Beyond Borders: Evaluating the Impact of Health Information Exchange on Resource Utilization in the United Arab Emirates – A Longitudinal Study.
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| Title: | Beyond Borders: Evaluating the Impact of Health Information Exchange on Resource Utilization in the United Arab Emirates – A Longitudinal Study. |
|---|---|
| Authors: | Al Braiki, Atif1 (AUTHOR) atif.albraiki@dahc.ae, Al Hashemi, Hamed Ali2 (AUTHOR) halhashemi@doh.gov.ae, Denson, Robert3 (AUTHOR) RDenson@Malaffi.ae, de Sylva, Sanji4 (AUTHOR) Sdesylva@Malaffi.ae, Fikry, Ehab M.4 (AUTHOR) Efikry@Malaffi.ae, Goyal, Rahul5 (AUTHOR) rahulgoyalmd@yahoo.com, Lakinska, Bisera4 (AUTHOR) Blakinska@Malaffi.ae, Yaraghi, Niam6,7 (AUTHOR) niamyaraghi@miami.edu |
| Source: | Information Systems Frontiers. Apr2025, Vol. 27 Issue 2, p731-742. 12p. |
| Subjects: | Health information exchanges, Cost benefit analysis, Public health, Health literacy, Panel analysis, Validity of statistics |
| Abstract: | The body of knowledge on the benefits of Health Information Exchange (HIE) services primarily consists of studies that are conducted on HIEs in the US. The important legal and economic differences between the US market and the rest of the world, significantly reduce the generalizability of the current insights on HIEs. In this research we intend to examine if the HIE adoption and usage would lead to substantial changes in resource utilization in settings outside of the US, hence improving the generalizability and external validity of the literature on HIE effectiveness. We conducted a longitudinal study of all medical providers in Abu Dhabi, United Arab Emirates between January 2019, and May 2022. Using HIE system log data, and insurance claims data we implemented Difference-in-Differences models to estimate the impact of HIE adoption reducing utilization of laboratory and pathology, and radiology imaging services as well as surgery procedures at both individual clinician and hospital levels. We further implemented panel data regression models to estimate the gradual increase in the benefits of HIE for users. On average, at the hospital level, adoption of HIE services has resulted in 24.7% reduction in pathology and laboratory orders, and 11.2% reduction in radiology imaging. At the clinician level, on average, HIE adoption leads to 7.8% reduction in pathology and laboratory orders, and 5.6% reduction in surgery procedures. These reductions are relative to the predicted increase in outcomes which would have occurred had the HIE not been implemented. We also show that the benefits of HIE happens gradually over time and as users gain more experience with the HIE, they observe better results. While our findings are consistent with the prior literature and show that HIE adoption significantly reduces the utilization of medical services, we uncover that the magnitude of these savings are different from those in the US. [ABSTRACT FROM AUTHOR] |
| Copyright of Information Systems Frontiers is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
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| Header | DbId: egs DbLabel: Engineering Source An: 185136193 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Beyond Borders: Evaluating the Impact of Health Information Exchange on Resource Utilization in the United Arab Emirates – A Longitudinal Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Al+Braiki%2C+Atif%22">Al Braiki, Atif</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> atif.albraiki@dahc.ae</i><br /><searchLink fieldCode="AR" term="%22Al+Hashemi%2C+Hamed+Ali%22">Al Hashemi, Hamed Ali</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> halhashemi@doh.gov.ae</i><br /><searchLink fieldCode="AR" term="%22Denson%2C+Robert%22">Denson, Robert</searchLink><relatesTo>3</relatesTo> (AUTHOR)<i> RDenson@Malaffi.ae</i><br /><searchLink fieldCode="AR" term="%22de+Sylva%2C+Sanji%22">de Sylva, Sanji</searchLink><relatesTo>4</relatesTo> (AUTHOR)<i> Sdesylva@Malaffi.ae</i><br /><searchLink fieldCode="AR" term="%22Fikry%2C+Ehab+M%2E%22">Fikry, Ehab M.</searchLink><relatesTo>4</relatesTo> (AUTHOR)<i> Efikry@Malaffi.ae</i><br /><searchLink fieldCode="AR" term="%22Goyal%2C+Rahul%22">Goyal, Rahul</searchLink><relatesTo>5</relatesTo> (AUTHOR)<i> rahulgoyalmd@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Lakinska%2C+Bisera%22">Lakinska, Bisera</searchLink><relatesTo>4</relatesTo> (AUTHOR)<i> Blakinska@Malaffi.ae</i><br /><searchLink fieldCode="AR" term="%22Yaraghi%2C+Niam%22">Yaraghi, Niam</searchLink><relatesTo>6,7</relatesTo> (AUTHOR)<i> niamyaraghi@miami.edu</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Information+Systems+Frontiers%22">Information Systems Frontiers</searchLink>. Apr2025, Vol. 27 Issue 2, p731-742. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Health+information+exchanges%22">Health information exchanges</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+benefit+analysis%22">Cost benefit analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Panel+analysis%22">Panel analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Validity+of+statistics%22">Validity of statistics</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The body of knowledge on the benefits of Health Information Exchange (HIE) services primarily consists of studies that are conducted on HIEs in the US. The important legal and economic differences between the US market and the rest of the world, significantly reduce the generalizability of the current insights on HIEs. In this research we intend to examine if the HIE adoption and usage would lead to substantial changes in resource utilization in settings outside of the US, hence improving the generalizability and external validity of the literature on HIE effectiveness. We conducted a longitudinal study of all medical providers in Abu Dhabi, United Arab Emirates between January 2019, and May 2022. Using HIE system log data, and insurance claims data we implemented Difference-in-Differences models to estimate the impact of HIE adoption reducing utilization of laboratory and pathology, and radiology imaging services as well as surgery procedures at both individual clinician and hospital levels. We further implemented panel data regression models to estimate the gradual increase in the benefits of HIE for users. On average, at the hospital level, adoption of HIE services has resulted in 24.7% reduction in pathology and laboratory orders, and 11.2% reduction in radiology imaging. At the clinician level, on average, HIE adoption leads to 7.8% reduction in pathology and laboratory orders, and 5.6% reduction in surgery procedures. These reductions are relative to the predicted increase in outcomes which would have occurred had the HIE not been implemented. We also show that the benefits of HIE happens gradually over time and as users gain more experience with the HIE, they observe better results. While our findings are consistent with the prior literature and show that HIE adoption significantly reduces the utilization of medical services, we uncover that the magnitude of these savings are different from those in the US. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Information Systems Frontiers is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=185136193 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10796-024-10470-5 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 731 Subjects: – SubjectFull: Health information exchanges Type: general – SubjectFull: Cost benefit analysis Type: general – SubjectFull: Public health Type: general – SubjectFull: Health literacy Type: general – SubjectFull: Panel analysis Type: general – SubjectFull: Validity of statistics Type: general Titles: – TitleFull: Beyond Borders: Evaluating the Impact of Health Information Exchange on Resource Utilization in the United Arab Emirates – A Longitudinal Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Al Braiki, Atif – PersonEntity: Name: NameFull: Al Hashemi, Hamed Ali – PersonEntity: Name: NameFull: Denson, Robert – PersonEntity: Name: NameFull: de Sylva, Sanji – PersonEntity: Name: NameFull: Fikry, Ehab M. – PersonEntity: Name: NameFull: Goyal, Rahul – PersonEntity: Name: NameFull: Lakinska, Bisera – PersonEntity: Name: NameFull: Yaraghi, Niam IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 13873326 Numbering: – Type: volume Value: 27 – Type: issue Value: 2 Titles: – TitleFull: Information Systems Frontiers Type: main |
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