange, Health Information,Exchange, Medical Information,Exchanges, Health Information,Exchanges, Medical Information,Health Information Exchanges,Information Exchange, Health,Information Exchange, Medical,Information Exchanges, Health,Information Exchanges, Medical,Medical Information Exchanges

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