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首页> 外文期刊>Journal of public health management and practice: JPHMP >Interoperability of Information Systems Managed and Used by the Local Health Departments
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Interoperability of Information Systems Managed and Used by the Local Health Departments

机译：地方卫生部门管理和使用的信息系统的互操作性

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Background: In the post-Affordable Care Act era marked by interorganizational collaborations and availability of large amounts of electronic data from other community partners, it is imperative to assess the interoperability of information systems used by the local health departments (LHDs). Objectives: To describe the level of interoperability of LHD information systems and identify factors associated with lack of interoperability. Data and Methods: This mixed-methods research uses data from the 2015 Informatics Capacity and Needs Assessment Survey, with a target population of all LHDs in the United States. A representative sample of 650 LHDs was drawn using a stratified random sampling design. A total of 324 completed responses were received (50% response rate). Qualitative data were used from a key informant interview study of LHD informatics staff from across the United States. Qualitative data were independently coded by 2 researchers and analyzed thematically. Survey data were cleaned, bivariate comparisons were conducted, and a multivariable logistic regression was run to characterize factors associated with interoperability. Results: For 30% of LHDs, no systems were interoperable, and 38% of LHD respondents indicated some of the systems were interoperable. Significant determinants of interoperability included LHDs having leadership support (adjusted odds ratio [AOR] = 3.54), control of information technology budget allocation (AOR = 2.48), control of data systems (AOR = 2.31), having a strategic plan for information systems (AOR = 1.92), and existence of business process analysis and redesign (AOR = 1.49). Conclusion: Interoperability of all systems may be an informatics goal, but only a small proportion of LHDs reported having interoperable systems, pointing to a substantial need among LHDs nationwide.
机译：背景：在以组织间协作和其他社区合作伙伴的大量电子数据的可用性为特征的后付得起医疗法案时代，必须评估当地卫生部门（LHD）使用的信息系统的互操作性。目标：描述LHD信息系统的互操作性水平，并确定与缺乏互操作性相关的因素。数据和方法：这项混合方法研究使用了2015年信息学能力和需求评估调查中的数据，并针对了美国所有LHD的目标人群。使用分层随机抽样设计抽取了650个LHD的代表性样本。总共收到324个完成的响应（50％的响应率）。定性数据来自美国LHD信息学人员的关键信息访问访谈研究。定性数据由2位研究人员独立编码并进行专题分析。清理了调查数据，进行了双变量比较，并进行了多变量logistic回归以表征与互操作性相关的因素。结果：对于30％的LHD，没有系统是可互操作的，并且38％的LHD受访者表示某些系统是可互操作的。互操作性的重要决定因素包括拥有领导支持的LHD（调整后的优势比[AOR] = 3.54），控制信息技术预算分配（AOR = 2.48），控制数据系统（AOR = 2.31），制定信息系统战略计划（ AOR = 1.92），以及业务流程分析和重新设计的存在（AOR = 1.49）。结论：所有系统的互操作性可能是信息学的目标，但是据报告，只有小部分的LHD具有可互操作的系统，这表明全国范围内的LHD都存在巨大的需求。

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