{"id":"https://openalex.org/W6671949","doi":null,"title":"Health information exchange among US hospitals.","display_name":"Health information exchange among US hospitals.","publication_year":2011,"publication_date":"2011-11-01","ids":{"openalex":"https://openalex.org/W6671949","mag":"6671949","pmid":"https://pubmed.ncbi.nlm.nih.gov/22084896"},"language":"en","primary_location":{"id":"pmid:22084896","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22084896","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of managed care","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023154530","display_name":"Julia Adler\u2010Milstein","orcid":"https://orcid.org/0000-0002-0262-6491","observed_orcids":["https://orcid.org/0000-0002-0262-6491"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julia Adler-Milstein","raw_affiliation_strings":["Harvard Medical School, Boston Veterans Affairs Hospital, Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston Veterans Affairs Hospital, Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018598333","display_name":"Catherine M. DesRoches","orcid":"https://orcid.org/0000-0001-5373-855X","observed_orcids":["https://orcid.org/0000-0001-5373-855X"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Catherine M DesRoches","raw_affiliation_strings":["Harvard University ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard University ,","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":null,"display_name":"Ashish K Jha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashish K Jha","raw_affiliation_strings":["Harvard University ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard University ,","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I136199984"],"apc_list":null,"apc_paid":null,"fwci":9.8416,"has_fulltext":false,"cited_by_count":76,"citation_normalized_percentile":{"value":0.98496675,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"17","issue":"11","first_page":"761","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.016300000250339508,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-information-exchange","display_name":"health information exchange","score":1.0},{"id":"https://openalex.org/keywords/hospital-participation","display_name":"hospital participation","score":0.5},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.6420000195503235},{"id":"https://openalex.org/keywords/clinical-data-exchange","display_name":"clinical data exchange","score":0.6779999732971191},{"id":"https://openalex.org/keywords/hospital-market-share","display_name":"hospital market share","score":0.5339999794960022},{"id":"https://openalex.org/keywords/market-concentration","display_name":"market concentration","score":0.8930000066757202},{"id":"https://openalex.org/keywords/medicare-spending","display_name":"Medicare spending","score":0.9760000109672546},{"id":"https://openalex.org/keywords/hitech-act","display_name":"HITECH Act","score":0.9900000095367432},{"id":"https://openalex.org/keywords/health-care-competition","display_name":"health care competition","score":0.44600000977516174},{"id":"https://openalex.org/keywords/regional-health-information-networks","display_name":"regional health information networks","score":0.5049999952316284}],"concepts":[{"id":"https://openalex.org/C2778759051","wikidata":"https://www.wikidata.org/wiki/Q5691085","display_name":"Health information exchange","level":4,"score":0.8834023475646973},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6517118811607361},{"id":"https://openalex.org/C189693848","wikidata":"https://www.wikidata.org/wiki/Q6031064","display_name":"Information exchange","level":2,"score":0.57212895154953},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5309039354324341},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4632623791694641},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.46215134859085083},{"id":"https://openalex.org/C16051113","wikidata":"https://www.wikidata.org/wiki/Q828814","display_name":"Market share","level":2,"score":0.45295557379722595},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.41688358783721924},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.36116892099380493},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.3241988718509674},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.2752423584461212},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.1706221103668213},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000573","descriptor_name":"American Hospital Association","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D013223","descriptor_name":"Statistics as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016001","descriptor_name":"Confidence Intervals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D022126","descriptor_name":"Access to Information","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D057171","descriptor_name":"American Recovery and Reinvestment Act","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":4,"locations":[{"id":"pmid:22084896","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22084896","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of managed care","raw_type":"Journal Article"},{"id":"mag:2291585943","doi":null,"is_oa":false,"landing_page_url":"https://econpapers.repec.org/paper/mprmprres/bcb4110b4fec4921a6e0d1e25f67b883.htm","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"RePEc: Research Papers in Economics","raw_type":null},{"id":"mag:3144219364","doi":null,"is_oa":false,"landing_page_url":"https://ideas.repec.org/p/mpr/mprres/bcb4110b4fec4921a6e0d1e25f67b883.html","pdf_url":null,"source":{"id":"https://openalex.org/S2764647102","display_name":"Mathematica Policy Research Reports","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Mathematica Policy Research Reports","raw_type":null},{"id":"pmh:oai:RePEc:mpr:mprres:bcb4110b4fec4921a6e0d1e25f67b883","doi":null,"is_oa":false,"landing_page_url":"http://www.ajmc.com/publications/issue/2011/2011-11-Vol17-n11/Health-Information-Exchange-Among-US-Hospitals","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"preprint"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8371999859809875}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2160528017","https://openalex.org/W2327864027","https://openalex.org/W2471694075","https://openalex.org/W2803590397","https://openalex.org/W1531545687","https://openalex.org/W4387115262","https://openalex.org/W4406410553","https://openalex.org/W2988272273","https://openalex.org/W3133541962","https://openalex.org/W2879251118"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"determine":[2,72],"the":[3,33,157,162,196],"proportion":[4],"of":[5,82,91,159,161,177,194],"US":[6,92,178],"hospitals":[7,55,93,106,124,143,179],"engaged":[8,94],"in":[9,28,57,84,95,120,133,144],"health":[10],"information":[11,188],"exchange":[12,62,103,141,181,189],"(HIE)":[13],"with":[14,26,79,97,109,127,146,184],"unaffiliated":[15,98,185],"providers":[16,208],"and":[17,22,48,75,107,142,168,199],"to":[18,60,71,118,140,153,202],"identify":[19],"key":[20,192],"hospital-level":[21,73],"market-level":[23,76],"factors":[24,200],"associated":[25,78],"participating":[27,83],"exchange.":[29,154],"STUDY":[30],"DESIGN:":[31],"Using":[32],"2009":[34],"American":[35],"Hospital":[36],"Association":[37],"Information":[38,164],"Technology":[39,165],"survey,":[40],"supplemented":[41],"by":[42],"Dartmouth":[43],"Atlas,":[44],"Area":[45],"Resource":[46],"File,":[47],"other":[49],"national":[50],"data,":[51],"we":[52],"examined":[53],"which":[54],"participated":[56],"regional":[58],"efforts":[59],"electronically":[61,180],"clinical":[63,182],"data.":[64],"METHODS:":[65],"We":[66,87],"used":[67],"logistic":[68],"regression":[69],"models":[70],"characteristics":[74,77],"hospitals'":[80],"likelihood":[81],"HIE.":[85],"RESULTS:":[86],"found":[88],"that":[89],"10.7%":[90],"HIE":[96,121],"providers.":[99,186],"In":[100],"communities":[101],"where":[102],"occurred,":[104],"for-profit":[105],"those":[108,126],"a":[110,128,174,191],"small":[111,175],"market":[112,130],"share":[113],"were":[114,137,150],"far":[115],"less":[116,151],"likely":[117,139,152],"engage":[119],"than":[122],"nonprofit":[123],"or":[125],"larger":[129],"share.":[131],"Hospitals":[132],"more":[134,138],"concentrated":[135],"markets":[136,145],"higher":[147],"Medicare":[148],"spending":[149],"CONCLUSIONS:":[155],"At":[156],"start":[158],"implementation":[160],"Health":[163,170,187],"for":[166],"Economic":[167],"Clinical":[169],"(HITECH)":[171],"Act,":[172],"only":[173],"minority":[176],"data":[183],"is":[190],"part":[193],"reforming":[195],"healthcare":[197],"system,":[198],"related":[201],"competitiveness":[203],"may":[204],"be":[205],"holding":[206],"some":[207],"back.":[209]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":7},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":12},{"year":2016,"cited_by_count":10},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":12},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":9}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2025-10-10T00:00:00"}