The connection between viewing medical historical information and using-clinical tests

Itamar Shabtai, Ofir Ben-Assuli*, Moshe Leshno

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Health information exchange (HIE) interoperable networks are rapidly becoming the preferred infrastructure for transferring medical data and information between healthcare organisations. This study explored whether the use of interoperable networks such as HIE that provide physicians with medical history affects the rate of ordering tests and using imaging services. The database contains admissions to all interim and surgical departments in two hospitals. Results show that, the use of historical information did not reduce the rate of ordering imaging services. In fact, the rate in-creased for tomography, ultra-sound, etc. Further analysis showed that test order rate depends on the diagnosis type of insurance, and age. Thus, physicians make use of historical information, and are aware of its importance. There was a positive relationship between using medical history on medical tests and current ordering. Hence, the likelihood of using tests performed in the past increases when the medical history is reviewed.

Original languageEnglish
Pages (from-to)157-170
Number of pages14
JournalInternational Journal of Networking and Virtual Organisations
Volume16
Issue number2
DOIs
StatePublished - 2016

Keywords

  • EHR
  • Electronic health record
  • HIE
  • HIT
  • Health information exchange
  • Health information technology
  • Interoperability

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