Evidence map›Paper›PMID 31192360›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Bridging the integration gap between patient-generated blood glucose data and electronic health records.

Allison A Lewinski, Connor Drake, Ryan J Shaw, George L Jackson, Hayden B Bosworth, Megan Oakes, Sarah Gonzales, Nicole E Jelesoff, Matthew J Crowley

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Remote symptom monitoring integrated into electronic health records: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020
    Pooled it
  2. Trial
  3. Perceptions of Using Multiple Mobile Health Devices to Support Self-Management Among Adults With Type 2 Diabetes: A Qualitative Descriptive Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2021
    Trial
  4. Evaluating Pharmacists' Time Collecting Self-Monitoring Blood Glucose Data.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  5. Article
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  7. Understanding Telemedicine's "New Normal": Variations in Telemedicine Use by Specialty Line and Patient Demographics.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Article
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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

9 authors.

Allison A LewinskiCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA.
Connor DrakeCenter for Personalized Health Care, Duke University School of Medicine, Durham, North Carolina, USA.
Ryan J ShawDuke University School of Nursing, Durham, North Carolina, USA.
George L JacksonCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA.
Hayden B BosworthCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA.
Megan OakesDepartment of Population Health Sciences, School of Medicine, Duke University School of Medicine, Durham, NC.
Sarah GonzalesDepartment of Population Health Sciences, School of Medicine, Duke University School of Medicine, Durham, NC.
Nicole E JelesoffDivision of Endocrinology, Diabetes, and Metabolism, Duke University School of Medicine, Durham, North Carolina, USA.
Matthew J CrowleyCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA.

Funding

HSRD VA CDA 13-261HSRD VA CIN 13-410HSRD VA IK2 HX001514
6 · The paper itself

Abstract

Telemedicine can facilitate population health management by extending the reach of providers to efficiently care for high-risk, high-utilization populations. However, for telemedicine to be maximally useful, data collected using telemedicine technologies must be reliable and readily available to healthcare providers. To address current gaps in integration of patient-generated health data into the electronic health record (EHR), we examined 2 patient-facing platforms, Epic MyChart and Apple HealthKit, both of which facilitated the uploading of blood glucose data into the EHR as part of a diabetes telemedicine intervention. All patients were offered use of the MyChart platform; we subsequently invited a purposive sample of patients who used the MyChart platform effectively (n = 5) to also use the Apple HealthKit platform. Patients reported both platforms helped with diabetes self-management, and providers appreciated the convenience of the processes for obtaining patient data. Providers stated that the EHR data presentation format for Apple HealthKit was challenging to interpret; however, they also valued the greater perceived accuracy the Apple HealthKit data. Our findings indicate that patient-facing platforms can feasibly facilitate transmission of patient-generated health data into the EHR and support telemedicine-based care.

Indexed as

Blood GlucoseElectronic Health RecordsPatient Generated Health DataSystems IntegrationTelemedicineCommunicationDiabetes Mellitus, Type 2HumansPhysiciansSelf CareBlood Glucosediabetes mellituselectronic health recordspatient generated health datatelemedicinetype 2

Identifiers

PMID31192360
PMCPMC7647207

What OpenQuestion holds

Textmetadata
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.