Expectations for the next generation of electronic patient records
in primary care: a triangulated study

Christensen, Tom; Grimsmo, Anders

doi:10.14236/jhi.v16i1.671

Cited by 13 publications

(19 citation statements)

References 21 publications

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“…Based on this study we are implementing four strategies at our institution: 1 provide further education to clinicians regarding expert recommendations for obesity prevention 2 modify software to enable automatic calculation and retention of BMI, BMI percentile and weight category in the vital signs and progress notes sections of the EHR 3 include lifestyle assessment and counselling cues within structured encounter forms 4 incorporate system-initiated cues or alerts linked to expert recommendations if a patient's BMI is >85th percentile for age and sex. 41 …”

Section: Discussionmentioning

confidence: 99%

Presentation of body mass index within an electronic health record to improve weight assessment and counselling in children and adolescents

Shaikh

Nelson

Tancredi³

et al. 2010

Journal of Innovation in Health Informatics

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Background Assessment of weight and counselling on nutrition and physical activity is infrequently conducted during well child visits, despite recent expert recommendations. Objective We investigated whether automatic calculation of body mass index (BMI) in an electronic health record improved assessment of weight and counselling on nutrition and physical activity. Methods Retrospective review of well child visit records of children between two and 18 years of age (n=550) before and after implementation of an electronic health record system at an academic medical centre's paediatric clinic. Body mass index was automatically calculated and presented within the electronic health record. We measured clinicians' documentation of assessment of weight status, and assessment of and counselling for nutrition and physical activity risk factors. Results Documentation of assessment of BMI and weight status did not increase. There were no consistent increases in assessment for or counselling on specific nutrition and physical activity behaviours,

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Section: Discussionmentioning

confidence: 99%

Presentation of body mass index within an electronic health record to improve weight assessment and counselling in children and adolescents

Shaikh

Nelson

Tancredi³

et al. 2010

Journal of Innovation in Health Informatics

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“…8,9 ) Christensen and Grimsmo, 3 in their study of the next generation of primary care ERP systems, support the need for IT that can be integrated into the consultation and for better decision support, reinforcing the findings of Lester et al However, they also re-open discussion as to whether we should move towards a problem orientated record? 10 The problem orientated record (POMR) has a long history 11,12 and has been widely used in primary care.…”

mentioning

confidence: 83%

“…The issue contains a number of thought provoking articles about what influences the uptake of IT, 1 how it can catalyse change 2 and our expectations for the next generation of electronic patient records 3 as well as insights into how computerised decision support 4,5 and access grid technologies (high powered video conferencing) can facilitate primary care research. 6 A recent international consensus conference described current initiatives and barriers to developing primary care IT: The papers in this edition reinforce these themes, but offer new thoughts about the use and deployment of IT and also raise whether we should once again consider better problem orientation of records?…”

mentioning

confidence: 99%

Developing primary care informatics

Lusignan¹

2008

Journal of Innovation in Health Informatics

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“…2 Investigating primary care physicians' use of electronic patient records in Norway, Christensen et al concluded that their full potential had not been reached and that problems of integration and functionality needed to be addressed to achieve this. 3 Computerised decision support systems are one type of electronic interface designed to assist clinicians in decision making and risk management and to facilitate shared decision making between health professional and patient. 3 Achieving maximum adoption and usage by primary care professionals requires a comprehensive understanding of which professionals find it attractive and why.…”

Section: Introductionmentioning

confidence: 99%

“…3 Computerised decision support systems are one type of electronic interface designed to assist clinicians in decision making and risk management and to facilitate shared decision making between health professional and patient. 3 Achieving maximum adoption and usage by primary care professionals requires a comprehensive understanding of which professionals find it attractive and why.…”

Section: Introductionmentioning

confidence: 99%

Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey

Wilson¹,

Opolski²

2009

Journal of Innovation in Health Informatics

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IntroductionIn a technological age, the use of electronic means to assist health professionals in their work appears to have achieved limited adoption. In the USA, for example, it is reported that during 2005, approximately 23.9% of physicians used electronic health records (EHRs) in the ambulatory setting, while only 5% of hospitals used computerised physician order entry systems. Likewise, in the UK, which has an extensive computerised primary healthcare sector, the use of computerised decision support systems (CDSS) is not commonplace. 2 Investigating primary care physicians' use of electronic patient records in Norway, Christensen et al concluded that their full potential had not been reached and that problems of integration and functionality needed to be addressed to achieve this.3 Computerised decision support systems are one type of electronic interface designed to assist clinicians in decision making and risk management and to facilitate shared decision making between health professional and patient. Achieving maximum adoption and usage by primary care professionals requires a comprehensive understanding of which professionals find it attractive and why.This paper -a report of research that obtained health professionals' and industry representatives' opinions on the most effective approach or approaches to the dissemination of an electronic decision support ABSTRACTPurpose This paper reports an evaluation of stakeholders' perspectives and recommendations for the dissemination of a cardiovascular computerised decision support system (CDSS) program. Methods A literature review of dissemination models for health information and decision support aids was undertaken to develop a semi-structured interview protocol outlining a range of dissemination models for distribution. A cross section of eight health professionals and three corporate managers were interviewed to provide as broad a view as possible of eight dissemination models. Data were collected via two questionnaires incorporating the Delphi technique. Perspectives from the corporate managers were collected by telephone interview. Results Financial incentive was the most highly rated dissemination method, followed by joint promotion with a professional body and undergraduate medical education. The lowest average rating was for dividing the program into separate components. Participants provided five other suggestions for dissemination. Suggestions for further exploration include the development of a multi-professional model comprising two or more approaches that is piloted and evaluated. Conclusion Our results provide beneficial information on the potential dissemination of computer decision support systems to health professionals whose uptake of CDSS has not previously been explored. Whether use of a shared decision aid impacts on the decisions made by health professionals working in a team is, however, less evident.

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Expectations for the next generation of electronic patient records in primary care: a triangulated study

Cited by 13 publications

References 21 publications

Presentation of body mass index within an electronic health record to improve weight assessment and counselling in children and adolescents

Presentation of body mass index within an electronic health record to improve weight assessment and counselling in children and adolescents

Developing primary care informatics

Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey

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