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Clinician attitudes toward and use of electronic problem lists: a thematic analysis
BACKGROUND: The clinical problem list is an important tool for clinical decision making, quality measurement and clinical decision support; however, problem lists are often incomplete and provider attitudes towards the problem list are poorly understood. METHODS: An ethnographic study of healthcare...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120635/ https://www.ncbi.nlm.nih.gov/pubmed/21612639 http://dx.doi.org/10.1186/1472-6947-11-36 |
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author | Wright, Adam Maloney, Francine L Feblowitz, Joshua C |
author_facet | Wright, Adam Maloney, Francine L Feblowitz, Joshua C |
author_sort | Wright, Adam |
collection | PubMed |
description | BACKGROUND: The clinical problem list is an important tool for clinical decision making, quality measurement and clinical decision support; however, problem lists are often incomplete and provider attitudes towards the problem list are poorly understood. METHODS: An ethnographic study of healthcare providers conducted from April 2009 to January 2010 was carried out among academic and community outpatient medical practices in the Greater Boston area across a wide range of medical and surgical specialties. Attitudes towards the problem list were then analyzed using grounded theory methods. RESULTS: Attitudes were variable, and dimensions of variations fit into nine themes: workflow, ownership and responsibility, relevance, uses, content, presentation, accuracy, alternatives, support/education and one cross-cutting theme of culture. CONCLUSIONS: Significant variation was observed in clinician attitudes towards and use of the electronic patient problem list. Clearer guidance and best practices for problem list utilization are needed. |
format | Online Article Text |
id | pubmed-3120635 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-31206352011-06-23 Clinician attitudes toward and use of electronic problem lists: a thematic analysis Wright, Adam Maloney, Francine L Feblowitz, Joshua C BMC Med Inform Decis Mak Research Article BACKGROUND: The clinical problem list is an important tool for clinical decision making, quality measurement and clinical decision support; however, problem lists are often incomplete and provider attitudes towards the problem list are poorly understood. METHODS: An ethnographic study of healthcare providers conducted from April 2009 to January 2010 was carried out among academic and community outpatient medical practices in the Greater Boston area across a wide range of medical and surgical specialties. Attitudes towards the problem list were then analyzed using grounded theory methods. RESULTS: Attitudes were variable, and dimensions of variations fit into nine themes: workflow, ownership and responsibility, relevance, uses, content, presentation, accuracy, alternatives, support/education and one cross-cutting theme of culture. CONCLUSIONS: Significant variation was observed in clinician attitudes towards and use of the electronic patient problem list. Clearer guidance and best practices for problem list utilization are needed. BioMed Central 2011-05-25 /pmc/articles/PMC3120635/ /pubmed/21612639 http://dx.doi.org/10.1186/1472-6947-11-36 Text en Copyright ©2011 Wright et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Wright, Adam Maloney, Francine L Feblowitz, Joshua C Clinician attitudes toward and use of electronic problem lists: a thematic analysis |
title | Clinician attitudes toward and use of electronic problem lists: a thematic analysis |
title_full | Clinician attitudes toward and use of electronic problem lists: a thematic analysis |
title_fullStr | Clinician attitudes toward and use of electronic problem lists: a thematic analysis |
title_full_unstemmed | Clinician attitudes toward and use of electronic problem lists: a thematic analysis |
title_short | Clinician attitudes toward and use of electronic problem lists: a thematic analysis |
title_sort | clinician attitudes toward and use of electronic problem lists: a thematic analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120635/ https://www.ncbi.nlm.nih.gov/pubmed/21612639 http://dx.doi.org/10.1186/1472-6947-11-36 |
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