Evidence map›Paper›PMID 27902550›Full record

ArticleThe Journal of ambulatory care management

"Salt in the Wound": Safety Net Clinician Perspectives on Performance Feedback Derived From EHR Data.

Arwen E Bunce, Rachel Gold, James V Davis, MaryBeth Mercer, Victoria Jaworski, Celine Hollombe, Christine Nelson

Open access · hybridAbstract read
In one paragraph

Article in The Journal of ambulatory care management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Systematic review and narrative synthesis of computerized audit and feedback systems in healthcare.Journal of the American Medical Informatics Association : JAMIA · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
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

7 authors at 1 institution in 1 country.

Arwen E BunceKaiser Permanente Center for Health Research, Portland, Oregon (Mss Bunce and Hollombe, Dr Gold, and Mr Davis); OCHIN, Inc, Portland, Oregon (Drs Gold and Nelson); Virginia Garcia Memorial Health Center, Cornelius, Oregon (Ms Mercer); and Multnomah County Health Department, Portland, Oregon (Ms Jaworski).
Rachel Gold
James V Davis
MaryBeth Mercer
Victoria Jaworski
Celine Hollombe
Christine Nelson
Mercer (Czechia) · CZ

Funding

Dissemination of CVD risk factor treatment among diabetic patients in FQHCsR18HL095481 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GOLD, RACHEL · 2010 to 2014
$3.1M
NHLBI NIH HHS R18 HL095481
6 · The paper itself

Abstract

Electronic health record (EHR) data can be extracted for calculating performance feedback, but users' perceptions of such feedback impact its effectiveness. Through qualitative analyses, we identified perspectives on barriers and facilitators to the perceived legitimacy of EHR-based performance feedback, in 11 community health centers (CHCs). Providers said such measures rarely accounted for CHC patients' complex lives or for providers' decisions as informed by this complexity, which diminished the measures' perceived validity. Suggestions for improving the perceived validity of performance feedback in CHCs are presented. Our findings add to the literature on EHR-based performance feedback by exploring provider perceptions in CHCs.

Indexed as

Attitude of Health PersonnelPatient SatisfactionCardiovascular DiseasesCommunity Health CentersDiabetes ComplicationsElectronic Health RecordsEvidence-Based PracticeFeedbackGuideline AdherenceHumansHydroxymethylglutaryl-CoA Reductase InhibitorsQualitative ResearchSafety-net ProvidersWorkforceHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID27902550
PMCPMC5137808
OpenAlexW2557539931

What OpenQuestion holds

Texttitle and abstract
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.