ArticleThe American journal of managed care2015
The impact of electronic health records and teamwork on diabetes care quality.
Article in The American journal of managed care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Teamwork and implementation of innovations in healthcare and human service settings: a systematic review.Implementation science : IS · 2024Pooled it
- Associations between teamwork and implementation outcomes in multidisciplinary cross-sector teams implementing a mental health screening and referral protocol.Implementation science communications · 2023Article
- Therapeutic Inertia: Still a Long Way to Go That Cannot Be Postponed.Diabetes spectrum : a publication of the American Diabetes Association · 2020Article
- Research-grade data in the real world: challenges and opportunities in data quality from a pragmatic trial in community-based practices.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Putting the pieces together: EHR communication and diabetes patient outcomes.The American journal of managed care · 2018Observational
- Longitudinal Analysis of Quality of Diabetes Care and Relational Climate in Primary Care.Health services research · 2018Article
- Differences in Sociocognitive Beliefs between Involved and Noninvolved Employees during the Implementation of an Electronic Health Record System.Perspectives in health information managemen · 2017Article
- Implementation of an online HIV prevention and treatment cascade in Thai men who have sex with men and transgender women using Adam's Love Electronic Health Record system.Journal of virus eradication · 2017Article
- A human factors systems approach to understanding team-based primary care: a qualitative analysis.Family practice · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesEvidence of the impact electronic health records (EHRs) have on clinical outcomes remains mixed. The impact of EHRs likely depends on the organizational context in which they are used. This study focuses on one aspect of the organizational context: cohesion of primary care teams. We examined whether team cohesion among primary care team members changed the association between EHR use and changes in clinical outcomes for patients with diabetes. STUDY
designRetrospective longitudinal study.
methodsWe combined provider-reported primary care team cohesion with lab values for patients with diabetes collected during the staggered EHR implementation (2005-2009). We used multivariate regression models with patient-level fixed effects to assess whether team cohesion levels changed the association between outpatient EHR use and clinical outcomes for patients with diabetes. Subjects were comprised of 80,611 patients with diabetes, in whom we measured changes in glycated hemoglobin (A1C) and low-density lipoprotein cholesterol (LDL-C).
resultsFor A1C, EHR use was associated with an average decrease of 0.11% for patients with higher-cohesion primary care teams compared with a decrease of 0.08% for patients with lower-cohesion teams (difference = 0.02% in A1C; 95% CI, 0.01%-0.03%). For LDL-C, EHR use was associated with a decrease of 2.15 mg/dL for patients with higher-cohesion primary care teams compared with a decrease of 1.42 mg/dL for patients with lower-cohesion teams (difference = 0.73 mg/dL; 95% CI, 0.41-1.11 mg/dL).
conclusionsPatients cared for by higher cohesion primary care teams experienced modest but statistically significantly greater EHR-related health outcome improvements, compared with patients cared for by providers practicing in lower cohesion teams.
Indexed as
Identifiers
26671699PMC5130313What 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.