Evidence map›Paper›PMID 19564640›Full record

Trial reportMedical care research and review : MCRR2009

Physician clinical information technology and health care disparities.

Jonathan D Ketcham, Karen E Lutfey, Eric Gerstenberger, Carol L Link, John B McKinlay

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Medical care research and review : MCRR, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Racial and Ethnic Health Disparities and the Affordable Care Act: a Status Update.Journal of racial and ethnic health disparities · 2015
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

5 authors.

Jonathan D KetchamArizona State University, Tempe, USA.
Karen E Lutfey
Eric Gerstenberger
Carol L Link
John B McKinlay

Funding

Cognitive Basis of CHD Disparities: Factorial ExperimentR01HL079174 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, JOHN B · 2006 to 2008
$1.3M
NHLBI NIH HHS R01 HL079174
6 · The paper itself

Abstract

The authors develop a conceptual framework regarding how information technology (IT) can alter within-physician disparities, and they empirically test some of its implications in the context of coronary heart disease. Using a random experiment on 256 primary care physicians, the authors analyze the relationships between three IT functions (feedback and two types of clinical decision support) and five process-of-care measures. Endogeneity is addressed by eliminating unobserved patient characteristics with vignettes and by proxying for omitted physician characteristics. The results indicate that IT has no effects on physicians' diagnostic certainty and treatment of vignette patients overall. The authors find that treatment and certainty differ by patient age, gender, and race. Consistent with the framework, IT's effects on these disparities are complex. Feedback eliminated the gender disparities, but the relationships differed for other IT functions and process measures. Current policies to reduce disparities and increase IT adoption may be in discord.

Indexed as

Decision Support Systems, ClinicalElectronic Health RecordsHealth Status DisparitiesPractice Patterns, Physicians'Quality of Health CareAgedBayes TheoremCoronary DiseaseFamily PracticeFemaleHumansMaleMiddle AgedModels, TheoreticalNorth CarolinaRegression Analysis

Identifiers

PMID19564640
PMCPMC3706085

What OpenQuestion holds

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Registered trials

None linked

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.