ArticleMedical care2014
The next step towards making use meaningful: electronic information exchange and care coordination across clinicians and delivery sites.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis.BMJ health & care informatics · 2019Pooled it
- The Effectiveness of Information Technology-Supported Shared Care for Patients With Chronic Disease: A Systematic Review.Journal of medical Internet research · 2017Pooled it
- Quality of Pulmonary Hypertension Care Within Expert PH Centers: Patient and Provider Perspectives From a Multi-Site Qualitative Study.Pulmonary circulation · 2026Article
- Identifying facilitators, barriers and areas of opportunity in diabetic retinopathy screening: quality improvement through qualitative methods.BMJ open quality · 2025Article
- Referral patterns, influencing factors, and satisfaction related to referrals of patients with rheumatic diseases to other healthcare professionals: an online survey of rheumatologists.Rheumatology international · 2025Article
- Has cross-level clinical coordination changed in the context of the pandemic? The case of the Catalan health system.BMC health services research · 2024Article
- Article
- Investigating the effect of the Vula Mobile app on coordination of care and capacity building in district health services, Cape Town: Convergent mixed methods study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021Article
- Thematic Analysis of Challenges of Care Coordination for Underinsured and Uninsured Cancer Survivors With Chronic Conditions.JAMA network open · 2021Article
- Patients' Perceived Continuity of Care and Adherence to Oral Anticancer Therapy: a Prospective Cohort Mediation Study.Journal of general internal medicine · 2021Article
- Perceived Value of Electronic Medical Records in Community Health Services: A National Cross-Sectional Survey of Primary Care Workers in Mainland China.International journal of environmental research and public health · 2020Article
- Inpatient-outpatient shared electronic health records: telemedicine and laboratory follow-up after hospital discharge.The American journal of managed care · 2020Observational
- Utility and Perceived Value of a Provincial Digital Diagnostic Imaging Repository: Multimethod Study.JMIR formative research · 2020Article
- Exploring the association of care fragmentation and patient ratings of care quality: A mediation analysis of women Veterans' experience with VA care.Health services research · 2019Article
- Organizational Coordination and Patient Experiences of Specialty Care Integration.Journal of general internal medicine · 2019Article
- Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis.International journal of integrated care · 2017Article
- The Role of eHealth in Optimizing Preventive Care in the Primary Care Setting.Journal of medical Internet research · 2015Article
- Data Content and Exchange in General Practice: a Review.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2014Review
- Article
- Building Bridges in Palliative Care: Perspectives on a Community-Health Information Exchange.Palliative medicine reportsArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundCare for patients with chronic conditions often requires coordination between multiple physicians and delivery sites. Electronic Health Record (EHR) use could improve care quality and efficiency in part by facilitating care coordination.
objectiveWe examined the association between EHR use and clinician perceptions of care coordination for patients transferred across clinicians and delivery sites. RESEARCH
designRepeated surveys of primary care clinicians during the staggered implementation of an outpatient EHR (2005-2008), followed by an integrated inpatient EHR (2006-2010). We measured the association between EHR use stages (no use, outpatient EHR only, and integrated inpatient-outpatient EHR) and care coordination using logistic regression, adjusting for clinician characteristics, study year, and medical center. SUBJECTS: Adult primary care clinicians in a large Integrated Delivery System. MEASURES: Three measures of clinician-reported care coordination for patient care transferred across clinicians (eg, from specialist to primary care team) and across delivery sites (eg, from the hospital to outpatient care).
resultsOutpatient EHR use was associated with higher reports of access to complete and timely clinical information and higher agreement on clinician roles and responsibilities for patients transferred across clinicians, but not for patients transferred across delivery sites. Use of the integrated outpatient-inpatient EHR was associated with higher reports of access to timely and complete clinical information, clinician agreement on the patient's treatment plan for patients transferred across delivery sites, and with all coordination measures for patients transferred across clinicians.
conclusionUse of an integrated EHR with health information exchange across delivery settings improved patient care coordination.
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