Behavioral Health Providers' Beliefs About Health Information Exchange: a Statewide Survey

Overview

Journal J Am Med Inform Assoc

Publisher Oxford University Press

Specialty Medical Informatics

Date 2011 Dec 21

PMID 22184253

Citations 11

Authors

Nancy Shank

Affiliations

Soon will be listed here.

Abstract

Objective: To assess behavioral health providers' beliefs about the benefits and barriers of health information exchange (HIE).

Methods: Survey of a total of 2010 behavioral health providers in a Midwestern state (33% response rate), with questions based on previously reported open-ended beliefs elicitation interviews.

Results: Factor analysis resulted in four groupings: beliefs that HIE would improve care and communication, add cost and time burdens, present access and vulnerability concerns, and impact workflow and control (positively and negatively). A regression model including all four factors parsimoniously predicted attitudes toward HIE. Providers clustered into two groups based on their beliefs: a majority (67%) were positive about the impact of HIE, and the remainder (33%) were negative. There were some professional/demographic differences between the two clusters of providers.

Discussion: Most behavioral health providers are supportive of HIE; however, their adoption and use of it may continue to lag behind that of medical providers due to perceived cost and time burdens and concerns about access to and vulnerability of information.

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References

Shank N, Willborn E, Pytlikzillig L, Noel H . Electronic health records: eliciting behavioral health providers' beliefs. Community Ment Health J. 2011; 48(2):249-54. DOI: 10.1007/s10597-011-9409-6. View

Widaman K . Common Factor Analysis Versus Principal Component Analysis: Differential Bias in Representing Model Parameters?. Multivariate Behav Res. 2016; 28(3):263-311. DOI: 10.1207/s15327906mbr2803_1. View

Fontaine P, Zink T, Boyle R, Kralewski J . Health information exchange: participation by Minnesota primary care practices. Arch Intern Med. 2010; 170(7):622-9. DOI: 10.1001/archinternmed.2010.54. View

Rost K, Humphrey J, Kelleher K . Physician management preferences and barriers to care for rural patients with depression. Arch Fam Med. 1994; 3(5):409-14. DOI: 10.1001/archfami.3.5.409. View

Benmessaoud C, Kharrazi H, MacDorman K . Facilitators and barriers to adopting robotic-assisted surgery: contextualizing the unified theory of acceptance and use of technology. PLoS One. 2011; 6(1):e16395. PMC: 3024425. DOI: 10.1371/journal.pone.0016395. View

Pincus H, Page A, Druss B, Appelbaum P, Gottlieb G, England M . Can psychiatry cross the quality chasm? Improving the quality of health care for mental and substance use conditions. Am J Psychiatry. 2007; 164(5):712-9. DOI: 10.1176/ajp.2007.164.5.712. View

Mojtabai R . Datapoints: Use of information technology by psychiatrists and other medical providers. Psychiatr Serv. 2007; 58(10):1261. DOI: 10.1176/ps.2007.58.10.1261. View

Aydin C, Rosen P, Felitti V . Transforming information use in preventive medicine: learning to balance technology with the art of caring. Proc Annu Symp Comput Appl Med Care. 1994; :563-7. PMC: 2247893. View

Marshall P, Chin H . The effects of an Electronic Medical Record on patient care: clinician attitudes in a large HMO. Proc AMIA Symp. 1999; :150-4. PMC: 2232329. View

10.

Grice J . A comparison of factor scores under conditions of factor obliquity. Psychol Methods. 2001; 6(1):67-83. DOI: 10.1037/1082-989x.6.1.67. View

11.

Bourgeois F, Olson K, Mandl K . Patients treated at multiple acute health care facilities: quantifying information fragmentation. Arch Intern Med. 2010; 170(22):1989-95. DOI: 10.1001/archinternmed.2010.439. View

12.

Salomon R, Blackford J, Rosenbloom S, Seidel S, Clayton E, Dilts D . Openness of patients' reporting with use of electronic records: psychiatric clinicians' views. J Am Med Inform Assoc. 2010; 17(1):54-60. PMC: 2995635. DOI: 10.1197/jamia.M3341. View

13.

Wright A, Soran C, Jenter C, Volk L, Bates D, Simon S . Physician attitudes toward health information exchange: results of a statewide survey. J Am Med Inform Assoc. 2010; 17(1):66-70. PMC: 2995629. DOI: 10.1197/jamia.M3241. View

14.

Austin D, Pier C, Mitchell J, Schattner P, Wade V, Pierce D . Do GPs use electronic mental health resources? - a qualitative study. Aust Fam Physician. 2006; 35(5):365-6. View

15.

Dickey B, Normand S, Weiss R, Drake R, Azeni H . Medical morbidity, mental illness, and substance use disorders. Psychiatr Serv. 2002; 53(7):861-7. DOI: 10.1176/appi.ps.53.7.861. View

16.

Fleming N, Culler S, McCorkle R, Becker E, Ballard D . The financial and nonfinancial costs of implementing electronic health records in primary care practices. Health Aff (Millwood). 2011; 30(3):481-9. DOI: 10.1377/hlthaff.2010.0768. View

17.

Pincus H . The future of behavioral health and primary care: drowning in the mainstream or left on the bank?. Psychosomatics. 2003; 44(1):1-11. DOI: 10.1176/appi.psy.44.1.1. View

18.

Eley R, Fallon T, Soar J, Buikstra E, Hegney D . Barriers to use of information and computer technology by Australia's nurses: a national survey. J Clin Nurs. 2009; 18(8):1151-8. DOI: 10.1111/j.1365-2702.2008.02336.x. View

19.

Gans D, Kralewski J, Hammons T, Dowd B . Medical groups' adoption of electronic health records and information systems. Health Aff (Millwood). 2005; 24(5):1323-33. DOI: 10.1377/hlthaff.24.5.1323. View

20.

Penrod L, Gadd C . Attitudes of academic-based and community-based physicians regarding EMR use during outpatient encounters. Proc AMIA Symp. 2002; :528-32. PMC: 2243431. View