Typical electronic health record use in primary care practices and the quality of diabetes care.

Annals of Family Medicine
Jesse C CrossonBenjamin F Crabtree

Abstract

Recent efforts to encourage meaningful use of electronic health records (EHRs) assume that widespread adoption will improve the quality of ambulatory care, especially for complex clinical conditions such as diabetes. Cross-sectional studies of typical uses of commercially available ambulatory EHRs provide conflicting evidence for an association between EHR use and improved care, and effects of longer-term EHR use in community-based primary care settings on the quality of care are not well understood. We analyzed data from 16 EHR-using and 26 non-EHR-using practices in 2 northeastern states participating in a group-randomized quality improvement trial. Measures of care were assessed for 798 patients with diabetes. We used hierarchical linear models to examine the relationship between EHR use and adherence to evidence-based diabetes care guidelines, and hierarchical logistic models to compare rates of improvement over 3 years. EHR use was not associated with better adherence to care guidelines or a more rapid improvement in adherence. In fact, patients in practices that did not use an EHR were more likely than those in practices that used an EHR to meet all of 3 intermediate outcomes targets for hemoglobin A(1c), low-density lipo...Continue Reading

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Citations

Mar 13, 2014·Current Diabetes Reports·Emma M Eggleston, Michael Klompas
Aug 2, 2013·Journal of the American Medical Informatics Association : JAMIA·Asia FriedmanDeborah J Cohen
Feb 14, 2014·Journal of the American Medical Informatics Association : JAMIA·Sarah P SlightAziz Sheikh
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Nov 7, 2018·Journal of Innovation in Health Informatics·Tanisha Tate WoodsonDeborah J Cohen
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Oct 23, 2020·BMC Health Services Research·Ilker KoseUNKNOWN MoH Team
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Kaveh G ShojaniaJeremy Grimshaw

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