{"id":"https://openalex.org/W4410447693","doi":"https://doi.org/10.3233/shti250426","title":"Physicians\u2019 Experiences of Health Information Exchange in Finland After Ten Years of National Patient Data Repository Services","display_name":"Physicians\u2019 Experiences of Health Information Exchange in Finland After Ten Years of National Patient Data Repository Services","publication_year":2025,"publication_date":"2025-05-15","ids":{"openalex":"https://openalex.org/W4410447693","doi":"https://doi.org/10.3233/shti250426","pmid":"https://pubmed.ncbi.nlm.nih.gov/40380535"},"language":"en","primary_location":{"id":"doi:10.3233/shti250426","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250426","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250426","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250426","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034829447","display_name":"Tinja L\u00e4\u00e4veri","orcid":"https://orcid.org/0000-0003-4124-6667"},"institutions":[{"id":"https://openalex.org/I133731052","display_name":"University of Helsinki","ror":"https://ror.org/040af2s02","country_code":"FI","type":"education","lineage":["https://openalex.org/I133731052"]},{"id":"https://openalex.org/I2800394112","display_name":"Helsinki University Hospital","ror":"https://ror.org/02e8hzf44","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I2800394112","https://openalex.org/I4210166427"]},{"id":"https://openalex.org/I9927081","display_name":"Aalto University","ror":"https://ror.org/020hwjq30","country_code":"FI","type":"education","lineage":["https://openalex.org/I9927081"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Tinja L\u00e4\u00e4veri","raw_affiliation_strings":["Aalto University, Department of Computer Science, Finland","Inflammation Center, Helsinki University Hospital, Finland"],"raw_orcid":"https://orcid.org/0000-0003-4124-6667","affiliations":[{"raw_affiliation_string":"Aalto University, Department of Computer Science, Finland","institution_ids":["https://openalex.org/I9927081"]},{"raw_affiliation_string":"Inflammation Center, Helsinki University Hospital, Finland","institution_ids":["https://openalex.org/I133731052","https://openalex.org/I2800394112"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070169373","display_name":"Jarmo Reponen","orcid":"https://orcid.org/0000-0003-2306-3111"},"institutions":[{"id":"https://openalex.org/I98381234","display_name":"University of Oulu","ror":"https://ror.org/03yj89h83","country_code":"FI","type":"education","lineage":["https://openalex.org/I98381234"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Jarmo Reponen","raw_affiliation_strings":["Research Unit of Health Sciences and Technology, University of Oulu, Finland"],"raw_orcid":"https://orcid.org/0000-0003-2306-3111","affiliations":[{"raw_affiliation_string":"Research Unit of Health Sciences and Technology, University of Oulu, Finland","institution_ids":["https://openalex.org/I98381234"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059927747","display_name":"Tuulikki Vehko","orcid":"https://orcid.org/0000-0002-0034-8379"},"institutions":[{"id":"https://openalex.org/I39624965","display_name":"Finnish Institute for Health and Welfare","ror":"https://ror.org/03tf0c761","country_code":"FI","type":"funder","lineage":["https://openalex.org/I39624965"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Tuulikki Vehko","raw_affiliation_strings":["Finnish Institute for Health and Welfare (THL), Finland"],"raw_orcid":"https://orcid.org/0000-0002-0034-8379","affiliations":[{"raw_affiliation_string":"Finnish Institute for Health and Welfare (THL), Finland","institution_ids":["https://openalex.org/I39624965"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018616763","display_name":"Johanna Viitanen","orcid":"https://orcid.org/0000-0002-6659-5022"},"institutions":[{"id":"https://openalex.org/I9927081","display_name":"Aalto University","ror":"https://ror.org/020hwjq30","country_code":"FI","type":"education","lineage":["https://openalex.org/I9927081"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Johanna Viitanen","raw_affiliation_strings":["Aalto University, Department of Computer Science, Finland"],"raw_orcid":"https://orcid.org/0000-0002-6659-5022","affiliations":[{"raw_affiliation_string":"Aalto University, Department of Computer Science, Finland","institution_ids":["https://openalex.org/I9927081"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.0932,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.94646874,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":97},"biblio":{"volume":"327","issue":null,"first_page":"637","last_page":"641"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.984499990940094,"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":0.984499990940094,"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/T11710","display_name":"Biomedical Text Mining and Ontologies","score":0.9340000152587891,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.9232000112533569,"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":0.6299824714660645},{"id":"https://openalex.org/keywords/patient-data","display_name":"Patient data","score":0.49171024560928345},{"id":"https://openalex.org/keywords/data-exchange","display_name":"Data exchange","score":0.46276986598968506},{"id":"https://openalex.org/keywords/information-exchange","display_name":"Information exchange","score":0.45148828625679016},{"id":"https://openalex.org/keywords/health-information","display_name":"Health information","score":0.3810677230358124},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.37126731872558594},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3549831509590149},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.33661210536956787},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.3343049883842468},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.32319653034210205},{"id":"https://openalex.org/keywords/internet-privacy","display_name":"Internet privacy","score":0.26607078313827515},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.2618638873100281},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.2368018925189972},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.11842089891433716},{"id":"https://openalex.org/keywords/telecommunications","display_name":"Telecommunications","score":0.10340476036071777}],"concepts":[{"id":"https://openalex.org/C2778759051","wikidata":"https://www.wikidata.org/wiki/Q5691085","display_name":"Health information exchange","level":4,"score":0.6299824714660645},{"id":"https://openalex.org/C3018822202","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Patient data","level":2,"score":0.49171024560928345},{"id":"https://openalex.org/C15845906","wikidata":"https://www.wikidata.org/wiki/Q1172338","display_name":"Data exchange","level":2,"score":0.46276986598968506},{"id":"https://openalex.org/C189693848","wikidata":"https://www.wikidata.org/wiki/Q6031064","display_name":"Information exchange","level":2,"score":0.45148828625679016},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.3810677230358124},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.37126731872558594},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3549831509590149},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33661210536956787},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3343049883842468},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.32319653034210205},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.26607078313827515},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2618638873100281},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2368018925189972},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11842089891433716},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.10340476036071777},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","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":"D005387","descriptor_name":"Finland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005387","descriptor_name":"Finland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.3233/shti250426","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250426","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250426","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:40380535","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40380535","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":"Studies in health technology and informatics","raw_type":"Journal Article"},{"id":"pmh:oai:aaltodoc.aalto.fi:123456789/136276","is_oa":true,"landing_page_url":"https://doi.org/10.3233/SHTI250426","pdf_url":null,"source":{"id":"https://openalex.org/S4306401662","display_name":"Aaltodoc (Aalto University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I9927081","host_organization_name":"Aalto University","host_organization_lineage":["https://openalex.org/I9927081"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.3233/shti250426","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250426","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250426","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410447693.pdf","grobid_xml":"https://content.openalex.org/works/W4410447693.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2805708434","https://openalex.org/W1976038767","https://openalex.org/W2126034072","https://openalex.org/W1833893427","https://openalex.org/W4205201754","https://openalex.org/W4226054113","https://openalex.org/W2068402150","https://openalex.org/W2942211944","https://openalex.org/W1863969272","https://openalex.org/W61666660"],"abstract_inverted_index":{"Health":[0],"information":[1,20,124,147],"exchange":[2],"(HIE)":[3],"is":[4,161],"expected":[5],"to":[6,12],"improve":[7],"cross-organizational":[8,49],"collaboration":[9,128],"and":[10,27,31,46,57,66,74,93,99,106,148],"access":[11],"data.":[13],"In":[14],"Finland,":[15],"the":[16,28,59,62,68,112,139],"first":[17],"regional":[18],"health":[19,123],"systems":[21],"(RHISs)":[22],"were":[23,38,81],"introduced":[24],"in":[25,40,132],"2003,":[26],"electronic":[29],"prescription":[30,63],"national":[32,86],"patient":[33,149],"data":[34,80],"repository":[35],"(\"Kanta\")":[36],"services":[37,157],"implemented":[39],"2010-17.":[41],"We":[42],"explored":[43],"physicians'":[44],"experiences":[45,118],"use":[47,77],"of":[48,61,71,119,145,162],"HIE":[50,156,160],"at":[51],"four":[52,84],"time":[53],"points:":[54],"before":[55],"(2010)":[56],"after":[58,67],"implementation":[60,70],"center":[64],"(2014),":[65],"full":[69],"Kanta":[72,107],"(2017),":[73],"during":[75,138],"established":[76],"(2021).":[78],"The":[79,117],"retrieved":[82],"from":[83],"large":[85],"cross-sectional":[87],"usability-focused":[88],"surveys":[89],"targeted":[90],"for":[91,114,127,154],"physicians":[92,130],"analyzed":[94],"by":[95],"physician":[96],"specialty":[97],"groups":[98],"study":[100,140],"years.":[101],"Across":[102],"all":[103],"specialties,":[104],"RHISs":[105],"Services":[108],"had":[109],"largely":[110],"replaced":[111],"need":[113],"paper/fax-based":[115],"HIE.":[116],"medication":[120,146],"information,":[121],"or":[122],"system":[125],"support":[126],"between":[129],"working":[131],"different":[133],"organizations":[134],"improved":[135],"only":[136],"slightly":[137],"period":[141],"suggesting":[142],"that":[143],"availability":[144],"documentation":[150],"are":[151],"not":[152],"sufficient":[153],"adequate":[155],"when":[158],"most":[159],"\"pull\"":[163],"type.":[164]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}
