Primary care provider's acceptance of health information exchange utilizing IHE XDS.
OBJECTIVE
We assessed primary care providers' perception of a health information exchange system (HIE) based on IHE XDS in the metropolitan area of Braunschweig, Lower Saxony, Germany.


METHODS
An application enabling access to medical documents in an XDS Affinity Domain was developed. We examined usability and factors related to user acceptance.


METHODS
User perception was probed using system usability scale (SUS) and semi-structured interviews. The framework analysis was used in the review and interpretation of the interview data.


RESULTS
The evaluation was performed on 7 participants. The SUS showed an above average usability with a median score of 77.5. Participants submitted suggestions for additional features and improvement of usability. Poor integration of functionality into existing workflows was most frequently criticized.


CONCLUSIONS
We found, that, while usability was well perceived by primary care providers, challenges remain in adoption of XDS based IHE.
Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig and Hannover Medical School, Germany.
Birger
B
Haarbrandt
Jonas
J
Schwartze
Nathalie
N
Gusew
Christoph
C
Seidel
Thorsten
T
Kleinschmidt
Reinhold
R
Haux
D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005858:Germany; D066275:Health Information Exchange / Q000706:statistics & numerical data*; D033181:Information Dissemination / Q000379:methods*; D008498:Medical Record Linkage / Q000379:methods*; D011320:Primary Health Care / Q000706:statistics & numerical data*