Associations between physician practice models and health information exchange

The interaction between emerging physician practice models and the use of health information exchange (HIE) remains understudied. We examined associations between the use of emerging practice models and the use of HIE. We also examined barriers to HIE adoption among physicians who were not utilizing...

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Bibliographic Details
Published in:The American journal of managed care 2023-01, Vol.29 (1), p.27-34
Main Authors: McCullough, J Mac, Stecher, Chad
Format: Article
Language:English
Subjects:
Access to information
Accountable Care Organizations
Alliances
Analysis
Arizona
Care and treatment
Electronic health records
Health care delivery
Health Information Exchange
Humans
Information technology
Laboratories
Medical practices
Medicare
Medicine
Participation
Patients
Physicians
Practice
United States
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Summary:The interaction between emerging physician practice models and the use of health information exchange (HIE) remains understudied. We examined associations between the use of emerging practice models and the use of HIE. We also examined barriers to HIE adoption among physicians who were not utilizing HIE. Survey data came from a 2019-2021 statewide census of all physicians in Arizona collected at the time of license renewal (n = 3312, or 17.9% of all practicing physicians). Primary outcomes were physician-reported HIE use for patient care summaries and for laboratory results. Secondary outcomes were 5 common HIE barriers among non-HIE users. The primary predictor was physician practice model: accountable care organization (ACO), clinically integrated network (CIN), or integrated delivery network (IDN) vs traditional care delivery model. Covariates included physician specialty, age, gender, and county of practice. Compared with physicians in traditional care delivery models, physicians in ACOs, CINs, or IDNs had significantly higher odds of using HIE to share both patient care summaries (P 
ISSN:1088-0224
1936-2692
DOI:10.37765/ajmc.2023.89301