{"id":"https://openalex.org/W2889428738","doi":"https://doi.org/10.1093/jamia/ocy084","title":"Assessing the impact of health system organizational structure on hospital electronic data sharing","display_name":"Assessing the impact of health system organizational structure on hospital electronic data sharing","publication_year":2018,"publication_date":"2018-06-01","ids":{"openalex":"https://openalex.org/W2889428738","doi":"https://doi.org/10.1093/jamia/ocy084","mag":"2889428738","pmid":"https://pubmed.ncbi.nlm.nih.gov/29982687"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocy084","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocy084","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/9/1147/34150146/ocy084.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/25/9/1147/34150146/ocy084.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027068804","display_name":"A Jay Holmgren","orcid":"https://orcid.org/0000-0002-7939-6831"},"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":true,"raw_author_name":"A Jay Holmgren","raw_affiliation_strings":["Harvard Business School, Harvard University, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Business School, Harvard University, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5087487681","display_name":"Eric W. Ford","orcid":"https://orcid.org/0000-0002-7885-0019"},"institutions":[{"id":"https://openalex.org/I32389192","display_name":"University of Alabama at Birmingham","ror":"https://ror.org/008s83205","country_code":"US","type":"education","lineage":["https://openalex.org/I32389192"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eric W Ford","raw_affiliation_strings":["University of Alabama \u2013 Birmingham, School of Public Health, Birmingham, Alabama, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Alabama \u2013 Birmingham, School of Public Health, Birmingham, Alabama, USA","institution_ids":["https://openalex.org/I32389192"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5027068804"],"corresponding_institution_ids":["https://openalex.org/I136199984"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":4.2464,"has_fulltext":true,"cited_by_count":14,"citation_normalized_percentile":{"value":0.94266796,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":98},"biblio":{"volume":"25","issue":"9","first_page":"1147","last_page":"1152"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.2709999978542328,"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":0.2709999978542328,"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":0.19189999997615814,"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/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.052799999713897705,"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/data-sharing","display_name":"Data sharing","score":0.4729183316230774},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.458414763212204},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4520088732242584},{"id":"https://openalex.org/keywords/organizational-structure","display_name":"Organizational structure","score":0.4118826985359192},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.3953297734260559},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.3615322709083557},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.33551156520843506},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.261180579662323},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.24126464128494263},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.09080690145492554},{"id":"https://openalex.org/keywords/alternative-medicine","display_name":"Alternative medicine","score":0.08459481596946716}],"concepts":[{"id":"https://openalex.org/C2779965156","wikidata":"https://www.wikidata.org/wiki/Q5227350","display_name":"Data sharing","level":3,"score":0.4729183316230774},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.458414763212204},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4520088732242584},{"id":"https://openalex.org/C182566","wikidata":"https://www.wikidata.org/wiki/Q759524","display_name":"Organizational structure","level":2,"score":0.4118826985359192},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3953297734260559},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3615322709083557},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.33551156520843506},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.261180579662323},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.24126464128494263},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.09080690145492554},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.08459481596946716},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006739","descriptor_name":"Hospital Administration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006739","descriptor_name":"Hospital Administration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006739","descriptor_name":"Hospital Administration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","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":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","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":"D014481","descriptor_name":"United States","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":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocy084","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocy084","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/9/1147/34150146/ocy084.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:29982687","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29982687","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,"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":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7646916","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7646916","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocy084","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocy084","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/9/1147/34150146/ocy084.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.41999998688697815,"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2889428738.pdf","grobid_xml":"https://content.openalex.org/works/W2889428738.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W6671949","https://openalex.org/W1512223310","https://openalex.org/W1946391133","https://openalex.org/W1965688308","https://openalex.org/W1976038767","https://openalex.org/W2018290977","https://openalex.org/W2034898504","https://openalex.org/W2147462315","https://openalex.org/W2148468913","https://openalex.org/W2155407584","https://openalex.org/W2157814042","https://openalex.org/W2291585943","https://openalex.org/W2293737936","https://openalex.org/W2327864027","https://openalex.org/W2329163569","https://openalex.org/W2329503388","https://openalex.org/W2506298793","https://openalex.org/W2570773656","https://openalex.org/W2591836596","https://openalex.org/W2748099698","https://openalex.org/W2763496415","https://openalex.org/W3144219364","https://openalex.org/W6600280373","https://openalex.org/W6630749818","https://openalex.org/W6641877894","https://openalex.org/W6732201201"],"related_works":["https://openalex.org/W2248900531","https://openalex.org/W2421931440","https://openalex.org/W2384111119","https://openalex.org/W4213127794","https://openalex.org/W2376158018","https://openalex.org/W2074846102","https://openalex.org/W3177071349","https://openalex.org/W4210478786","https://openalex.org/W2110572197","https://openalex.org/W2969479563"],"abstract_inverted_index":{"Objective:":[0],"Horizontal":[1],"consolidation":[2,38,202,217,233],"in":[3,10,29,46,52,126,133,144,167,171,179,203,212,251],"the":[4,11,68,79,88,102,204,243],"hospital":[5,65,114,205],"industry":[6,206],"has":[7],"gained":[8],"momentum":[9],"United":[12],"States":[13],"despite":[14],"concerns":[15],"over":[16],"rising":[17],"costs":[18],"and":[19,31,58,73,87,109,195],"lower":[20],"quality.":[21],"Hospital":[22],"systems":[23,137],"frequently":[24],"point":[25],"to":[26,42,100,140,187,236,248],"potential":[27],"gains":[28,211],"interoperability":[30,110,120,182,213,237,250],"electronic":[32],"exchange":[33],"of":[34,82,93,164,229],"patient":[35],"information":[36],"as":[37],"benefits.":[39],"We":[40,60,77,95,117],"sought":[41],"assess":[43,101],"whether":[44],"hospitals":[45,125],"different":[47,127],"health":[48,83,105,128,136,180,253],"system":[49,84,129,146,181,254],"structures":[50],"varied":[51,122],"their":[53],"interoperable":[54,168],"data":[55,169,189],"sharing.":[56],"Materials":[57],"methods:":[59],"created":[61],"a":[62,219],"cross-sectional":[63],"national":[64],"sample":[66],"from":[67],"2014":[69],"AHA":[70],"Annual":[71],"Survey":[72],"2015":[74],"IT":[75],"Supplement.":[76],"combined":[78],"existing":[80],"taxonomy":[81],"organizational":[85,107,193,255],"forms":[86,108],"ONC's":[89],"functionality-based,":[90],"technology-agnostic":[91],"definition":[92],"interoperability.":[94],"used":[96],"logistic":[97],"regression":[98,174],"models":[99],"relationship":[103],"between":[104],"systems'":[106],"engagement,":[111],"controlling":[112],"for":[113],"characteristics.":[115],"Results:":[116],"found":[118],"that":[119,185,200,216,231,246],"engagement":[121,183],"greatly":[123,191],"across":[124,157,192],"structures,":[130],"with":[131],"facilities":[132],"more":[134,138],"centralized":[135,149],"likely":[139],"be":[141,227],"interoperable.":[142],"Hospitals":[143],"one":[145],"type,":[147],"featuring":[148],"insurance":[150],"product":[151],"development":[152],"but":[153],"diverse":[154],"service":[155],"offerings":[156],"member":[158],"organizations,":[159],"had":[160],"significantly":[161],"higher":[162],"odds":[163],"being":[165],"engaged":[166],"sharing":[170],"our":[172],"multivariate":[173],"results.":[175],"Discussion:":[176],"The":[177],"heterogeneity":[178],"indicates":[184],"incentives":[186],"share":[188],"vary":[190],"strategies":[194],"structures.":[196,256],"Our":[197],"results":[198],"suggest":[199],"horizontal":[201,232],"may":[207],"not":[208],"bring":[209],"significant":[210],"progress":[214],"unless":[215],"takes":[218],"specific":[220,244],"business":[221],"alignment":[222],"form.":[223],"Conclusion:":[224],"Policymakers":[225],"should":[226,241],"wary":[228],"claims":[230],"will":[234],"lead":[235,247],"gains.":[238],"Future":[239],"research":[240],"explore":[242],"mechanisms":[245],"greater":[249],"certain":[252]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":4}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}