{"id":"https://openalex.org/W2604134167","doi":null,"title":"Collaborators and Communication Channels in Eight Patient-Centered Medical Homes.","display_name":"Collaborators and Communication Channels in Eight Patient-Centered Medical Homes.","publication_year":2017,"publication_date":"2017-01-01","ids":{"openalex":"https://openalex.org/W2604134167","mag":"2604134167","pmid":"https://pubmed.ncbi.nlm.nih.gov/28186016"},"language":"en","primary_location":{"id":"pmid:28186016","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28186016","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001790188","display_name":"Dian A. Chase","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dian A Chase","raw_affiliation_strings":["Oregon Health & Science University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oregon Health & Science University","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054647708","display_name":"David A. Dorr","orcid":"https://orcid.org/0000-0003-2318-7261","observed_orcids":["https://orcid.org/0000-0003-2318-7261"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David A Dorr","raw_affiliation_strings":["Oregon Health & Science University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oregon Health & Science University","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000351094","display_name":"Deborah J. Cohen","orcid":"https://orcid.org/0000-0003-1689-4574","observed_orcids":["https://orcid.org/0000-0003-1689-4574"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Deborah J Cohen","raw_affiliation_strings":["Oregon Health & Science University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oregon Health & Science University","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056461537","display_name":"Joan S. Ash","orcid":"https://orcid.org/0000-0003-0017-3035","observed_orcids":["https://orcid.org/0000-0003-0017-3035"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joan S Ash","raw_affiliation_strings":["Oregon Health & Science University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oregon Health & Science University","institution_ids":["https://openalex.org/I165690674"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I165690674"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.03286042,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"234","issue":null,"first_page":"59","last_page":"64"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9717000126838684,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9717000126838684,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.01979999989271164,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.006099999882280827,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-centered-medical-home","display_name":"patient-centered medical home","score":0.9860000014305115},{"id":"https://openalex.org/keywords/clinician-collaboration","display_name":"clinician collaboration","score":0.8840000033378601},{"id":"https://openalex.org/keywords/communication-channels","display_name":"communication channels","score":0.968999981880188},{"id":"https://openalex.org/keywords/care-management","display_name":"care management","score":0.47999998927116394},{"id":"https://openalex.org/keywords/primary-care-providers","display_name":"primary care providers","score":0.8700000047683716},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.7879999876022339},{"id":"https://openalex.org/keywords/communication-patterns","display_name":"communication patterns","score":0.6679999828338623},{"id":"https://openalex.org/keywords/formal-and-informal-communication","display_name":"formal and informal communication","score":0.5400000214576721},{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.33799999952316284}],"concepts":[{"id":"https://openalex.org/C2780598303","wikidata":"https://www.wikidata.org/wiki/Q65921492","display_name":"Flexibility (engineering)","level":2,"score":0.7225096225738525},{"id":"https://openalex.org/C2778804116","wikidata":"https://www.wikidata.org/wiki/Q6806546","display_name":"Medical home","level":3,"score":0.5303248763084412},{"id":"https://openalex.org/C127162648","wikidata":"https://www.wikidata.org/wiki/Q16858953","display_name":"Channel (broadcasting)","level":2,"score":0.5231313109397888},{"id":"https://openalex.org/C189693848","wikidata":"https://www.wikidata.org/wiki/Q6031064","display_name":"Information exchange","level":2,"score":0.4877484440803528},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.48237743973731995},{"id":"https://openalex.org/C182306322","wikidata":"https://www.wikidata.org/wiki/Q1779371","display_name":"Order (exchange)","level":2,"score":0.4785776138305664},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4512377083301544},{"id":"https://openalex.org/C2986112872","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Electronic communication","level":2,"score":0.4452197551727295},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.43603166937828064},{"id":"https://openalex.org/C101765175","wikidata":"https://www.wikidata.org/wiki/Q577764","display_name":"Communications system","level":2,"score":0.4228995740413666},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.4113740921020508},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.41113558411598206},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.39592403173446655},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.35650157928466797},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.34448158740997314},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.33755767345428467},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.25798940658569336},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.21997028589248657},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.21386882662773132},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003299","descriptor_name":"Cooperative Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009922","descriptor_name":"Oregon","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D058007","descriptor_name":"Physicians, Primary Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:28186016","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28186016","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":"Journal Article"},{"id":"mag:2604134167","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28186016","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8199999928474426,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7100648079","https://openalex.org/W2335885040","https://openalex.org/W2334252724","https://openalex.org/W2070278201","https://openalex.org/W2002273412","https://openalex.org/W1988663188","https://openalex.org/W1959078892","https://openalex.org/W2031106111","https://openalex.org/W2081110956","https://openalex.org/W1966361145"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,148],"patient-centered":[2],"medical":[3,14,86],"home":[4,15],"(PCMH)":[5],"concept":[6],"requires":[7],"collaboration":[8,40],"among":[9],"clinicians":[10,66],"both":[11],"within":[12,80],"the":[13,19,32,54,81,85,91,108,112,137,180,204],"clinic,":[16,109],"and":[17,83,195,219],"outside":[18,169],"clinic.":[20],"As":[21],"we":[22,34],"redesign":[23],"health":[24,184],"information":[25],"technology":[26],"(HIT)":[27],"to":[28,31,36,52,58,102,192,213],"support":[29],"transformation":[30],"PCMH,":[33],"need":[35],"better":[37],"understand":[38],"these":[39,48,96,193],"patterns.":[41,105],"This":[42],"study":[43],"provides":[44],"quantitative":[45],"data":[46],"describing":[47],"collaborations":[49,170],"in":[50,67,84,95,196],"order":[51],"facilitate":[53],"design":[55,209],"of":[56,111,136,182],"systems":[57],"allow":[59],"for":[60,151,203],"more":[61,166,172],"efficient":[62],"collaboration.":[63,206],"APPROACH:":[64],"Eighty-four":[65],"eight":[68],"clinics":[69],"identified":[70,90,117,140],"their":[71,122,129,143],"two":[72],"most":[73,123,130,144],"recent":[74,124,145],"significant":[75],"collaborators":[76],"-":[77],"one":[78],"each":[79],"clinic":[82],"neighborhood.":[87],"They":[88],"also":[89],"communication":[92,104,152,221],"channels":[93,200],"used":[94,99,202],"collaborations.":[97],"We":[98],"k-means":[100],"clustering":[101],"identify":[103],"RESULTS:":[106],"Within":[107],"half":[110],"primary":[113],"care":[114,119],"providers":[115],"(PCPs)":[116],"a":[118],"manager":[120],"as":[121,142],"collaborator.":[125],"Outside":[126],"specialists":[127],"were":[128,165,171,190,201],"common":[131],"external":[132],"collaborators.":[133,147],"Ninety-two":[134],"percent":[135],"non-PCP":[138],"participants":[139],"PCP's":[141],"internal":[146],"best":[149],"model":[150],"channel":[153],"usage":[154],"(p":[155],"<":[156],".0001)":[157],"had":[158],"six":[159],"clusters.":[160],"In":[161],"general,":[162],"inside":[163],"communications":[164,176,217],"informal":[167],"but":[168],"often":[173],"formal":[174],"written":[175],"(faxes,":[177],"letters)":[178],"or":[179],"exchange":[181],"electronic":[183],"record":[185],"progress":[186],"notes.":[187],"But":[188],"there":[189],"exceptions":[191],"patterns":[194],"many":[197],"cases":[198],"multiple":[199],"same":[205],"CONCLUSION:":[207],"Systems":[208],"(and":[210],"redesign)":[211],"needs":[212],"focus":[214],"on":[215],"reducing":[216],"load":[218],"increasing":[220],"effectiveness":[222],"while":[223],"maintaining":[224],"flexibility.":[225]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2017-04-14T00:00:00"}
