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- Source :
- ResearcherID, Medical care, vol 52, iss 12
- Publication Year :
- 2014
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2014.
-
Abstract
- Background Care for patients with chronic conditions often requires coordination between multiple physicians and delivery sites. Electronic Health Record (EHR) use could improve care quality and efficiency in part by facilitating care coordination. Objective We examined the association between EHR use and clinician perceptions of care coordination for patients transferred across clinicians and delivery sites. Research design Repeated surveys of primary care clinicians during the staggered implementation of an outpatient EHR (2005-2008), followed by an integrated inpatient EHR (2006-2010). We measured the association between EHR use stages (no use, outpatient EHR only, and integrated inpatient-outpatient EHR) and care coordination using logistic regression, adjusting for clinician characteristics, study year, and medical center. Subjects Adult primary care clinicians in a large Integrated Delivery System. Measures Three measures of clinician-reported care coordination for patient care transferred across clinicians (eg, from specialist to primary care team) and across delivery sites (eg, from the hospital to outpatient care). Results Outpatient EHR use was associated with higher reports of access to complete and timely clinical information and higher agreement on clinician roles and responsibilities for patients transferred across clinicians, but not for patients transferred across delivery sites. Use of the integrated outpatient-inpatient EHR was associated with higher reports of access to timely and complete clinical information, clinician agreement on the patient's treatment plan for patients transferred across delivery sites, and with all coordination measures for patients transferred across clinicians. Conclusion Use of an integrated EHR with health information exchange across delivery settings improved patient care coordination.
- Subjects :
- Adult
Male
Research design
Health Information Exchange
Meaningful Use
Attitude of Health Personnel
Primary care.team
MEDLINE
8.1 Organisation and delivery of services
coordinated care
Primary care
Article
continuity of care
Ambulatory care
Clinical Research
survey research
health services administration
informatics
Electronic Health Records
Humans
Medicine
Operations management
health care technology
health care economics and organizations
Quality of Health Care
business.industry
Public Health, Environmental and Occupational Health
Electronic information
Health information exchange
Health Services
clinical information systems
Continuity of Patient Care
Middle Aged
medicine.disease
Good Health and Well Being
Networking and Information Technology R&D (NITRD)
Applied Economics
Public Health and Health Services
Health Policy & Services
Female
Patient Safety
Delivery system
Medical emergency
business
Health and social care services research
Subjects
Details
- ISSN :
- 00257079
- Volume :
- 52
- Database :
- OpenAIRE
- Journal :
- Medical Care
- Accession number :
- edsair.doi.dedup.....1d19c2cf5635e1c841eebe49ff78a5be