Observational studyAnnals of family medicine
Sustaining "meaningful use" of health information technology in low-resource practices.
Observational study in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07073898 (Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial), which is not on this map. Cited by 17 papers, 1 of them a synthesis 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.
Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Mind the Gap. A systematic review to identify usability and safety challenges and practices during electronic health record implementation.Applied clinical informatics · 2016Pooled it
- Navigating Healthcare AI Governance: the Comprehensive Algorithmic Oversight and Stewardship Framework for Risk and Equity.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Key stakeholder perspectives on challenges and opportunities for rural HPV vaccination in North and South Carolina.Human vaccines & immunotherapeutics · 2022Article
- Generating and Reporting Electronic Clinical Quality Measures from Electronic Health Records: Strategies from EvidenceNOW Cooperatives.Applied clinical informatics · 2022Article
- Do Market Characteristics Matter? Factors Associated with Health Information Exchange.International journal of environmental research and public health · 2021Article
- Technology-facilitated care coordination in rural areas: What is needed?International journal of medical informatics · 2020Article
- Growing Disparities in Patient-Provider Messaging: Trend Analysis Before and After Supportive Policy.Journal of medical Internet research · 2019Article
- An Optimization Program to Help Practices Assess Data Quality and Workflow With Their Electronic Medical Records: Observational Study.JMIR human factors · 2018Article
- Modeling and Predicting Outcomes of eHealth Usage by European Physicians: Multidimensional Approach from a Survey of 9196 General Practitioners.Journal of medical Internet research · 2018Article
- Engaging Primary Care Practices in Studies of Improvement: Did You Budget Enough for Practice Recruitment?Annals of family medicine · 2018Article
- Sustained User Engagement in Health Information Technology: The Long Road from Implementation to System Optimization of Computerized Physician Order Entry and Clinical Decision Support Systems for Prescribing in Hospitals in England.Health services research · 2017Article
- Progress in the Enhanced Use of Electronic Medical Records: Data From the Ontario Experience.JMIR medical informatics · 2017Article
- Imputing HIV treatment start dates from routine laboratory data in South Africa: a validation study.BMC health services research · 2017Article
- Stepping Up to the Plate: An Agenda for Research and Policy Action on Electronic Medical Records in Canadian Primary Healthcare.Healthcare policy = Politiques de sante · 2016Article
- Quality improvement teams, super-users, and nurse champions: a recipe for meaningful use?Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Dispatch from the non-HITECH-incented Health IT world: electronic medication history adoption and utilization.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeThe implementation of electronic health records (EHRs) has been extensively studied, but their maintenance once implemented has not. The Regional Extension Center (REC) program provides implementation assistance to priority practices-those with limited financial, technical, and organizational resources-but the assistance is time limited. Our objective was to identify potential barriers to maintenance of meaningful use of EHRs in priority primary care practices using a qualitative observational study for federally qualified health centers (FQHCs) and priority practices in Michigan.
methodsWe conducted cognitive task analysis (CTA) interviews and direct observations of health information technology implementation in FQHCs. In addition, we conducted semistructured interviews with implementation specialists serving priority practices to detect emergent themes relevant to maintenance.
resultsMaintaining EHR technology will require ongoing expert technical support indefinitely beyond implementation to address upgrades and security needs. Maintaining meaningful use for quality improvement will require ongoing support for leadership and change management. Priority practices not associated with larger systems lack access to the necessary technical expertise, financial resources, and leverage with vendors to continue alone. Rural priority practices are particularly challenged, because expertise is often not available locally.
conclusionsPriority practices, especially in rural areas, are at high risk for falling on the wrong side of a "digital divide" as payers and regulators enact increasing expectations for EHR use and information management. For those without affiliation to maintain the necessary expert staff, ongoing support will be needed for those practices to remain viable.
Indexed as
Identifiers
What OpenQuestion holds
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.