Evidence map›Paper›PMID 35275070›Full record

ArticleJMIR medical informatics2022

Cluster Analysis of Primary Care Physician Phenotypes for Electronic Health Record Use: Retrospective Cohort Study.

Allan Fong, Mark Iscoe, Christine A Sinsky, Adrian D Haimovich, Brian Williams, Ryan T O'Connell, Richard Goldstein, Edward Melnick

Abstract read
In one paragraph

Article in JMIR medical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

8 authors.

Allan Fong *National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, United States.ORCID https://orcid.org/0000-0002-7550-1569
Mark IscoeDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0003-4446-2488
Christine A SinskyAmerican Medical Association, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-1101-5761
Adrian D HaimovichDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-4106-7055
Brian WilliamsNortheast Medical Group, Yale New Haven Health, Stratford, CT, United States.ORCID https://orcid.org/0000-0003-0805-9333
Ryan T O'ConnellNortheast Medical Group, Yale New Haven Health, Stratford, CT, United States.ORCID https://orcid.org/0000-0003-1987-611X
Richard GoldsteinNortheast Medical Group, Yale New Haven Health, Stratford, CT, United States.ORCID https://orcid.org/0000-0001-6742-8886
Edward MelnickDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-6509-9537

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health records (EHRs) have become ubiquitous in US office-based physician practices. However, the different ways in which users engage with EHRs remain poorly characterized.

objectiveThe aim of this study is to explore EHR use phenotypes among ambulatory care physicians.

methodsIn this retrospective cohort analysis, we applied affinity propagation, an unsupervised clustering machine learning technique, to identify EHR user types among primary care physicians.

resultsWe identified 4 distinct phenotype clusters generalized across internal medicine, family medicine, and pediatrics specialties. Total EHR use varied for physicians in 2 clusters with above-average ratios of work outside of scheduled hours. This finding suggested that one cluster of physicians may have worked outside of scheduled hours out of necessity, whereas the other preferred ad hoc work hours. The two remaining clusters represented physicians with below-average EHR time and physicians who spend the largest proportion of their EHR time on documentation.

conclusionsThese findings demonstrate the utility of cluster analysis for exploring EHR use phenotypes and may offer opportunities for interventions to improve interface design to better support users' needs.

Indexed as

cluster analysisEHRelectronic health recordmachine learningphenotypesprimary careunsupervised machine learning

Identifiers

PMID35275070
PMCPMC9055474

What OpenQuestion holds

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LicenceCC BY
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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.