title: The role of health information technology in care coordination in the United States.
abstract: OBJECTIVE
  Examine the extent to which office-based physicians in the United States receive patient health information necessary to coordinate care across settings and determine whether receipt of information needed to coordinate care is associated with use of health information technology (HIT) (defined by presence or absence of electronic health record system and electronic sharing of information).
  
  
  METHODS
  Cross-sectional study using the 2012 National Electronic Health Records Survey (65% weighted response rate).
  
  
  METHODS
  Office-based physicians.
  
  
  METHODS
  Use of HIT and 3 types of patient health information needed to coordinate care.
  
  
  RESULTS
  In 2012, 64% of physicians routinely received the results of a patient's consultation with a provider outside of their practice, whereas 46% routinely received a patient's history and reason for a referred consultation from a provider outside of their practice. About 54% of physicians reported routinely receiving a patient's hospital discharge information. In adjusted analysis, significant differences in receiving necessary information were observed by use of HIT. Compared with those not using HIT, a lower percentage of physicians who used an electronic health record system and shared patient health information electronically failed to receive the results of outside consultations or patient's history and reason for a referred consultation. No significant differences were observed for the receipt of hospital discharge information by use of HIT. Among physicians routinely receiving information needed for care coordination, at least 54% of them did not receive the information electronically.
  
  
  CONCLUSIONS
  Although a higher percentage of physicians using HIT received patient information necessary for care coordination than those who did not use HIT, more than one third did not routinely receive the needed patient information at all.
authors.affiliation: *Agency for Healthcare Research and Quality, Rockville, MD †Office of the National Coordinator for Health Information Technology, Washington, DC ‡National Center for Health Statistics, Hyattsville, MD.
authors.forename: Chun-Ju
authors.initials: CJ
authors.lastname: Hsiao
authors.forename: Jennifer
authors.initials: J
authors.lastname: King
authors.forename: Esther
authors.initials: E
authors.lastname: Hing
authors.forename: Alan E
authors.initials: AE
authors.lastname: Simon
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003625:Data Collection / Q000379:methods*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008297:Male; D008490:Medical Informatics / Q000458:organization & administration*; D008875:Middle Aged; D018802:Patient-Centered Care / Q000458:organization & administration*; D058007:Physicians, Primary Care / Q000458:organization & administration*; D014481:United States