Why is clinical information not reused?

Gert Galster
Studies in Health Technology and Informatics 2012, 180: 624-8
Reuse of clinical information plays a key role in the vision of a health sector with comprehensive semantic and pragmatic interoperability. Several papers have dealt with the secondary reuse of information, e.g. for statistics or research, while the primary reuse - clinical information reused in a clinical setting - has received less attention. On the basis of a qualitative literature review, this paper creates a categorised overview of the different causes to refrain from reuse of clinical information in clinical settings. The categorisation contributes to a greater understanding of failing reuse of clinical information in clinical settings, and it can probably be used in designing, evaluating and optimising clinical information systems. Further, it is speculated that the categorisation can be used in the process of identifying the concepts that constitute the context of clinical information.

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