Physicians' opinions of a health information exchange

J Am Med Inform Assoc. 2011 Jan-Feb;18(1):60-5. doi: 10.1136/jamia.2010.006502. Epub 2010 Nov 24.


Background: Arizona Medicaid developed a Health Information Exchange (HIE) system called the Arizona Medical Information Exchange (AMIE).

Objective: To evaluate physicians' perceptions regarding AMIE's impact on health outcomes and healthcare costs.

Measurements: A focus-group guide was developed and included five domains: perceived impact of AMIE on (1) quality of care; (2) workflow and efficiency; (3) healthcare costs; (4) system usability; and (5) AMIE data content. Qualitative data were analyzed using analytical coding.

Results: A total of 29 clinicians participated in the study. The attendance rate was 66% (N=19) for the first and last month of focus-group meetings and 52% (N=15) for the focus group meetings conducted during the second month. The benefits most frequently mentioned during the focus groups included: (1) identification of "doctor shopping"; (2) averting duplicative testing; and (3) increased efficiency of clinical information gathering. The most frequent disadvantage mentioned was the limited availability of data in the AMIE system.

Conclusion: Respondents reported that AMIE had the potential to improve care, but they felt that AMIE impact was limited due to the data available.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Arizona
  • Efficiency, Organizational
  • Female
  • Focus Groups
  • Health Care Costs
  • Humans
  • Male
  • Medical Record Linkage*
  • Medical Records Systems, Computerized*
  • Middle Aged
  • Point-of-Care Systems*
  • Practice Patterns, Physicians'*
  • Quality of Health Care*