Primary Care
Tolar M, Balka E. International Journal of Medical Informatics, 2012
It is argued that with the introduction of electronic medical record (EMR) systems into the primary care sector, data collected can be used for secondary purposes which extend beyond individual patient care (e.g., for chronic disease management, prevention and clinical performance evaluation). However, EMR systems are primarily designed to support clinical tasks, and data entry practices of clinicians focus on the treatment of individual patients. Hence data collected through EMRs is not always useful in meeting these ends.
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6 February 2012 | No Comments »
Categories: Science | Country: Canada | EHR: EHR, EHR Canada | Tag(s): Alert/Reminder, Primary Care, Secondary Data Use
Herrin J et al, Health Services Research, 2012
Objective
To assess the impact of electronic health record (EHR) implementation on primary care diabetes care.
Data Sources
Charts were abstracted semi-annually for 14,051 diabetes patients seen in 34 primary care practices in a large, fee-for-service network from January 1, 2005 to December 31, 2010. The study sample was limited to patients aged 40 years or older.
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25 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Diabetes, Implementation, Primary Care, Quality
Beatriz Roselló, Diario Médico
“El médico de primaria se enfrenta con varias dificultades en la consulta, entre ellas, llegar a un diagnóstico en poco tiempo y no siempre con toda la información necesaria.
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24 January 2012 | No Comments »
Categories: News | Country: Spain | Tag(s): Health Information Technology, Medical Information, Platform, Primary Care
Delaney BC et al, The Annals of Family Medicine, 10(1)
PURPOSE
The learning health care system refers to the cycle of turning health care data into knowledge, translating that knowledge into practice, and creating new data by means of advanced information technology. The electronic Primary Care Research Network (ePCRN) was a project, funded by the US National Institutes of Health, with the aim to facilitate clinical research using primary care electronic health records (EHRs).
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10 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Education, Primary Care, Research
Samal L et al, Archives of Internal Medicine, 172(1)
Prior literature suggests that practice level characteristics mediate racial/ethnic disparities in clinical outcomes. One such practice level characteristic, use of electronic health records (EHRs) with clinical decision support (CDS), has been associated with improved blood pressure (BP) control in a national study.
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10 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Disparities, Primary Care
Vedel I et al, International Journal of Medical Informatics, 2011
Given the increasing prevalence of multimorbidity in primary care (PC), interdisciplinary PC teams supported by appropriate clinical information systems (CIS) are needed in order to deal with the complexity of multimorbid patients’ care. Our team has developed such a system, called the Da Vinci system. However, despite the expected benefits, evidence suggests generally low rates of CIS adoption. To optimize adoption in PC settings, a better understanding of the implementation process of such systems is crucial.
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23 December 2011 | No Comments »
Categories: Science | Tag(s): Adoption, Chronic Diseases, Communication, Health Information Technology, health-information-system, Patient, Physicians, Primary Care
Beth Walsh, CMIO
“The migration from paper charts to EMRs offers the opportunity to provide access to patients, consultants and other caregivers. Electronic records also offer potential for greater transparency, improved efficiency and decreased costs.
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21 December 2011 | No Comments »
Categories: News, RA News, Record Access | Country: United States | EHR: EHR, EHR USA | Tag(s): Access, Notes, Patient, Primary Care, Provider
Walker J et al, Annals of Internal Medicine, 155(12)
Background:
Little is known about what primary care physicians (PCPs) and patients would expect if patients were invited to read their doctors’ office notes.
Objective:
To explore attitudes toward potential benefits or harms if PCPs offered patients ready access to visit notes.
Design:
he PCPs and patients completed surveys before joining a voluntary program that provided electronic links to doctors’ notes.
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20 December 2011 | No Comments »
Categories: Patients, RA Research, Record Access, Science | Country: United States | Tag(s): Access, Notes, Patient, Primary Care
Terry AL et al, Family Practice, 27(1)
In Canada, use of electronic medical records (EMRs) among primary health care (PHC) providers is relatively low. However, it appears that EMRs will eventually become more ubiquitous in PHC. This represents an important development in the use of health care information technology as well as a potential new source of PHC data for research. However, care in the use of EMR data is required. Four years ago, researchers at the Centre for Studies in Family Medicine, The University of Western Ontario created an EMR-based research project, called Deliver Primary Health Care Information. Implementing this project led us to two conclusions about using PHC EMR data for research: first, additional time is required for providers to undertake EMR training and to standardize the way data are entered into the EMR and second, EMRs are designed for clinical care, not research.
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16 December 2011 | No Comments »
Categories: Science | Country: Canada | EHR: EHR, EHR Canada | Tag(s): Primary Care, Research
Sheri Porter, AAFP News
“The establishment of regional extension centers, or RECs, in 2010 was widely seen as an opportunity for physicians, including family physicians, to more quickly and effectively adopt health information technology, or health IT, and use it in a meaningful way.
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16 December 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Meaningful Use, Primary Care
Cole Petrochko, MedPage Today
“Adopting electronic health record (EHR) systems allowed private practices to reduce readmission rates, provide better documentation, and do away with paper files — but the transition to digital is rarely seamless, according to practitioners who have weathered digital transition.
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5 December 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Primary Care
Cole Petrochko, MedPage Today
“Primary care physicians who adopted electronic health records (EHR) for the first time improved the quality of outpatient treatment, but doctors who simply upgraded EHR systems had a higher rate of prescribing errors, researchers reported here.
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5 December 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): e-prescribing, Primary Care
Navarro-Pérez J et al, Avances en Diabetología, 2011
Introduction
Optimising care for people with diabetes goes through the incorporation of information and communication technology to a chronic care model.
Objectives
To determine the development of electronic medical records related to diabetes in different regions of Spain.
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18 November 2011 | No Comments »
Categories: Science | Country: Spain | EHR: EHR, EHR Spain | Tag(s): Chronic Diseases, Diabetes, Primary Care, Quality
Horner K et al, Issue Brief (Commonwealth Fund), 23
Electronic consultation (e-consultation) is an emerging tool that primary care clinicians can use to communicate with specialists about patients asynchronously–that is, at different times that are convenient for each physician. To conduct an e-consultation, clinicians use either a Web-based program or a shared electronic medical record.
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15 November 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): e-consult, Physicians, Primary Care, Specialty
Holanda AA et al, Journal of Medical Systems, 2011
It is believed that Electronic Health Records (EHR) improve not only quality of care but also patient safety and health care savings. This seems to be true for developed countries but not necessarily in emerging economies. This paper examined the primary care physicians’ satisfaction with a specific EHR in a health district of a major city in Brazil and describes how they are using it as well as its specific functions. A cross-sectional questionnaire survey with all physicians from all Community Health Centers of the 6th health district of the City of Fortaleza that were using HER was conducted. From the 111 subjects (100%), a total of 99 physicians answered the survey (89% response rate). For overall satisfaction with the EHR, 2 (2%) were satisfied, 50 (50.5%) were satisfied in part and 47 (47.5%) were not satisfied.
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12 November 2011 | No Comments »
Categories: Science | Country: Brazil | EHR: EHR, EHR Brazil | Tag(s): Ambulatory Care, Developing Countries, Primary Care, Satisfaction
Gregory Kiray, Cerner
“A Patient-Centered Medical Home is an approach to providing comprehensive primary care. It facilitates partnerships between individuals as patients and their personal providers while providing better access to health care and increasing satisfaction. A medical home is a sophisticated primary care practice where technology is utilized with services to enhance the doctor-patient relationship and bring additional teammates into the care of patients.
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27 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Medical Home, Physician-Patient Relationship, Primary Care
Chris Kaiser, MedPage Today
“Shared, individualized, computerized decision support run through a medical practice’s electronic medical records (EMR) system was well received by physicians and patients, but a recent randomized trial did not show improved vascular outcomes.
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26 October 2011 | No Comments »
Categories: News | Country: Canada | EHR: EHR, EHR Canada | Tag(s): Decision Support, Primary Care
Holbrook A et al, Archives of Internal Medicine, 171(19)
Background
Computerized decision support systems (CDSSs) linked with electronic medical records (EMRs) are promoted as an effective means of improving patient care. However, very few high-quality studies are set in routine, community-based clinical care, and no consistent evidence of an effect on patient outcomes has been found.
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26 October 2011 | No Comments »
Categories: Science | Country: Canada | EHR: EHR, EHR Canada | Tag(s): Decision Support, Primary Care, trials
Donald Tex Bryant, KevinMD
“Patients expect excellent care from their physicians. Unfortunately, not all receive such care and most of us realize this. Many who do understand the wide variation in patient care probably believe it is due to the clinical knowledge and attitude of the provider—a very knowledgeable physician or nurse who is passionate about his or her job will deliver the best care.
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7 October 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Data, Hypertension, Population health, Primary Care
Jeff Rowe, Healthcare IT HITECHWatch
“Ask just about any health IT proponent and you’ll likely be told that HIT is intended, among other things, to help doctors improve their clinical decision-making. But a new report suggests that new HIT may, at times, be having exactly the opposite effect.
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5 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Health Information Technology, Physicians, Primary Care
