Evidence map›Paper›PMID 40296885›Full record

ArticleJournal of public health research2025

The realities of data derived from electronic health records to evaluate health outcomes, utilization, and cost of produce prescription programs: A multiple case study evaluation.

Sarah A Stotz, Hilary Seligman, Amy L Yaroch, Christopher R Long, Elise Mitchell, Melissa Akers, Victoria A Zigmont, Gretchen Groves, Nadine Budd Nugent, Juan Aguilera and 10 more

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of public health research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Sarah A StotzDepartment of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO, USA.ORCID https://orcid.org/0000-0003-4107-3313
Hilary SeligmanDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.ORCID https://orcid.org/0000-0003-2292-5189
Amy L YarochCenter for Nutrition and Health Impact, Omaha, NE, USA.
Christopher R LongCenter for Nutrition and Health Impact, Omaha, NE, USA.
Elise MitchellCenter for Nutrition and Health Impact, Omaha, NE, USA.
Melissa AkersDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Victoria A ZigmontCenter for Nutrition and Health Impact, Omaha, NE, USA.ORCID https://orcid.org/0000-0002-3747-4328
Gretchen GrovesCenter for Nutrition and Health Impact, Omaha, NE, USA.
Nadine Budd NugentCenter for Nutrition and Health Impact, Omaha, NE, USA.
Juan AguileraSchool of Public Health, Center for Community Health Impact, University of Texas Health Science Center at Houston, El Paso, TX, USA.ORCID https://orcid.org/0000-0002-6451-0662
Samantha BakerAllegheny Health Network, Pittsburgh, PA, USA.
Colleen EreditarioAllegheny Health Network, Pittsburgh, PA, USA.
Megan InadaKokua Kalihi Valley Comprehensive Family Health Services, Honolulu, HI, USA.
Sarah KunkelKokua Kalihi Valley Comprehensive Family Health Services, Honolulu, HI, USA.
Erica MartinezSchool of Public Health, Center for Community Health Impact, University of Texas Health Science Center at Houston, El Paso, TX, USA.
Denise TorresNortheast Valley Health Corporation, Sylmar, CA, USA.
Jasmin UribeNortheast Valley Health Corporation, Sylmar, CA, USA.
Leah D WinghamSchool of Public Health, Center for Community Health Impact, University of Texas Health Science Center at Houston, El Paso, TX, USA.
Marlene YanezLa Semilla Food Center, Anthony, NM, USA.
Carmen Byker ShanksCenter for Nutrition and Health Impact, Omaha, NE, USA.ORCID https://orcid.org/0000-0002-9030-9938

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Produce prescription projects (PPRs) allow healthcare professionals to "prescribe" fruits and vegetables for patients experiencing food insecurity and a diet-related chronic disease. Evaluation of healthcare outcomes, utilization, and costs data is prudent to understand the impact of PPRs. However, substantial challenges exist. The objective of this study is to understand facilitators, barriers, lessons learned, and emergent best practices for data derived from electronic health records (EHR) among PPRs. Design and methods: A multiple methods case study including four PPRs funded through a pilot grant to use EHR-derived data to measure healthcare outcomes, utilization, and costs of health care. Data sources included grant applications ( Results: The four cases shared varied healthcare outcomes and utilization measures and submitted less data than was outlined in their respective DUA. Three salient themes emerged: PPR projects need: (1) sufficient time and resources to develop procedures to collect and share healthcare data; (2) tailored healthcare outcome measures to PPR design, outcomes of interest, and EHR capabilities; (3) technical support related to technology, data security and sharing. Conclusions: EHR data can provide insight on the impact of PPRs and related healthcare interventions on health outcomes and cost-effectiveness. Evaluation efforts must consider project capacity and ensure adequate resources to collect and securely share healthcare data.

Indexed as

case studyelectronic health record evaluationFood is medicinefood securityhealthcare costhealthcare utilizationhealth outcomesnutrition securityproduce prescription

Identifiers

PMID40296885
PMCPMC12033625

What OpenQuestion holds

Textmetadata
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.