Do Market Characteristics Matter? Factors Associated with Health Information Exchange

This study explores factors associated with the breadth (extent) and depth (level of detail) of digital information exchange among stakeholders in health information technology (IT) systems. Annual and IT surveys of the American Hospital Association and the U.S. Census Bureau’s small-area income and...

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Autores principales:	Na-Eun Cho, KiHoon Hong, Jongwha Chang
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	health information technology information exchange hospital market Medicine R
Acceso en línea:	https://doaj.org/article/e37e8573d3514b2d9ca429d4dc699ec1
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spelling	oai:doaj.org-article:e37e8573d3514b2d9ca429d4dc699ec12021-11-25T17:49:57ZDo Market Characteristics Matter? Factors Associated with Health Information Exchange10.3390/ijerph1822119761660-46011661-7827https://doaj.org/article/e37e8573d3514b2d9ca429d4dc699ec12021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11976https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This study explores factors associated with the breadth (extent) and depth (level of detail) of digital information exchange among stakeholders in health information technology (IT) systems. Annual and IT surveys of the American Hospital Association and the U.S. Census Bureau’s small-area income and poverty estimates from 2014–2016 were analyzed for associations between key factors and breadth and depth of information exchange. OLS Regression was used with a sample consisting of 10,040 year-hospital observations. We found that hospital-level variables such as size, ownership type, system affiliation, physician-hospital arrangement, and revenue model affect information exchange. We further found that market-level variables such as concentration ratio, urbanness, and median household income, although they directly affect information exchange, do not moderate the relationship between hospital-level variables and information exchange. Our study fills a gap in the previous literature arising from the lack of research on the determinants of health information exchange.Na-Eun ChoKiHoon HongJongwha ChangMDPI AGarticlehealth information technologyinformation exchangehospitalmarketMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11976, p 11976 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health information technology information exchange hospital market Medicine R
spellingShingle	health information technology information exchange hospital market Medicine R Na-Eun Cho KiHoon Hong Jongwha Chang Do Market Characteristics Matter? Factors Associated with Health Information Exchange
description	This study explores factors associated with the breadth (extent) and depth (level of detail) of digital information exchange among stakeholders in health information technology (IT) systems. Annual and IT surveys of the American Hospital Association and the U.S. Census Bureau’s small-area income and poverty estimates from 2014–2016 were analyzed for associations between key factors and breadth and depth of information exchange. OLS Regression was used with a sample consisting of 10,040 year-hospital observations. We found that hospital-level variables such as size, ownership type, system affiliation, physician-hospital arrangement, and revenue model affect information exchange. We further found that market-level variables such as concentration ratio, urbanness, and median household income, although they directly affect information exchange, do not moderate the relationship between hospital-level variables and information exchange. Our study fills a gap in the previous literature arising from the lack of research on the determinants of health information exchange.
format	article
author	Na-Eun Cho KiHoon Hong Jongwha Chang
author_facet	Na-Eun Cho KiHoon Hong Jongwha Chang
author_sort	Na-Eun Cho
title	Do Market Characteristics Matter? Factors Associated with Health Information Exchange
title_short	Do Market Characteristics Matter? Factors Associated with Health Information Exchange
title_full	Do Market Characteristics Matter? Factors Associated with Health Information Exchange
title_fullStr	Do Market Characteristics Matter? Factors Associated with Health Information Exchange
title_full_unstemmed	Do Market Characteristics Matter? Factors Associated with Health Information Exchange
title_sort	do market characteristics matter? factors associated with health information exchange
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e37e8573d3514b2d9ca429d4dc699ec1
work_keys_str_mv	AT naeuncho domarketcharacteristicsmatterfactorsassociatedwithhealthinformationexchange AT kihoonhong domarketcharacteristicsmatterfactorsassociatedwithhealthinformationexchange AT jongwhachang domarketcharacteristicsmatterfactorsassociatedwithhealthinformationexchange
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Do Market Characteristics Matter? Factors Associated with Health Information Exchange

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