Use of Health Information Exchange in the Continuity of Care as Viewed by Patients and Nurses: A Cross-Sectional Study

Michal Itzhaki*, Ella Koren, Khaled Abu Hussein, Liron Levy, Irit Gantz, Sivia Barnoy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Patients' attitudes toward sharing their personal health information are critical for implementation of health information exchange. Nurses contribute significantly to information sharing within the care continuum in hospitals and community. This study aimed to examine the awareness and readiness of patients with chronic illness and nurses to the use health information exchange. A cross-sectional study was conducted among 314 inpatients with a chronic illness, 110 nurses working in internal wards, and 55 contact nurses working in a large health maintenance organization. The findings showed that the mean level of awareness was low across all three groups. Contact nurses expressed more positive attitudes than internal ward nurses or patients and were more willing than patients to share information with healthcare workers. Knowledge, attitudes, and being a nurse predicted the intention to share information with medical healthcare providers and with agents not involved in direct care. Before implementation of a health information exchange system, it is important to raise awareness, readiness, and intention to use it among the public, nurses, and other medical staff. Policy makers should organize national campaigns under the auspices of the Ministry of Health to present the advantages and provide detailed information about the system.

Original languageEnglish
Pages (from-to)39-45
Number of pages7
JournalCIN - Computers Informatics Nursing
Issue number1
StatePublished - 30 Jan 2023


FundersFunder number
Israel National Institute for Health Policy Researchr/100/2015


    • Contact nurses
    • Health information exchange
    • Medical data


    Dive into the research topics of 'Use of Health Information Exchange in the Continuity of Care as Viewed by Patients and Nurses: A Cross-Sectional Study'. Together they form a unique fingerprint.

    Cite this