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Health information infrastructure : flows and frictions

Author: Dahee Chung; Indiana University, Bloomington. School of Informatics and Computing.; Indiana University, Bloomington,
Publisher: [Bloomington, Indiana] : Indiana University ; Ann Arbor, MI : ProQuest, UMI Dissertations Publishing, 2017.
Dissertation: Ph. D. Indiana University 2017
Edition/Format:   Thesis/dissertation : Document : Thesis/dissertation : eBook   Computer File : English
Publication:Dissertation Abstracts International, 79-01A(E)
Summary:
The healthcare environment is becoming increasingly dependent on health information technology, with providers, patients, payers, and other players producing and sharing information to improve healthcare delivery. This, in turn, has brought the issue of Health Information Infrastructure (HII) to the forefront of policy, design, and law. While several studies have examined each element of HII, little attention has  Read more...
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Details

Genre/Form: Academic theses
Material Type: Document, Thesis/dissertation, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Dahee Chung; Indiana University, Bloomington. School of Informatics and Computing.; Indiana University, Bloomington,
ISBN: 9780355145953 0355145952
OCLC Number: 1052887319
Notes: "School of Informatics and Computing, Indiana University."
Source: Dissertation Abstracts International, Volume: 79-01(E), Section: A.
Advisor: Hamid R. Ekbia.
Description: 1 online resource (viii, 192 pages) : illustrations
Responsibility: Dahee Chung.

Abstract:

The healthcare environment is becoming increasingly dependent on health information technology, with providers, patients, payers, and other players producing and sharing information to improve healthcare delivery. This, in turn, has brought the issue of Health Information Infrastructure (HII) to the forefront of policy, design, and law. While several studies have examined each element of HII, little attention has been paid to the infrastructure in its totality as a collection of technologies, institutions, standards, and practices. Healthcare practitioners and researchers typically follow governmental guidelines (or federal policies) related to technology, standards, institutions, and legal frameworks, resulting in a lack of practical perspective. In order to fill the gap, this dissertation focuses on medication reconciliation as an example of the bigger phenomenon of HII. In particular, the dissertation examines a community-level medication reconciliation process to understand the key challenges facing the development of HII, how the challenges feed into each other, and how they can be met as a whole. Following a mixed methodology, involving workflow study, focus group discussions, and in-depth interviews, the dissertation examines "data friction" along technical, institutional, regulatory, and legal dimensions. The study, as such, contributes to a better understanding of the HII and the practical challenges that hinder the seamless flow of information in the healthcare environment.

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