Evidence map›Paper›PMID 31438960›Full record

Trial reportBMC medical informatics and decision making2019

Delivering person-centered care with an electronic health record.

Victoria Stanhope, Elizabeth B Matthews

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02299492 (Person-Centered Care Planning and Service Engagement), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 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.

NCT02299492 nacompletednot on this map

Person-Centered Care Planning and Service Engagement

TypeinterventionalSponsorNew York UniversityRan2013 to 2019Enrolled570ConditionsSevere Mental IllnessArmsPerson Centered Care Planning
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Supported decision-making interventions in mental healthcare: A systematic review of current evidence and implementation barriers.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  2. Which Electronic Health Record System Should We Use? A Systematic Review.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022
    Pooled it
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  4. Nurses' and Patients' Perspectives on Care Coordination Across Health Care and Social Services Sectors: A Qualitative Study.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
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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

2 authors.

Victoria StanhopeSilver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA. victoria.stanhope@nyu.edu.ORCID 0000-0002-5648-3545
Elizabeth B MatthewsGraduate School of Service, Fordham University, 113 West 60th Street, New York, NY, 10023, USA.

Funding

Person Centered Care Planning and Service EngagementR01MH099012 · NIMH · NEW YORK UNIVERSITY · PI STANHOPE, VICTORIA E · 2013 to 2017
$3.0M
NIMH NIH HHS R01 MH099012
6 · The paper itself

Abstract

backgroundElectronic health records are now widely adopted in medical and behavioral health settings. While they have the potential to improve the quality of care, the research findings on their impact on clinical practice and outcomes have been mixed. This study explores how the electronic health record and its stage of development influenced the implementation of person-centered care planning in community mental health clinics.

methodsThe study was set in five community mental health clinics which utilized an EHR and had been trained in person-centered care planning. Using an objective quantitative measure of fidelity, the study examined fidelity to PCCP across time and by stage of EHR development. Data from focus groups, interviews with clinic leaders and consultant reports was analyzed to explore the process of implementation and the role of the electronic health record.

resultsAll clinics demonstrated an overall increase in PCCP fidelity at the conclusion of the study period but there were significant differences in PCCP fidelity among clinics with EHRs in different stages of development. Electronic health records emerged as a significant implementation factor in the qualitative data with clinics being unable to individualize service plans and encountering technical difficulties. Barriers to person-centered care included drop-down boxes and pre-determined outcomes. Clinic responses included customizing their record or developing workarounds.

conclusionsThe study demonstrated the need to align the electronic health record with a person-centered approach which includes individualizing information and orienting service plans to personal life goals. The ability of clinics to be able to customize their records and balance the need for unique and aggregate information in the record is critical to improve both the provider experience and the quality of care.

trial registrationClinicaltrials.gov , NCT02299492 , registered on November 24, 2014.

Indexed as

Community Mental Health ServicesElectronic Health RecordsPatient Care PlanningPatient-Centered CareFocus GroupsHumansQualitative ResearchElectronic health recordsHealth information technologyMental health servicesPerson-centered care

Identifiers

PMID31438960
PMCPMC6704707

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.