Evidence map›Paper›PMID 25627278›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2015

Electronic health records and support for primary care teamwork.

Ann S O'Malley, Kevin Draper, Rebecca Gourevitch, Dori A Cross, Sarah Hudson Scholle

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Designing a reference architecture for health information systems.BMC medical informatics and decision making · 2021
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  16. Golden opportunities for clinical decision support in an era of team-based healthcare.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021
    Article
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  19. Technology-facilitated care coordination in rural areas: What is needed?International journal of medical informatics · 2020
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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

5 authors.

Ann S O'MalleyMathematica Policy Research aomalley@mathematica-mpr.com.
Kevin DraperMathematica Policy Research.
Rebecca GourevitchMathematica Policy Research.
Dori A CrossMathematica Policy Research.
Sarah Hudson ScholleNational Committee for Quality Assurance (NCQA) Scholle@ncqa.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveConsensus that enhanced teamwork is necessary for efficient and effective primary care delivery is growing. We sought to identify how electronic health records (EHRs) facilitate and pose challenges to primary care teams as well as how practices are overcoming these challenges.

methodsPractices in this qualitative study were selected from those recognized as patient-centered medical homes via the National Committee for Quality Assurance 2011 tool, which included a section on practice teamwork. We interviewed 63 respondents, ranging from physicians to front-desk staff, from 27 primary care practices ranging in size, type, geography, and population size.

resultsEHRs were found to facilitate communication and task delegation in primary care teams through instant messaging, task management software, and the ability to create evidence-based templates for symptom-specific data collection from patients by medical assistants and nurses (which can offload work from physicians). Areas where respondents felt that electronic medical record EHR functionalities were weakest and posed challenges to teamwork included the lack of integrated care manager software and care plans in EHRs, poor practice registry functionality and interoperability, and inadequate ease of tracking patient data in the EHR over time. DISCUSSION: Practices developed solutions for some of the challenges they faced when attempting to use EHRs to support teamwork but wanted more permanent vendor and policy solutions for other challenges.

conclusionsEHR vendors in the United States need to work alongside practicing primary care teams to create more clinically useful EHRs that support dynamic care plans, integrated care management software, more functional and interoperable practice registries, and greater ease of data tracking over time.

Indexed as

Electronic Health RecordsPatient Care TeamHumansInterviews as TopicMedical InformaticsPatient-Centered CarePractice Management, MedicalPrimary Health CareQualitative ResearchUnited Stateselectronic health recordhealth services researchprimary health carequalitative researchteamteamwork

Identifiers

PMID25627278
PMCPMC4394968

What OpenQuestion holds

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LicenceCC BY-NC
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.