Evidence map›Paper›PMID 21989613›Full record

ArticleJournal of general internal medicine2011

Defining core issues in utilizing information technology to improve access: evaluation and research agenda.

George L Jackson, Sarah L Krein, Dale C Alverson, Adam W Darkins, William Gunnar, Nancy D Harada, Christian D Helfrich, Thomas K Houston, Thomas F Klobucar, Kim M Nazi and 3 more

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
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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

13 authors.

George L JacksonHealth Services Research & Development (HSR&D) Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC 27705, USA. george.l.jackson@duke.edu
Sarah L Krein
Dale C Alverson
Adam W Darkins
William Gunnar
Nancy D Harada
Christian D Helfrich
Thomas K Houston
Thomas F Klobucar
Kim M Nazi
Ronald K Poropatich
James D Ralston
Hayden B Bosworth

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Department of Veterans Affairs (VA) has been at the vanguard of information technology (IT) and use of comprehensive electronic health records. Despite the widespread use of health IT in the VA, there are still a variety of key questions that need to be answered in order to maximize the utility of IT to improve patient access to quality services. This paper summarizes the potential of IT to enhance healthcare access, key gaps in current evidence linking IT and access, and methodologic challenges for related research. We also highlight four key issues to be addressed when implementing and evaluating the impact of IT interventions on improving access to quality care: 1) Understanding broader needs/perceptions of the Veteran population and their caregivers regarding use of IT to access healthcare services and related information. 2) Understanding individual provider/clinician needs/perceptions regarding use of IT for patient access to healthcare. 3) System/Organizational issues within the VA and other organizations related to the use of IT to improve access. 4) IT integration and information flow with non-VA entities. While the VA is used as an example, the issues are salient for healthcare systems that are beginning to take advantage of IT solutions.

Indexed as

Health Services AccessibilityMedical Informatics ApplicationsMedical Records Systems, ComputerizedUnited States Department of Veterans AffairsHealth Services Needs and DemandHumansSystems IntegrationUnited StatesVeterans Health

Identifiers

PMID21989613
PMCPMC3191219

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.