Evidence map›Paper›PMID 28370246›Full record

ArticleMedical anthropology quarterly2017

Electronic Health Records and the Disappearing Patient.

Linda M Hunt, Hannah S Bell, Allison M Baker, Heather A Howard

Abstract read
In one paragraph

Article in Medical anthropology quarterly, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Beyond Competence: Efficiency in American Biomedicine.Culture, medicine and psychiatry · 2024
    Article
  5. Review
  6. The doctor, the patient, and the computer.Clinical hematology international · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Orthopaedic Group Practice Size Is Increasing.Arthroscopy, sports medicine, and rehabilitation · 2021
    Article
  14. Review
  15. Me and My Electronic Health Record.Journal of patient experience · 2021
    Article
  16. Article
  17. Article
  18. 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

4 authors.

Linda M HuntDepartment of Anthropology, Michigan State University.
Hannah S BellDepartment of Anthropology, Michigan State University.
Allison M BakerHarvard T. H. Chan School of Public Health, Harvard University.
Heather A HowardDepartment of Anthropology, Michigan State University, Centre for Aboriginal Initiatives, University of Toronto.

Funding

Genomics in the Clinic: Identity, Responsibility and ChoiceR01HG007060 · NHGRI · MICHIGAN STATE UNIVERSITY · PI HUNT, LINDA M · 2013 to 2015
$1.1M
NHGRI NIH HHS R01 HG007060
6 · The paper itself

Abstract

With rapid consolidation of American medicine into large-scale corporations, corporate strategies are coming to the forefront in health care delivery, requiring a dramatic increase in the amount and detail of documentation, implemented through use of electronic health records (EHRs). EHRs are structured to prioritize the interests of a myriad of political and corporate stakeholders, resulting in a complex, multi-layered, and cumbersome health records system, largely not directly relevant to clinical care. Drawing on observations conducted in outpatient specialty clinics, we consider how EHRs prioritize institutional needs manifested as a long list of requisites that must be documented with each consultation. We argue that the EHR enforces the centrality of market principles in clinical medicine, redefining the clinician's role to be less of a medical expert and more of an administrative bureaucrat, and transforming the patient into a digital entity with standardized conditions, treatments, and goals, without a personal narrative.

Indexed as

Anthropology, MedicalDelivery of Health CareElectronic Health RecordsHumansProfessional Autonomyclinical culture changeelectronic health recordsethics of careprofessional autonomytechnology

Identifiers

PMID28370246
PMCPMC6104392

What OpenQuestion holds

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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.