Academic Journal
The relationship between perceptions of electronic health record usability and clinical importance of social and environmental determinants of health on provider documentation
| العنوان: | The relationship between perceptions of electronic health record usability and clinical importance of social and environmental determinants of health on provider documentation |
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| المؤلفون: | Sood, Natasha, Stetter, Christy, Kunselman, Allen, Jasani, Sona |
| المساهمون: | Reiner-Benaim, Anat |
| المصدر: | PLOS Digital Health ; volume 3, issue 1, page e0000428 ; ISSN 2767-3170 |
| بيانات النشر: | Public Library of Science (PLoS) |
| سنة النشر: | 2024 |
| المجموعة: | PLOS Publications (via CrossRef) |
| الوصف: | Social and environmental determinants of health (SEDH) data in the electronic health record (EHR) can be inaccurate and incomplete. Providers are in a unique position to impact this issue as they both obtain and enter this data, however, the variability in screening and documentation practices currently limits the ability to mobilize SEDH data for secondary uses. This study explores whether providers’ perceptions of clinical importance of SEDH or EHR usability influenced data entry by analyzing two relationships: (1) provider charting behavior and clinical consideration of SEDH and (2) provider charting behavior and ease of EHR use in charting. We performed a cross-sectional study using an 11-question electronic survey to assess self-reported practices related to clinical consideration of SEDH elements, EHR usability and SEDH documentation of all staff physicians, identified using administrative listserves, at Penn State Health Hershey Medical Center during September to October 2021. A total of 201 physicians responded to and completed the survey out of a possible 2,478 identified staff physicians (8.1% response rate). A five-point Likert scale from “never” to “always” assessed charting behavior and clinical consideration. Responses were dichotomized as consistent/inconsistent and vital/not vital respectively. EHR usability was assessed as “yes” or “no” responses. Fisher’s exact tests assessed the relationship between charting behavior and clinical consideration and to compare charting practices between different SEDHs. Cumulative measures were constructed for consistent charting and ease of charting. A generalized linear mixed model (GLMM) compared SDH and EDH with respect to each cumulative measure and was quantified using odds ratios (OR) and 95% confidence intervals (CI). Our results show that provider documentation frequency of an SEDH is associated with perceived clinical utility as well as ease of charting and that providers were more likely to consistently chart on SDH versus EDH. Nuances in these ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1371/journal.pdig.0000428 |
| الاتاحة: | http://dx.doi.org/10.1371/journal.pdig.0000428 https://dx.plos.org/10.1371/journal.pdig.0000428 |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.96F7E1F3 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1371/journal.pdig.0000428 |
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