Evidence map›Paper›PMID 18026812›Full record

SynthesisJournal of general internal medicine2007

Information technology to support improved care for chronic illness.

Alexander S Young, Edmund Chaney, Rebecca Shoai, Laura Bonner, Amy N Cohen, Brad Doebbeling, David Dorr, Mary K Goldstein, Eve Kerr, Paul Nichol and 1 more

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01324973 (Web-Based Weight Management for Individuals With Mental Illness), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01324973 nacompletednot on this mapstarted 2012, after this paper: background citation

Web-Based Weight Management for Individuals With Mental Illness

TypeinterventionalSponsorUniversity of California, Los AngelesRan2012 to 2014Enrolled60ConditionsMental Disorders, Schizophrenia, Affective Disorders, Psychotic, OverweightArmseWellness
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. MULTIPROFESSIONAL ELECTRONIC PROTOCOL FOR DIGESTIVE SURGERY VALIDATION.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021
    Article
  6. Article
  7. Article
  8. VitalSignPharmaceuticals (Basel, Switzerland) · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Why a registry of Chronic Urticaria (CUR) is needed.The World Allergy Organization journal · 2017
    Article
  16. Article
  17. Impact of electronic diabetes registry 'Meaningful Use' on quality of care and hospital utilization.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alexander S YoungWest Los Angeles VA Healthcare Center, VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), 11301 Wilshire Blvd. (210A), Los Angeles, CA 90073, USA. ayoung@ucla.edu
Edmund Chaney
Rebecca Shoai
Laura Bonner
Amy N Cohen
Brad Doebbeling
David Dorr
Mary K Goldstein
Eve Kerr
Paul Nichol
Ruth Perrin

Funding

RESEARCH NETWORK DEVELOPMENT CORE (PAGE 472)P30MH068639 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WELLS, KENNETH B. · 2003 to 2007
$8.0M
NIMH NIH HHS P30 MH068639
6 · The paper itself

Abstract

backgroundIn populations with chronic illness, outcomes improve with the use of care models that integrate clinical information, evidence-based treatments, and proactive management of care. Health information technology is believed to be critical for efficient implementation of these chronic care models. Health care organizations have implemented information technologies, such as electronic medical records, to varying degrees. However, considerable uncertainty remains regarding the relative impact of specific informatics technologies on chronic illness care.

objectiveTo summarize knowledge and increase expert consensus regarding informatics components that support improvement in chronic illness care.

designA systematic review of the literature was performed. "Use case" models were then developed, based on the literature review, and guidance from clinicians and national quality improvement projects. A national expert panel process was conducted to increase consensus regarding information system components that can be used to improve chronic illness care.

resultsThe expert panel agreed that informatics should be patient-centered, focused on improving outcomes, and provide support for illness self-management. They concurred that outcomes should be routinely assessed, provided to clinicians during the clinical encounter, and used for population-based care management. It was recommended that interactive, sequential, disorder-specific treatment pathways be implemented to quickly provide clinicians with patient clinical status, treatment history, and decision support.

conclusionsSpecific informatics strategies have the potential to improve care for chronic illness. Software to implement these strategies should be developed, and rigorously evaluated within the context of organizational efforts to improve care.

Indexed as

Information SystemsQuality of Health CareChronic DiseaseDelivery of Health Care, IntegratedHumansUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID18026812
PMCPMC2150622

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.