{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T05:11:25Z","timestamp":1654146685866},"reference-count":65,"publisher":"IGI Global","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,1,1]]},"abstract":"<p>For more than a decade, healthcare reform has emphasized coordinated \u201cpatient-centered care\u201d. To that end, policymakers have invested in integration of healthcare providers\u2019 information flows. Research has studied healthcare providers\u2019 information needs but overlooked communicative exchanges among participants in coordinating treatment plan decisions. Consequently, although medical literature asserts that patients should depend on information exchange with healthcare providers to enable participation in treatment plan decisions, the assertion has not been tested. In this paper, the authors conduct an empirical study to elucidate the structure of actors\u2019 communications in support of their information dependencies. The findings illustrate that although patients are well connected through personal contact with healthcare providers, patients are disenfranchised from integrated healthcare information systems (IS) and the potential of IS to support patients\u2019 participation in coordinated \u201cpatient-centered care\u201d decisions. Furthermore, knowledge asymmetry between patients and healthcare providers should be considered in the selection and design of healthcare IS.<\/p>","DOI":"10.4018\/jhisi.2011010101","type":"journal-article","created":{"date-parts":[[2011,2,15]],"date-time":"2011-02-15T20:32:13Z","timestamp":1297801933000},"page":"1-18","source":"Crossref","is-referenced-by-count":2,"title":["State of IS Integration in the Context of Patient-Centered Care"],"prefix":"10.4018","volume":"6","author":[{"given":"Ali Reza","family":"Montazemi","sequence":"first","affiliation":[{"name":"McMaster University, Canada"}]},{"given":"Jeff J.","family":"Pittaway","sequence":"additional","affiliation":[{"name":"McMaster University, Canada"}]},{"given":"Karim","family":"Keshavjee","sequence":"additional","affiliation":[{"name":"InfoClin Inc., Canada"}]}],"member":"2432","reference":[{"key":"jhisi.2011010101-0","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-78624-5_1"},{"key":"jhisi.2011010101-1","doi-asserted-by":"publisher","DOI":"10.1016\/j.im.2005.01.001"},{"key":"jhisi.2011010101-2","unstructured":"American College of Physicians (ACP). 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