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首页> 外文期刊>The Journal of pharmacy technology: jPT : official publication of the Association of Pharmacy Technicians >Identifying Barriers That Prevent the Usage of Health Information Exchange in Ohio
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Identifying Barriers That Prevent the Usage of Health Information Exchange in Ohio

机译：确定防止俄亥俄州健康信息交换的障碍

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Background: As clinical services expand in community pharmacies, access to patient information through a health information exchange (HIE) may be of increased benefit to patient care. Objectives: To identify perceptions and barriers to the use of HIE by high-performing clinical pharmacists within a grocery store chain and collect other health care provider perceptions of using HIE. Methods: Two web-based surveys consisting of multiple choice, select all that apply, and 5-point Likert-type scale questions were administered via email to Ohio pharmacists working in high clinical performing pharmacies and Ohio health care providers utilizing CliniSync, an Ohio-based HIE program. Outcomes measured included pharmacist perceptions of preparedness to participate in HIE, their relationship with patients and health care providers, and barriers to utilizing HIE. Provider outcomes included perceptions of relationships with patients, awareness of community pharmacy services, referral habits, and perceived benefit of a HIE. Results: Pharmacists tend to believe they have the skill (median 5, interquartile range [IQR] 1) and desire (median 5, IQR 1) to be a part of the HIE network. Pharmacists appear confident in their abilities to provide patient care as a part of HIE networks (median 4, IQR 1). While 66% of providers surveyed are aware of services provided by community pharmacists, 75% state that they do not refer patients to a pharmacy for those services. Conclusion: Implementing HIE into clinical pharmacy workflow and encouraging providers to use it to make patient health information available to pharmacists would provide additional information for pharmacists to review when providing clinical services in the community pharmacy setting, ultimately benefiting patient care.
机译：背景：随着社区药房临床服务的扩大，通过健康信息交换（HIE）获取患者信息可能会增加患者护理的益处。目的：确定杂货连锁店内高绩效临床药剂师对HIE使用的看法和障碍，并收集其他医疗保健提供者对HIE使用的看法。方法：使用俄亥俄州HIE项目CliniSync，通过电子邮件向在临床表现良好的药店工作的俄亥俄州药剂师和俄亥俄州医疗保健提供者进行两项基于网络的调查，包括多选、全选和5点Likert型量表问题。测量的结果包括药剂师对参与HIE的准备程度的看法，他们与患者和医疗保健提供者的关系，以及利用HIE的障碍。提供者的结果包括对与患者关系的看法、对社区药房服务的认识、转诊习惯以及对HIE益处的看法。结果：药剂师倾向于相信他们有能力（中位数5，四分位区间[IQR]1）和愿望（中位数5，IQR 1）成为HIE网络的一部分。药剂师似乎对自己作为HIE网络的一部分提供患者护理的能力充满信心（中位数4，IQR 1）。虽然66%的受访提供者知道社区药剂师提供的服务，但75%的人表示，他们不会将患者转介到药房接受这些服务。结论：在临床药学工作流程中实施HIE，并鼓励提供者使用HIE向药剂师提供患者健康信息，这将为药剂师在社区药房环境中提供临床服务时提供额外的信息以供审查，最终有利于患者护理。

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