Evidence map›Paper›PMID 26762304›Full record

ArticleBMC health services research2016

The effect of electronic health records adoption on patient visit volume at an academic ophthalmology department.

Jocelyn G Lam, Bryan S Lee, Philip P Chen

Abstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Review
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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

3 authors.

Jocelyn G LamDepartment of Ophthalmology, University of Washington, 325 Ninth Ave, Box 359608, Seattle, WA, 98104, USA.
Bryan S LeeDepartment of Ophthalmology, University of Washington, 325 Ninth Ave, Box 359608, Seattle, WA, 98104, USA.
Philip P ChenDepartment of Ophthalmology, University of Washington, 325 Ninth Ave, Box 359608, Seattle, WA, 98104, USA. pchen@uw.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health records (EHRs) have become a mandated part of delivering health care in the United States. The purpose of this study is to report patient volume before and after the transition to EHR in an academic outpatient ophthalmology practice.

methodsReview of patient visits per half-day and number of support staff for established faculty ophthalmologists between July and October for five consecutive years beginning the year before EHR implementation.

resultsEight physicians met inclusion criteria for the study. The number of patient visits was lower in each year after EHR adoption compared to baseline p ≤ 0.027). Patient volume per provider was reduced an average of 16.9% over the 4 years (range 15.3-18.5%), and during the final year studied, no provider had returned to the pre-EHR number of patients per clinic session. Support staffing was unchanged (p > 0.2).

conclusionsAdoption of EHR was associated with a significantly reduced number of patient visits per clinic session in an academic setting in which support staffing remained stable. Maintaining clinic volume and access in similar settings may require use of additional staffing.

Indexed as

Academic Medical CentersEfficiency, OrganizationalOphthalmologyAmbulatory Care FacilitiesDelivery of Health CareElectronic Health RecordsEye DiseasesFemaleFollow-Up StudiesHumansMaleMiddle AgedOffice VisitsPersonnel Staffing and SchedulingQuality ImprovementUnited States

Identifiers

PMID26762304
PMCPMC4712610

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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.