Difference between revisions of "Template:Article of the week"

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(Updated article of the week text.)
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'''"[[Journal:Use of handheld computers in clinical practice: A systematic review|Use of handheld computers in clinical practice: A systematic review]]"'''
'''"[[Journal:Return on investment in electronic health records in primary care practices: A mixed-methods study|Return on investment in electronic health records in primary care practices: A mixed-methods study]]"'''


Many healthcare professionals use smartphones and tablets to inform patient care. Contemporary research suggests that handheld computers may support aspects of clinical diagnosis and management. This systematic review was designed to synthesise high quality evidence to answer the question; Does healthcare professionals’ use of handheld computers improve their access to [[information]] and support clinical decision making at the point of care?
The use of [[electronic health record]]s (EHR) in clinical settings is considered pivotal to a patient-centered health care delivery system. However, uncertainty in cost recovery from EHR investments remains a significant concern in primary care practices.


A detailed search was conducted using Cochrane, MEDLINE, EMBASE, PsycINFO, Science and Social Science Citation Indices since 2001. Interventions promoting healthcare professionals seeking information or making clinical decisions using handheld computers were included. Classroom learning and the use of laptop computers were excluded. Two authors independently selected studies, assessed quality using the Cochrane Risk of Bias tool and extracted data. High levels of data heterogeneity negated statistical synthesis. Instead, evidence for effectiveness was summarised narratively, according to each study’s aim for assessing the impact of handheld computer use. ('''[[Journal:Use of handheld computers in clinical practice: A systematic review|Full article...]]''')<br />
Guided by the question of “When implemented in primary care practices, what will be the return on investment (ROI) from an EHR implementation?”, the objectives of this study are two-fold: (1) to assess ROI from EHR in primary care practices and (2) to identify principal factors affecting the realization of positive ROI from EHR. We used a break-even point, that is, the time required to achieve cost recovery from an EHR investment, as an ROI indicator of an EHR investment. Given the complexity exhibited by most EHR implementation projects, this study adopted a retrospective mixed-method research approach, particularly a multiphase study design approach. For this study, data were collected from community-based primary care clinics using EHR systems. ('''[[Journal:Return on investment in electronic health records in primary care practices: A mixed-methods study|Full article...]]''')<br />


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''Recently featured'': [[Journal:Unravelling the tangled taxonomies of health informatics|Unravelling the tangled taxonomies of health informatics]], [[American National Standards Institute]], [[Public health informatics]]
''Recently featured'': [[Journal:Use of handheld computers in clinical practice: A systematic review|Use of handheld computers in clinical practice: A systematic review]], [[Journal:Unravelling the tangled taxonomies of health informatics|Unravelling the tangled taxonomies of health informatics]], [[American National Standards Institute]]

Revision as of 15:54, 10 August 2015

Fig5 Jang JMIRMedInfo2014 2-2.jpg

"Return on investment in electronic health records in primary care practices: A mixed-methods study"

The use of electronic health records (EHR) in clinical settings is considered pivotal to a patient-centered health care delivery system. However, uncertainty in cost recovery from EHR investments remains a significant concern in primary care practices.

Guided by the question of “When implemented in primary care practices, what will be the return on investment (ROI) from an EHR implementation?”, the objectives of this study are two-fold: (1) to assess ROI from EHR in primary care practices and (2) to identify principal factors affecting the realization of positive ROI from EHR. We used a break-even point, that is, the time required to achieve cost recovery from an EHR investment, as an ROI indicator of an EHR investment. Given the complexity exhibited by most EHR implementation projects, this study adopted a retrospective mixed-method research approach, particularly a multiphase study design approach. For this study, data were collected from community-based primary care clinics using EHR systems. (Full article...)


Recently featured: Use of handheld computers in clinical practice: A systematic review, Unravelling the tangled taxonomies of health informatics, American National Standards Institute