{"id":"https://openalex.org/W2804892495","doi":null,"title":"Electronic health record \"super-users\" and \"under-users\" in ambulatory care practices.","display_name":"Electronic health record \"super-users\" and \"under-users\" in ambulatory care practices.","publication_year":2018,"publication_date":"2018-01-01","ids":{"openalex":"https://openalex.org/W2804892495","mag":"2804892495","pmid":"https://pubmed.ncbi.nlm.nih.gov/29350506","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6556122"},"language":"en","primary_location":{"id":"pmid:29350506","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29350506","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":"The American journal of managed care","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6556122/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055764815","display_name":"Juliet Rumball\u2010Smith","orcid":"https://orcid.org/0000-0001-8090-4955","observed_orcids":["https://orcid.org/0000-0001-8090-4955"]},"institutions":[{"id":"https://openalex.org/I4210091885","display_name":"Northland District Health Board","ror":"https://ror.org/00cb76512","country_code":"NZ","type":"healthcare","lineage":["https://openalex.org/I4210091885","https://openalex.org/I4405259026"]}],"countries":["NZ"],"is_corresponding":false,"raw_author_name":"Juliet Rumball-Smith","raw_affiliation_strings":["Tohora House, Northland District Health Board, Whangarei 0110, New Zealand. Email: jrs@health.rumballsmith.nz"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tohora House, Northland District Health Board, Whangarei 0110, New Zealand. Email: jrs@health.rumballsmith.nz","institution_ids":["https://openalex.org/I4210091885"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109914479","display_name":"Paul Shekelle","orcid":"https://orcid.org/0000-0002-2764-4610","observed_orcids":["https://orcid.org/0000-0002-2764-4610"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Paul Shekelle","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5052533989","display_name":"Cheryl L. Damberg","orcid":"https://orcid.org/0000-0001-8169-9420","observed_orcids":["https://orcid.org/0000-0001-8169-9420"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cheryl L Damberg","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.9872,"has_fulltext":false,"cited_by_count":18,"citation_normalized_percentile":{"value":0.90657483,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"24","issue":"1","first_page":"26","last_page":"31"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":1.0,"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"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":1.0,"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/T14400","display_name":"Medical Coding and Health Information","score":9.999999747378752e-05,"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/T10391","display_name":"Healthcare Policy and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.9959999918937683},{"id":"https://openalex.org/keywords/health-information-technology-use","display_name":"health information technology use","score":0.7149999737739563},{"id":"https://openalex.org/keywords/practice-size","display_name":"practice size","score":0.8629999756813049},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.5590000152587891},{"id":"https://openalex.org/keywords/regional-variation","display_name":"regional variation","score":0.7289999723434448}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7128918170928955},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6167408227920532},{"id":"https://openalex.org/C158739034","wikidata":"https://www.wikidata.org/wiki/Q1907114","display_name":"Metropolitan area","level":2,"score":0.598135232925415},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.5629291534423828},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5455387234687805},{"id":"https://openalex.org/C132829578","wikidata":"https://www.wikidata.org/wiki/Q581151","display_name":"Situated","level":2,"score":0.5367748737335205},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5204598903656006},{"id":"https://openalex.org/C79158427","wikidata":"https://www.wikidata.org/wiki/Q485396","display_name":"Analytics","level":2,"score":0.4980599880218506},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.4971669018268585},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.483075886964798},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4138907492160797},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.411376416683197},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3686676025390625},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.2494354546070099},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.08785432577133179},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"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/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:29350506","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29350506","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":"The American journal of managed care","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6556122","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6556122/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Am J Manag Care","raw_type":"Text"},{"id":"mag:2804892495","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29350506","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":{"id":"pmh:oai:pubmedcentral.nih.gov:6556122","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6556122/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Am J Manag Care","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W175894148","https://openalex.org/W1937693759","https://openalex.org/W1963918827","https://openalex.org/W1973135779","https://openalex.org/W1981900943","https://openalex.org/W2034898504","https://openalex.org/W2103660738","https://openalex.org/W2123623348","https://openalex.org/W2138680012","https://openalex.org/W2141847884","https://openalex.org/W2155857546","https://openalex.org/W2160379455","https://openalex.org/W2160676411","https://openalex.org/W2265839064","https://openalex.org/W2290173036","https://openalex.org/W2339422534","https://openalex.org/W2406522070","https://openalex.org/W2416586052","https://openalex.org/W2528022616","https://openalex.org/W3024511163"],"related_works":["https://openalex.org/W2114032884","https://openalex.org/W3154988537","https://openalex.org/W2119404293","https://openalex.org/W7203925444","https://openalex.org/W349021257","https://openalex.org/W2102563343","https://openalex.org/W2112247166","https://openalex.org/W2158584525","https://openalex.org/W2992355605","https://openalex.org/W2016407246"],"abstract_inverted_index":{"OBJECTIVES:":[0],"This":[1],"study":[2],"explored":[3],"variation":[4],"in":[5,30,42,216],"the":[6,53,77,109,119,138,166,217,228,232],"extent":[7,78,120],"of":[8,10,26,65,79,81,103,121,137,141,154,168,187,212,231,251],"use":[9,80,125,153,250],"electronic":[11],"health":[12,15,27,83,104,122,142,155,235,237,252],"record":[13],"(EHR)-based":[14],"information":[16],"technology":[17],"(IT)":[18],"functionalities":[19,29,85,144],"across":[20,126],"US":[21],"ambulatory":[22,31,67,97],"care":[23,32,98],"practices.":[24],"Use":[25],"IT":[28,84,105,123,143,156,253],"is":[33],"important":[34],"for":[35,86,95],"delivering":[36],"high-quality":[37],"care,":[38],"including":[39],"that":[40],"provided":[41],"coordination":[43],"with":[44,69,149],"multiple":[45],"practitioners.":[46],"STUDY":[47],"DESIGN:":[48],"We":[49,90,158],"used":[50,159],"data":[51],"from":[52,108],"2014":[54],"Healthcare":[55],"Information":[56],"and":[57,145,170,181,198,219,234,239,245],"Management":[58],"Systems":[59],"Society":[60],"Analytics":[61],"survey.":[62],"The":[63],"responses":[64],"30,123":[66],"practices":[68,99,130,188,206],"an":[70],"operational":[71],"EHR":[72,192,233],"were":[73,131,189,201,207],"analyzed":[74],"to":[75,163,194,210,243,248],"examine":[76],"EHR-based":[82],"each":[87],"practice.":[88],"METHODS:":[89],"created":[91,113],"a":[92,114,222],"novel":[93],"framework":[94],"classifying":[96],"employing":[100],"7":[101,139],"domains":[102,140],"functionality.":[106],"Drawing":[107],"survey":[110],"responses,":[111],"we":[112],"composite":[115],"\"use\"":[116],"variable":[117],"indicating":[118],"functionality":[124],"these":[127],"domains.":[128],"\"Super-user\"":[129],"defined":[132],"as":[133,147,203],"having":[134],"near-full":[135],"employment":[136],"\"under-users\"":[146],"those":[148],"minimal":[150],"or":[151,178],"no":[152],"functionalities.":[157,254],"multivariable":[160],"logistic":[161],"regression":[162],"investigate":[164],"how":[165],"odds":[167],"super-use":[169],"under-use":[171],"varied":[172],"by":[173],"practice":[174],"size,":[175,214],"type,":[176],"urban":[177],"rural":[179],"location,":[180],"geographic":[182],"region.":[183],"RESULTS:":[184],"Seventy-three":[185],"percent":[186],"not":[190],"using":[191],"technologies":[193],"their":[195],"full":[196,249],"capability,":[197],"nearly":[199],"40%":[200],"classified":[202],"under-users.":[204],"Under-user":[205],"more":[208],"likely":[209],"be":[211],"smaller":[213],"situated":[215],"West,":[218],"located":[220],"outside":[221],"metropolitan":[223],"area.":[224],"CONCLUSIONS:":[225],"To":[226],"achieve":[227],"broader":[229],"benefits":[230],"IT,":[236],"systems":[238],"policy":[240],"makers":[241],"need":[242],"identify":[244],"address":[246],"barriers":[247]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2018-06-01T00:00:00"}
