ArticlePublic health reports (Washington, D.C. : 1974)
Characteristics of Local Health Departments Associated with Implementation of Electronic Health Records and Other Informatics Systems.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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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.
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Who cites it
27 citing papers in PubMed.
- Perception of health professionals towards electronic prescription in a teaching hospital.Scientific reports · 2025Article
- Value of Electronic Health Records Measured Using Financial and Clinical Outcomes: Quantitative Study.JMIR medical informatics · 2024Article
- An evaluation of the risk factors associated with implementing projects of health information technology by fuzzy combined ANP-DEMATEL.PloS one · 2023Article
- The Value of Electronic Health Records Since the Health Information Technology for Economic and Clinical Health Act: Systematic Review.JMIR medical informatics · 2022Review
- Article
- Identifying Opportunities to Strengthen the Public Health Informatics Infrastructure: Exploring Hospitals' Challenges with Data Exchange.The Milbank quarterly · 2021Article
- Developing Evidence-based Population Health Informatics curriculum: Integrating competency based model and job analysis.Online journal of public health informatics · 2021Article
- Health Professionals' Readiness and Its Associated Factors to Implement Electronic Medical Record System in Four Selected Primary Hospitals in Ethiopia.Advances in medical education and practice · 2020Article
- Data, capacity-building, and training needs to address rural health inequities in the Northwest United States: a qualitative study.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Official Websites of Local Health Centers in Taiwan: A Nationwide Study.International journal of environmental research and public health · 2019Article
- Overcoming Barriers to Experience Benefits: A Qualitative Analysis of Electronic Health Records and Health Information Exchange Implementation in Local Health Departments.EGEMS (Washington, DC) · 2017Article
- Public Health, Population Health, and Epidemiology Informatics: Recent Research and Trends in the United States.Yearbook of medical informatics · 2017Review
- Creating a Taxonomy of Local Boards of Health Based on Local Health Departments' Perspectives.American journal of public health · 2017Article
- Leveraging public health's participation in a Health Information Exchange to improve communicable disease reporting.Online journal of public health informatics · 2017Article
- Identifying Barriers to Collaboration Between Primary Care and Public Health: Experiences at the Local Level.Public health reports (Washington, D.C. : 1974)Article
- Using Information Systems to Improve a Mid-Sized Local Health Department's Effectiveness in a Time of Rapid Change.Journal of public health management and practice : JPHMPArticle
- Public Health Informatics in Local and State Health Agencies: An Update From the Public Health Workforce Interests and Needs Survey.Journal of public health management and practice : JPHMPArticle
- An Iterative, Low-Cost Strategy to Building Information Systems Allows a Small Jurisdiction Local Health Department to Increase Efficiencies and Expand Services.Journal of public health management and practice : JPHMPArticle
- Informatics as a Strategic Priority and Collaborative Processes to Build a Smarter, Forward-Looking Health Department.Journal of public health management and practice : JPHMPArticle
- The Methods Behind 2015 Informatics Capacity and Needs Assessment Study.Journal of public health management and practice : JPHMPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAssessing local health departments' (LHDs') informatics capacities is important, especially within the context of broader, systems-level health reform. We assessed a nationally representative sample of LHDs' adoption of information systems and the factors associated with adoption and implementation by examining electronic health records, health information exchange, immunization registry, electronic disease reporting system, and electronic laboratory reporting.
methodsWe used data from the National Association of County and City Health Officials' 2013 National Profile of LHDs. We performed descriptive statistics and multinomial logistic regression for the five implementation-oriented outcome variables of interest, with three levels of implementation (implemented, plan to implement, and no activity). Independent variables included infrastructural and financial capacity and other characteristics associated with informatics capacity.
resultsOf 505 LHDs that responded to the survey, 69 (13.5%) had implemented health information exchanges, 122 (22.2%) had implemented electronic health records, 245 (47.5%) had implemented electronic laboratory reporting, 368 (73.0%) had implemented an electronic disease reporting system, and 416 (83.8%) had implemented an immunization registry. LHD characteristics associated with health informatics adoption included provision of greater number of clinical services, greater per capita public health expenditures, health information systems specialists on staff, larger population size, decentralized governance system, one or more local boards of health, metropolitan jurisdiction, and top executive with more years in the job.
conclusionMany LHDs lack health informatics capacity, particularly in smaller, rural jurisdictions. Cross-jurisdictional sharing, investment in public health informatics infrastructure, and additional training may help address these shortfalls.
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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.