ArticleHealth services research2014
The association between EHRs and care coordination varies by team cohesion.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review.Applied clinical informatics · 2022Pooled it
- How Emotional Contagion among Teachers Affects the Relationship between Transformational Leadership and Team Cohesion.Behavioral sciences (Basel, Switzerland) · 2023Article
- Team-focused implementation strategies to improve implementation of mental health screening and referral in rural Children's Advocacy Centers: study protocol for a pilot cluster randomized hybrid type 2 trial.Implementation science communications · 2023Article
- Associations between teamwork and implementation outcomes in multidisciplinary cross-sector teams implementing a mental health screening and referral protocol.Implementation science communications · 2023Article
- Gender discrimination among women healthcare workers during the COVID-19 pandemic: Findings from a mixed methods study.PloS one · 2023Article
- "They Wanted to Talk to a 'Real Doctor'": Predictors, Perpetrators, and Experiences of Racial and Ethnic Discrimination Among Healthcare Workers.Journal of general internal medicine · 2022Article
- Teaming up in primary care: Membership boundaries, interdependence, and coordination.JAAPA : official journal of the American Academy of Physician Assistants · 2022Article
- Socio-ecological predictors of mental health outcomes among healthcare workers during the COVID-19 pandemic in the United States.PloS one · 2021Article
- Organizational Coordination and Patient Experiences of Specialty Care Integration.Journal of general internal medicine · 2019Article
- Putting the pieces together: EHR communication and diabetes patient outcomes.The American journal of managed care · 2018Observational
- Doctors' opinion on the contribution of coordination mechanisms to improving clinical coordination between primary and outpatient secondary care in the Catalan national health system.BMC health services research · 2017Article
- An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units.Health services research · 2017Article
- Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to information.BMC health services research · 2017Article
- Differences in Sociocognitive Beliefs between Involved and Noninvolved Employees during the Implementation of an Electronic Health Record System.Perspectives in health information managemen · 2017Article
- Developing interprofessional care plans in chronic care: a scoping review.BMC family practice · 2016Article
- Development of a survey instrument to measure patient experience of integrated care.BMC health services research · 2016Article
- Electronic Health Record Use a Bitter Pill for Many Physicians.Perspectives in health information managemen · 2016Article
- The impact of electronic health records and teamwork on diabetes care quality.The American journal of managed care · 2015Article
- Health Information Technology Coordination to Support Patient-centered Care Coordination.Yearbook of medical informatics · 2015Article
- Electronic health records and support for primary care teamwork.Journal of the American Medical Informatics Association : JAMIA · 2015Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo examine whether primary care team cohesion changes the association between using an integrated outpatient-inpatient electronic health record (EHR) and clinician-rated care coordination across delivery sites. STUDY
designSelf-administered surveys of primary care clinicians in a large integrated delivery system, collected in 2005 (N=565), 2006 (N=678), and 2008 (N=626) during the staggered implementation of an integrated EHR (2005-2010), including validated questions on team cohesion. Using multivariable regression, we examined the combined effect of EHR use and team cohesion on three dimensions of care coordination across delivery sites: access to timely and complete information, treatment agreement, and responsibility agreement. PRINCIPAL
findingsAmong clinicians working in teams with higher cohesion, EHR use was associated with significant improvements in reported access to timely and complete information (53.5 percent with EHR vs. 37.6 percent without integrated-EHR), agreement on treatment goals (64.3 percent vs. 50.6 percent), and agreement on responsibilities (63.9 percent vs. 55.2 percent, all p<.05). We found no statistically significant association between use of the integrated-EHR and reported care coordination in less cohesive teams.
conclusionThe association between EHR use and reported care coordination varied by level of team cohesion. EHRs may not improve care coordination in less cohesive teams.
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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.