Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study

Lisa Simon; Enihomo Obadan-Udoh; Alfa-Ibrahim Yansane; Arti Gharpure; Steven Licht; Jean Calvo; James Deschner; Anna Damanaki; Berit Hackenberg; Muhammad Walji; Heiko Spallek; Elsbeth Kalenderian

doi:10.1055/s-0039-1688832

Applied Clinical Informatics, Inhaltsverzeichnis

Appl Clin Inform 2019; 10(03): 367-376
DOI: 10.1055/s-0039-1688832

Research Article

Georg Thieme Verlag KG Stuttgart · New York

Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study

Lisa Simon

¹Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, United States

,

Enihomo Obadan-Udoh

²Department of Preventive and Restorative Dental Sciences, Division of Oral Epidemiology and Dental Public Health, UCSF School of Dentistry, San Francisco, California, United States

,

Alfa-Ibrahim Yansane

³Department of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, San Francisco, California, United States

,

Arti Gharpure

³Department of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, San Francisco, California, United States

,

Steven Licht

⁴University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania, United States

,

Jean Calvo

⁵Department of Pediatric Dentistry, UCSF School of Dentistry, San Francisco, California, United States

,

James Deschner

⁶University Medical Center, University of Mainz, Mainz, Germany

,

Anna Damanaki

⁷Department of Periodontology and Operative Dentistry, University Medical Center, University of Mainz, Mainz, Germany

,

Berit Hackenberg

⁸Department of Otolaryngology, Head and Neck Surgery, University Medical Center, University of Mainz, Mainz, Germany

,

Muhammad Walji

⁹Department of Diagnostic and Biomedical Sciences, Technology Services and Informatics, University of Texas Health Science Center at Houston (UTHealth) School of Dentistry, Houston, Texas, United States

,

Heiko Spallek

¹⁰The University of Sydney School of Dentistry, Westmead, New South Wales, Australia

,

Elsbeth Kalenderian

³Department of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, San Francisco, California, United States

› Institutsangaben

Abstract

Objectives Electronic health records (EHRs) are rarely shared among medical and dental providers. The purpose of this study was to assess current information sharing and the value of improved electronic information sharing among physicians and dentists in Germany and the United States.

Materials and Methods A survey was validated and distributed electronically to physicians and dentists at four academic medical centers. Respondents were asked anonymously about EHR use and the medical and dental information most valuable to their practice.

Results There were 118 responses, a response rate of 23.2%. The majority (63.9%) of respondents were dentists and the remainder were physicians. Most respondents (66.3%) rated the importance of sharing information an 8 or above on a 1-to-10 Likert scale. Dentists rated the importance of sharing clinical information significantly higher than physicians (p = 0.0033). Most (68.5%) providers could recall an instance when access to medical or dental information would have improved patient care. Dentists were significantly more likely to report this than physicians (p = 0.008).

Conclusion Physicians would value a standardized measure of “oral health” in their EHR. Dentists were less likely to find specific medical diagnostic test results of value. Both dentists and physicians agreed that oral–systemic health was important; interoperable EHRs could facilitate information transfer between providers and enhance research on oral–systemic health connections. Both dentists and physicians believed that an interoperable EHR would be useful to practice, but desired information was different between these groups. Refinement of the information needed for shared practice is required.

Keywords

electronic health records - technology - dental - healthcare delivery - integrated - medical record - patient safety

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