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Variability in Electronic Health Record Usage and Perceptions among Specialty vs. Primary Care Physicians

Travis K Redd, Julie W Doberne, Daniel Lattin, Thomas R Yackel, Carl O Eriksson, Vishnu Mohan, Jeffrey A Gold, Joan S Ash, Michael F Chiang
2015 AMIA Annual Symposium Proceedings  
Despite federal incentives for adoption of electronic health records (EHRs), surveys have shown that EHR use is less common among specialty physicians than generalists.  ...  Acknowledgements Research reported in this publication was supported by Oregon Clinical and Translational Research Institute (1 UL1 RR024140 01), National Library of Medicine of the National Institutes  ...  Table 3 : 3 Comparison of EHR Use Practices Between Specialty and PrimaryCare Physicians Test; association confirmed by multinomial logistic regression adjusting for level of training, clinical experience  ... 
pmid:26958305 pmcid:PMC4765603 fatcat:vkoxnawl3nbsphucnvtuueaeaq

Standing orders for influenza and pneumococcal polysaccharide vaccination: Correlates identified in a national survey of U.S. Primary care physicians

Steven M Albert, Mary Patricia Nowalk, Michael A Yonas, Richard K Zimmerman, Faruque Ahmed
2012 BMC Family Practice  
Physicians reporting no SOPs, only influenza SOPs, and joint influenza and PPV SOPs were compared using multinomial and logistic regression models to examine individual and practice-level correlates.  ...  Practice-level factors that distinguished practices with joint influenza-PPV SOPs included perceived practice openness to change, strong practice teamwork, access to an electronic medical record, presence  ...  Acknowledgements This study was supported by the Centers for Disease Control and Prevention and the Association for Prevention Teaching and Research, Grant No. 5 U50 CD300-860-21.  ... 
doi:10.1186/1471-2296-13-22 pmid:22433118 pmcid:PMC3324392 fatcat:jh6j65hosjee3bce5retgnicbe

Triage at the Emergency Department: association between triage levels and patient outcome

Juliana Barros Becker, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto, Cassia Regina Vancini Campanharo, Dulce Aparecida Barbosa, Ruth Ester Assayag Batista
2015 Revista da Escola de Enfermagem da USP  
Logistic regression was used to associate the risk categories to outcomes (p-value ≤0,05).RESULTSMen with older age and those treated in clinical specialties had higher rates of hospitalization and death  ...  Patients in the high-priority group had hospitalization and mortality rates five and 10.6 times, respectively (p < 0.0001).CONCLUSIONThe high-priority group experienced higher hospitalization and mortality  ...  Data were collected retrospectively from electronic medical records of all patients older than 18 years who received medical care during ED triage in August 2012.  ... 
doi:10.1590/s0080-623420150000500011 pmid:26516748 fatcat:a7cmilhaerbxxmmpxne5ck46h4

Predictors of Start of Different Antidepressants in Patient Charts Among Patients with Depression

Hyungjin Myra Kim, Kara Zivin, Hae Mi Choe, Clare M. Stano, Dara Ganoczy, Heather Walters, Marcia Valenstein
2015 Journal of Managed Care & Specialty Pharmacy  
Multinomial logistic regression analysis was used to assess the predictors associated with different antidepressant prescribing, and adjusted relative risk ratios (RRR) were reported.  ...  OBJECTIVE: To identify factors recorded in electronic medical chart progress notes predictive of antidepressant selection among patients who had received a depression diagnosis.  ...  Table 4 shows the RRRs from the multinomial logistic regression model. Compared with sertraline, males were less likely to be prescribed paroxetine (RRR = 0.11).  ... 
doi:10.18553/jmcp.2015.21.5.424 pmid:25943003 pmcid:PMC4926260 fatcat:jnrvmwfltffhffj3ae7r54u2yi

Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Prospective Study in 20 UK Hospitals

Darren M. Ashcroft, Penny J. Lewis, Mary P. Tully, Tracey M. Farragher, David Taylor, Valerie Wass, Steven D. Williams, Tim Dornan
2015 Drug Safety  
Logistic regression models (adjusted for clustering by hospital) identified factors predicting the likelihood of prescribing erroneously and the severity of prescribing errors.  ...  Objective This study aimed to compare the prevalence of prescribing errors made by first-year post-graduate doctors with that of errors by senior doctors and non-medical prescribers and to investigate  ...  Table 7 presents the results from a multinomial logistic regression with interaction terms to explore whether the effect of therapeutic drug group on error severity differed by the route of administration  ... 
doi:10.1007/s40264-015-0320-x pmid:26115701 pmcid:PMC4562000 fatcat:jekrs6ci2jbxtcdcsmdz46syoe

Trends of Pediatric Injuries Amongst 5-Year-Olds Presented in the Emergency Department: A Retrospective Cross-Sectional Study

Anne Noor Sri Juwaneeta Jamaludin, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor, Jennifer Anne Oxley, Quek Kia Fatt, Perdana University-Royal College of Surgeons in Ireland, MAEPS Building, Jalan MAEPS Perdana, Serdang, Selangor, Malaysia, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor; Perdana University-Royal College of Surgeons in Ireland, MAEPS Building, Jalan MAEPS Perdana, Serdang, Selangor, Malaysia, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor; Perdana University-Royal College of Surgeons in Ireland, MAEPS Building, Jalan MAEPS Perdana, Serdang, Selangor, Malaysia
2018 Pediatrics and Neonatal Nursing - Open Journal  
Results More than half of 5-year-old patients attending the ED were males (54.6%) in comparison to females (45.4%).  ...  Conclusion The findings from the analysis of hospital records (low rates of recorded CAN cases) provided strong evidence that there are significant gaps in identifying non-accidental injuries in the clinical  ...  To examine associations between gender and types of injuries sustained by children, a multinomial logistic regression analysis was applied to the data (Table 5 ).  ... 
doi:10.17140/pnnoj-5-129 fatcat:cadoow6xqrd3xk4y2ox37bcqhu

Patient Panel of Underserved Populations and Adoption of Electronic Medical Record Systems by Office-Based Physicians

Chenghui Li, Donna West-Strum
2010 Health Services Research  
The comparison group was physicians who reported no EMRs at their practices.  ...  The 2006 NAMCS has all the items used in DesRoches et al. (2008) except ''patient problem lists'' and ''electronic list of medication taken by patients.''  ... 
doi:10.1111/j.1475-6773.2010.01113.x pmid:20403062 pmcid:PMC2910564 fatcat:ueeqskn7dnbvpbhk6vpl5zikty

A Palliative Radiation Oncology Consult Service's Impact on Care of Advanced Cancer Patients

Sanders Chang, Peter May, Nathan E. Goldstein, Juan Wisnivesky, Kenneth Rosenzweig, R. Sean Morrison, Kavita V. Dharmarajan
2018 Journal of Palliative Medicine  
We compared outcomes of patients treated after (post-intervention group) to those treated before (control group) PROC's establishment using unadjusted and propensity score adjusted analyses.  ...  95% CI: 5.82-19.83), require shorter hospital stays (21 vs. 26.5 median days, p = 0.01), and receive more timely specialty-level palliative care (OR: 2.65, 95% CI: 1.56-4.49).  ...  Acknowledgments This study was supported by grant No. 5P30AG028741 from the Claude D.  ... 
doi:10.1089/jpm.2017.0372 pmid:29189093 pmcid:PMC5867511 fatcat:c44llo5pfbbbxghhjb5ofnqgaq

A 6-months assessment of the alcohol-related clinical burden at emergency rooms (ERs) in 11 acute care hospitals of an urban area in Germany

Bernhard T Baune, Rafael T Mikolajczyk, Gerhard Reymann, Annette Duesterhaus, Susanne Fleck, Hildegard Kratz, Ulrike Sundermann
2005 BMC Health Services Research  
attendance varying across medical specialties.  ...  Odds ratios for the associations of these measures with duration of stay, repeat attendances and higher degrees of alcohol consumption were derived from multivariate binomial and multinomial logistic regression  ...  Acknowledgements The authors wish to thank the medical staff in the participating hospitals for data collection and administrative staff for the provision of administrative data on the patients.  ... 
doi:10.1186/1472-6963-5-73 pmid:16293195 pmcid:PMC1314886 fatcat:5pesdxvm55dxpe2a4wp2hrjpou

Exploring Types of Information Sources Used in Choosing Doctors: An Observational Study in the Online Healthcare Community (Preprint)

Shuang Zhang, Jying-Nan Wang, Ya-Ling Chiu, Yuan-Teng Hsu
2020 Journal of Medical Internet Research  
Multinomial logistic regression models were applied to examine whether the proportion of use of these information sources changes in different situations.  ...  (3) How do information sources used by patients differ when they choose doctors with different specialties?  ...  Multinomial Logistic Regressions Table 2 presents the multinomial logistic regression estimation for model 1, model 2, and model 3 with the 1,698,666 samples.  ... 
doi:10.2196/20910 pmid:32936080 pmcid:PMC7527935 fatcat:l6x3vjsep5bivc5qs5prrnm7ja

Characteristics of Hospitals Associated with Complete and Partial Implementation of Electronic Health Records

Prajakta Bhounsule, Andrew M Peterson
2016 Perspectives in health information management  
(1) To determine the proportion of hospitals with and without implementation of electronic health records (EHRs). (2) To examine characteristics of hospitals that report implementation of EHRs partially  ...  of the Association of Type of Service of Hospital with Electronic Health Record (EHR) Implementation Means and Logistic Regression Model Testing Association of Hospital Organizational Structure and Staffing  ...  These findings were supported by a market research survey of a group of physicians and surgeons. 17 In that survey, although some specialty surgery institutions performing intricate surgical procedures  ... 
pmid:27134608 pmcid:PMC4832127 fatcat:zthkz2ugbvby7czjhtfy5nxm5e

Social determinants of mental health care systems: intensive community based Care in the Veterans Health Administration

Ish P. Bhalla, Elina A. Stefanovics, Robert A. Rosenheck
2020 BMC Public Health  
Bivariate comparisons and multinomial logistic regression analyses compared groups on demographics, diagnoses, service use, and psychiatric prescription fills.  ...  An hierarchical classification of 1,386,487 Veterans who received specialty mental health services from VHA in Fiscal Year 2012, showed 1,134,977 (81.8%) were seen exclusively in outpatient clinics; 27,931  ...  Multinomial logistic regression analysis was then used to identify the set of measures that independently differentiated veterans who had been treated in each of the four sub-specialty community health  ... 
doi:10.1186/s12889-020-09402-0 pmid:32859202 fatcat:7yv5xq2gmnhqbg2o2isxfd33jm

Physician Practices and Readiness for Medical Home Reforms: Policy, Pitfalls, and Possibilities

John M. Hollingsworth, Sanjay Saint, Joseph W. Sakshaug, Rodney A. Hayward, Lingling Zhang, David C. Miller
2011 Health Services Research  
While 72.3 percent (95 percent CI, 64.0-80.7 percent) of multi-specialty groups would achieve recognition, only 49.8 percent (95 percent CI, 45.2-54.5 percent) of solo/partnership practices meet NCQA standards  ...  After awarding points for each "passed" element, we calculated a practice's infrastructure score, dividing its cumulative total by the number of available points.  ...  This work utilized the Measurement Core of the Michigan Diabetes Research and Training Center funded by DK020572 from the NIDDK.  ... 
doi:10.1111/j.1475-6773.2011.01332.x pmid:22091559 pmcid:PMC3393004 fatcat:zj7mxxguh5fu7ldco4ko26tr6a

Initiation of treatment for incident diabetes: Evidence from the electronic health records in an ambulatory care setting

Sukyung Chung, Beinan Zhao, Diane Lauderdale, Randolph Linde, Randall Stafford, Latha Palaniappan
2015 Primary Care Diabetes  
Potential predictors of initial treatment were examined using multinomial logistic models accounting for physician random effects.  ...  Methods-Data were extracted from electronic health records (EHR) for active patients ≥35 years in a multispecialty, multiclinic ambulatory care organization with 1,000 providers.  ...  Acknowledgments Funding source This study was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (1R01DK081371) and the Agency for Healthcare Research and Quality (K01HS019815  ... 
doi:10.1016/j.pcd.2014.04.005 pmid:24810147 pmcid:PMC4221568 fatcat:3csummhw2vbi3gnhk4ocvplvqa

Global Practice and Efficiency of Multidisciplinary Tumor Boards: Results of an American Society of Clinical Oncology International Survey

Nagi S. El Saghir, Raghid N. Charara, Firas Y. Kreidieh, Vanessa Eaton, Kate Litvin, Rania A. Farhat, Katia E. Khoury, Juliana Breidy, Hani Tamim, Toufic A. Eid
2015 Journal of Global Oncology  
The majority of MDTBs held weekly specialty and/or general meetings. Eighty-nine percent of 409 respondents attended for advice on treatment decisions.  ...  Multinomial Logistic Regression Analysis of Changes Made at MDTBs We used multinomial logistic regression analysis to analyze changes at MDTBs according to physicians' specialty and years in practice (  ...  Data analysis and multinomial logistic regression were performed by using SPSS (SPSS, Chicago, IL).  ... 
doi:10.1200/jgo.2015.000158 pmid:28804774 pmcid:PMC5539869 fatcat:p6lv77z2ojeepiatrwyaye6bz4
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