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The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
BACKGROUND: Canadians are known to be frequent users of emergency department (ED) care. However, the exchange of information from ED visits to family physicians (FPs) is not well known. Our objectives were to determine whether Canadian FPs received information about their patient’s ED visit and the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607703/ https://www.ncbi.nlm.nih.gov/pubmed/34802416 http://dx.doi.org/10.1186/s12875-021-01582-x |
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author | Jaakkimainen, Liisa Chung, Hannah Lu, Hong Pinzaru, Bogdan Candido, Elisa |
author_facet | Jaakkimainen, Liisa Chung, Hannah Lu, Hong Pinzaru, Bogdan Candido, Elisa |
author_sort | Jaakkimainen, Liisa |
collection | PubMed |
description | BACKGROUND: Canadians are known to be frequent users of emergency department (ED) care. However, the exchange of information from ED visits to family physicians (FPs) is not well known. Our objectives were to determine whether Canadian FPs received information about their patient’s ED visit and the patient characteristics related to the receipt of ED information. METHODS: This study was a descriptive record linkage study of FP Electronic Medical Record (EMR) data linked to health administrative data. Our study cohort included patients who had at least one ED visit in 2010 or 2015 in Ontario, Canada. An ED visit could include a transfer to or from another ED. The receipt of information from an ED note was examined in relation to patient age, sex, neighbourhood income quintiles, rurality and comorbidity. RESULTS: There were 26,609 patients in 2010 and 50,541 patients in 2015 with at least one ED visit. In 2010, 53.3% of FPs received an ED note for patients having a single ED visit compared to 41.0% in 2015. For patients with multiple ED visits, 58.2% of FPs received an ED note in 2010 compared to 45.7% in 2015. FPs were more likely to receive an ED note for patients not living in low income neighbourhoods, older patients, patients living in small urban areas and for patients having moderate comorbidity. FPs were less likely to receive a note for patients living in rural areas. CONCLUSIONS: Community-based FPs are more likely to get information after an ED visit for their older and sicker patients. However, FPs do not receive any information from EDs for over half their patients. Electronic health record technologies and their adoption by ED providers need to improve the seamless transfer of information about the care provided in EDs to FPs in the community. |
format | Online Article Text |
id | pubmed-8607703 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-86077032021-11-22 The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data Jaakkimainen, Liisa Chung, Hannah Lu, Hong Pinzaru, Bogdan Candido, Elisa BMC Fam Pract Research BACKGROUND: Canadians are known to be frequent users of emergency department (ED) care. However, the exchange of information from ED visits to family physicians (FPs) is not well known. Our objectives were to determine whether Canadian FPs received information about their patient’s ED visit and the patient characteristics related to the receipt of ED information. METHODS: This study was a descriptive record linkage study of FP Electronic Medical Record (EMR) data linked to health administrative data. Our study cohort included patients who had at least one ED visit in 2010 or 2015 in Ontario, Canada. An ED visit could include a transfer to or from another ED. The receipt of information from an ED note was examined in relation to patient age, sex, neighbourhood income quintiles, rurality and comorbidity. RESULTS: There were 26,609 patients in 2010 and 50,541 patients in 2015 with at least one ED visit. In 2010, 53.3% of FPs received an ED note for patients having a single ED visit compared to 41.0% in 2015. For patients with multiple ED visits, 58.2% of FPs received an ED note in 2010 compared to 45.7% in 2015. FPs were more likely to receive an ED note for patients not living in low income neighbourhoods, older patients, patients living in small urban areas and for patients having moderate comorbidity. FPs were less likely to receive a note for patients living in rural areas. CONCLUSIONS: Community-based FPs are more likely to get information after an ED visit for their older and sicker patients. However, FPs do not receive any information from EDs for over half their patients. Electronic health record technologies and their adoption by ED providers need to improve the seamless transfer of information about the care provided in EDs to FPs in the community. BioMed Central 2021-11-22 /pmc/articles/PMC8607703/ /pubmed/34802416 http://dx.doi.org/10.1186/s12875-021-01582-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Jaakkimainen, Liisa Chung, Hannah Lu, Hong Pinzaru, Bogdan Candido, Elisa The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data |
title | The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data |
title_full | The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data |
title_fullStr | The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data |
title_full_unstemmed | The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data |
title_short | The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data |
title_sort | receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607703/ https://www.ncbi.nlm.nih.gov/pubmed/34802416 http://dx.doi.org/10.1186/s12875-021-01582-x |
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