ArticleJournal of the American Medical Informatics Association : JAMIA
Describing and modeling workflow and information flow in chronic disease care.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
67 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comprehensive process model of clinical information interaction in primary care: results of a "best-fit" framework synthesis.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Traversing the many paths of workflow research: developing a conceptual framework of workflow terminology through a systematic literature review.Journal of the American Medical Informatics Association : JAMIAPooled it
- Barriers and Facilitators to Cross-Institutional Referrals: System Configuration Analysis of VA Staff Experiences.Journal of general internal medicine · 2025Article
- Participatory Workflow Analysis of Newborn Genetic Screening (NBS) to Support Tools for Improved Follow-Up: Comparing the Use Case of Hemoglobinopathy Traits Across U.S. States.International journal of neonatal screening · 2025Article
- Interventions to Mitigate EHR and Documentation Burden in Health Professions Trainees: A Scoping Review.Applied clinical informatics · 2025Article
- Patient-centered clinical decision support challenges and opportunities identified from workflow execution models.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Workflow analysis of breast cancer treatment decision-making: challenges and opportunities for informatics to support patient-centered cancer care.JAMIA open · 2024Article
- The Vinyasa Tool for mHealth Solutions: Supporting Human-Centered Design in Nascent Digital Health Ecosystems.JMIR formative research · 2023Article
- "What brought you in today?": Modeling patient-provider clinic visits to characterize rural providers' antibiotic treatment decisions.Research in social & administrative pharmacy : RSAP · 2023Article
- Improving the mental health care process in response to Covid-19 pandemic: The case of a penitentiary mental health division.PloS one · 2023Article
- Paving the Way for Electronic Patient-Centered Measurement in Team-Based Primary Care: Integrated Knowledge Translation Approach.JMIR formative research · 2022Article
- Integrating and Disseminating Pre-Exposure Prophylaxis (PrEP) Screening and Dispensing for Black Men Who Have Sex With Men in Atlanta, Georgia: Protocol for Community Pharmacies.JMIR research protocols · 2022Article
- Clinician Perspectives on Unmet Needs for Mobile Technology Among Hospitalists: Workflow Analysis Based on Semistructured Interviews.JMIR human factors · 2022Article
- Physical and information workflow mapping of vancomycin therapeutic drug management: A single site case study revealing potential gaps in the process.Journal of medical systems · 2021Article
- Daily Care Information System Requirements: Professional Service-Driven Service Blueprint Approach.Applied clinical informatics · 2021Article
- Classification and analysis of asynchronous communication content between care team members involved in breast cancer treatment.JAMIA open · 2021Article
- Using a Clinical Workflow Analysis to Enhance eHealth Implementation Planning: Tutorial and Case Study.JMIR mHealth and uHealth · 2021Article
- A scoping review of qualitative research in JAMIA: past contributions and opportunities for future work.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Team-based primary health care for non-communicable diseases: complexities in South India.Health policy and planning · 2020Article
- Characterizing and Visualizing Display and Task Fragmentation in the Electronic Health Record: Mixed Methods Design.JMIR human factors · 2020Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesThe goal of the study was to develop an in-depth understanding of work practices, workflow, and information flow in chronic disease care, to facilitate development of context-appropriate informatics tools.
designThe study was conducted over a 10-month period in three ambulatory clinics providing chronic disease care. The authors iteratively collected data using direct observation and semi-structured interviews. MEASUREMENTS: The authors observed all aspects of care in three different chronic disease clinics for over 150 hours, including 157 patient-provider interactions. Observation focused on interactions among people, processes, and technology. Observation data were analyzed through an open coding approach. The authors then developed models of workflow and information flow using Hierarchical Task Analysis and Soft Systems Methodology. The authors also conducted nine semi-structured interviews to confirm and refine the models.
resultsThe study had three primary outcomes: models of workflow for each clinic, models of information flow for each clinic, and an in-depth description of work practices and the role of health information technology (HIT) in the clinics. The authors identified gaps between the existing HIT functionality and the needs of chronic disease providers.
conclusionsIn response to the analysis of workflow and information flow, the authors developed ten guidelines for design of HIT to support chronic disease care, including recommendations to pursue modular approaches to design that would support disease-specific needs. The study demonstrates the importance of evaluating workflow and information flow in HIT design and implementation.
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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.