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Home Research Research Library Interoperability among hospitals treating populations that have been marginalized Interoperability among hospitals treating populations that have been marginalized 2023 Author(s) Everson, Jordan, Patel, Vaishali, Bazemore, Andrew W, and Phillips, Robert L Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT) Volume Health Services Research Source Health Services Research Objective To test whether differences in hospital interoperability are related to the extent to which hospitals treat groups that have been economically and socially marginalized. Data Sources and Study Setting Data on 2393 non-federal acute care hospitals in the United States from the American Hospital Association Information Technology Supplement fielded in 2021, the 2019 Medicare Cost Report, and the 2019 Social Deprivation Index. Study Design Cross-sectional analysis. Data Collection/Extraction Methods We identified five proxy measures related to marginalization and assessed the relationship between those measures and the likelihood that hospitals engaged in all four domains of interoperable information exchange and participated in national interoperability networks in cross-sectional analysis. Principal Findings In unadjusted analysis, hospitals that treated patients from zip codes with high social deprivation were 33% less likely to engage in interoperable exchange (Relative Risk = 0.67, 95% CI: 0.58–0.76) and 24% less likely to participate in a national network than all other hospitals (RR = 0.76; 95% CI: 0.66–0.87). Critical Access Hospitals (CAH) were 24 percent less likely to engage in interoperable exchange (RR = 0.76; 95% CI: 0.69–0.83) but not less likely to participate in a national network (RR = 0.97; 95% CI: 0.88–1.06). No difference was detected for 2 measures (high Disproportionate Share Hospital percentage and Medicaid case mix) while 1 was associated with a greater likelihood to engage (high uncompensated care burden). The association between social deprivation and interoperable exchange persisted in an analysis examining metropolitan and rural areas separately and in adjusted analyses accounting for hospital characteristics. Conclusions Hospitals that treat patients from areas with high social deprivation were less likely to engage in interoperable exchange than other hospitals, but other measures were not associated with lower interoperability. The use of area deprivation data may be important to monitor and address hospital clinical data interoperability disparities to avoid related health care disparities. ABFM Research Read all 2023 Primary Care Physician Leadership in Top Ranked US Hospitals Go to Primary Care Physician Leadership in Top Ranked US Hospitals 2016 Care Coordination for Primary Care Practice Go to Care Coordination for Primary Care Practice 2019 Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach Go to Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach 2015 Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net Go to Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net
Author(s) Everson, Jordan, Patel, Vaishali, Bazemore, Andrew W, and Phillips, Robert L Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT) Volume Health Services Research Source Health Services Research
ABFM Research Read all 2023 Primary Care Physician Leadership in Top Ranked US Hospitals Go to Primary Care Physician Leadership in Top Ranked US Hospitals 2016 Care Coordination for Primary Care Practice Go to Care Coordination for Primary Care Practice 2019 Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach Go to Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach 2015 Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net Go to Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net
2023 Primary Care Physician Leadership in Top Ranked US Hospitals Go to Primary Care Physician Leadership in Top Ranked US Hospitals
2019 Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach Go to Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach
2015 Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net Go to Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net
