ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2008
Information exchange among physicians caring for the same patient in the community.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review of economic burden of heart failure.Heart failure reviews · 2018Pooled it
- The Effectiveness of Information Technology-Supported Shared Care for Patients With Chronic Disease: A Systematic Review.Journal of medical Internet research · 2017Pooled it
- My Team of Care Study: A Pilot Randomized Controlled Trial of a Web-Based Communication Tool for Collaborative Care in Patients With Advanced Cancer.Journal of medical Internet research · 2017Trial
- Electronic versus dictated hospital discharge summaries: a randomized controlled trial.Journal of general internal medicine · 2009Trial
- Using the H2O Automatic Machine Learning Algorithms to Identify Predictors of Web-Based Medical Record Nonuse Among Patients in a Data-Rich Environment: Mixed Methods Study.JMIR medical informatics · 2023Article
- Online Medical Record Nonuse Among Patients: Data Analysis Study of the 2019 Health Information National Trends Survey.Journal of medical Internet research · 2021Article
- ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey.PloS one · 2021Article
- Heart failure and chronic obstructive pulmonary disease multimorbidity at hospital discharge transition: a study of patient and carer experience.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Data Content and Exchange in General Practice: a Review.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2014Review
- Should clinical practitioners, as part of institutional or accreditation standards, be required to document their rationale when choosing to not adhere to widely accepted clinical practice guidelines?The Canadian journal of hospital pharmacy · 2013Article
- Tackling the readmission epidemic: a resident teaching service perspective.Journal of community hospital internal medicine perspectives · 2012Article
- Falling between the cracks: a case of amiodarone toxicity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Article
- What Affects Clinicians' Usage of Health Information Exchange?Applied clinical informatics · 2011Article
- Prereferral head and neck cancer treatment: compliance with national comprehensive cancer network treatment guidelines.Archives of otolaryngology--head & neck surgery · 2010Article
- Administrative data have high variation in validity for recording heart failure.The Canadian journal of cardiology · 2010Review
- LOINC® - A Universal Catalog of Individual Clinical Observations and Uniform Representation of Enumerated Collections.International journal of functional informatics and personalised medicine · 2010Article
- Information exchange between provider and patient.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009Article
- Strengthening primary care with better transfer of information.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008Article
- Developing data content specifications for the nationwide health information network trial implementations.Journal of the American Medical Informatics Association : JAMIAArticle
- A preliminary look at duplicate testing associated with lack of electronic health record interoperability for transferred patients.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe exchange of information is an integral component of continuity of health care and may limit or prevent costly duplication of tests and treatments. This study determined the probability that patient information from previous visits with other physicians was available for a current physician visit.
methodsWe conducted a multicentre prospective cohort study including patients discharged from the medical or surgical services of 11 community and academic hospitals in Ontario. Patients included in the study saw at least 2 different physicians during the 6 months after discharge. The primary outcome was whether information from a previous visit with another physician was available at the current visit. We determined the availability of previous information using surveys of or interviews with the physicians seen during current visits.
resultsA total of 3250 patients, with a total of 39 469 previous-current visit combinations, met the inclusion criteria. Overall, information about the previous visit was available 22.0% of the time. Information was more likely to be available if the current doctor was a family physician (odds ratio [OR] 1.75, 95% confidence interval [CI] 1.54-1.98) or a physician who had treated the patient before the hospital admission (OR 1.33, 95% CI 1.21-1.46). Conversely, information was less likely to be available if the previous doctor was a family physician (OR 0.38, 95% CI 0.32-0.44) or a physician who had treated the patient before the admission (OR 0.72, 95% CI 0.60-0.86). The strongest predictor of information exchange was the current physician having previously received information about the patient from the previous physician (OR 7.72, 95% CI 6.92-8.63).
interpretationHealth care information is often not shared among multiple physicians treating the same patient. This situation would be improved if information from family physicians and patients' regular physicians was more systematically available to other physicians.
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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.