{"id":"https://openalex.org/W7168282982","doi":"https://doi.org/10.2196/preprints.107010","title":"Implementation, Use, and Quality of the National Electronic Health Record in Germany: Protocol for an Observational Cohort Study of Healthcare Providers and Patients (Preprint)","display_name":"Implementation, Use, and Quality of the National Electronic Health Record in Germany: Protocol for an Observational Cohort Study of Healthcare Providers and Patients (Preprint)","publication_year":2026,"publication_date":"2026-07-14","ids":{"openalex":"https://openalex.org/W7168282982","doi":"https://doi.org/10.2196/preprints.107010"},"language":"en","primary_location":{"id":"doi:10.2196/preprints.107010","doi":"https://doi.org/10.2196/preprints.107010","is_oa":true,"landing_page_url":"https://doi.org/10.2196/preprints.107010","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.2196/preprints.107010","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5134547053","display_name":"Pascal Raszke","orcid":"https://orcid.org/0009-0008-6538-0733","observed_orcids":["https://orcid.org/0009-0008-6538-0733"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pascal Raszke","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0008-6538-0733","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037192268","display_name":"Timo Neunaber","orcid":"https://orcid.org/0000-0001-9787-9805","observed_orcids":["https://orcid.org/0000-0001-9787-9805"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Timo Neunaber","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-9787-9805","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042006869","display_name":"Isabel Richter","orcid":"https://orcid.org/0009-0008-9785-1480","observed_orcids":["https://orcid.org/0009-0008-9785-1480"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Isabel Richter","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0008-9785-1480","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092923446","display_name":"Vera Weirauch","orcid":"https://orcid.org/0009-0002-7473-6371","observed_orcids":["https://orcid.org/0009-0002-7473-6371"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vera Weirauch","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0002-7473-6371","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065209632","display_name":"Sophie Peter","orcid":"https://orcid.org/0000-0003-1014-5142","observed_orcids":["https://orcid.org/0000-0003-1014-5142","https://orcid.org/0009-0001-9545-9759"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sophie Peter","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-1014-5142","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043596361","display_name":"Achim Mortsiefer","orcid":"https://orcid.org/0000-0001-9901-1727","observed_orcids":["https://orcid.org/0000-0001-9901-1727"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Achim Mortsiefer","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-9901-1727","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085007372","display_name":"Margarete Gasch","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Margarete Gasch","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140706117","display_name":"Liv Jansen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Liv Jansen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093128455","display_name":"Berit Schoppen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Berit Schoppen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140714920","display_name":"Claudia Gertzobe","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Claudia Gertzobe","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005346753","display_name":"Kerstin Hermes-Moll","orcid":"https://orcid.org/0000-0003-0176-5569","observed_orcids":["https://orcid.org/0000-0003-0176-5569"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kerstin Hermes-Moll","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-0176-5569","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140597324","display_name":"Silke Hochheim","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Silke Hochheim","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140643843","display_name":"Daniela Vakalopoulos","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniela Vakalopoulos","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140656673","display_name":"Fatima Amjahad","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Fatima Amjahad","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046105367","display_name":"Matthias Brittner","orcid":"https://orcid.org/0009-0005-7829-6387","observed_orcids":["https://orcid.org/0009-0005-7829-6387"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Matthias Brittner","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140609954","display_name":"Vanessa Kalka-Prein","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vanessa Kalka-Prein","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140608287","display_name":"Marco Luzius","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marco Luzius","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140666304","display_name":"Lea Nehm","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lea Nehm","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140591289","display_name":"Burkhard Fischer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Burkhard Fischer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140636423","display_name":"Klaus Kalkreuter","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Klaus Kalkreuter","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5074366005","display_name":"Sven Meister","orcid":"https://orcid.org/0000-0003-0522-986X","observed_orcids":["https://orcid.org/0000-0003-0522-986X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sven Meister","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-0522-986X","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"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":0.0,"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/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.7940000295639038},{"id":"https://openalex.org/keywords/health-information-technology-implementation","display_name":"health information technology implementation","score":0.5839999914169312},{"id":"https://openalex.org/keywords/implementation-barriers-and-facilitators","display_name":"implementation barriers and facilitators","score":0.8999999761581421},{"id":"https://openalex.org/keywords/healthcare-provider-perspectives","display_name":"healthcare provider perspectives","score":0.718999981880188},{"id":"https://openalex.org/keywords/patient-perspectives","display_name":"patient perspectives","score":0.9819999933242798},{"id":"https://openalex.org/keywords/statutory-health-insurance","display_name":"statutory health insurance","score":0.6639999747276306},{"id":"https://openalex.org/keywords/digitalization-of-healthcare","display_name":"digitalization of healthcare","score":0.5199999809265137},{"id":"https://openalex.org/keywords/implementation-support","display_name":"implementation support","score":0.5730000138282776},{"id":"https://openalex.org/keywords/administrative-claims-data","display_name":"administrative claims data","score":0.5590000152587891},{"id":"https://openalex.org/keywords/workflow-barriers","display_name":"workflow barriers","score":0.43299999833106995},{"id":"https://openalex.org/keywords/organizational-support","display_name":"organizational support","score":0.5090000033378601}],"concepts":[{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5582000017166138},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5537999868392944},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5443999767303467},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5442000031471252},{"id":"https://openalex.org/C201305675","wikidata":"https://www.wikidata.org/wiki/Q852998","display_name":"Stakeholder","level":2,"score":0.5217000246047974},{"id":"https://openalex.org/C154775046","wikidata":"https://www.wikidata.org/wiki/Q188","display_name":"German","level":2,"score":0.48739999532699585},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4821999967098236},{"id":"https://openalex.org/C158129432","wikidata":"https://www.wikidata.org/wiki/Q7766927","display_name":"Statutory law","level":2,"score":0.47279998660087585},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.45719999074935913},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.45590001344680786},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.41830000281333923},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.41819998621940613},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.4122999906539917},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.41119998693466187},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.3939000070095062},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.3871000111103058},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.38029998540878296},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.37709999084472656},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.37380000948905945},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.36419999599456787},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.33959999680519104},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.33739998936653137},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.3345000147819519},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.3278999924659729},{"id":"https://openalex.org/C44280652","wikidata":"https://www.wikidata.org/wiki/Q104837","display_name":"Phase (matter)","level":2,"score":0.305400013923645},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.29679998755455017},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.2856999933719635},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.2847000062465668},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.2833999991416931},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.2802000045776367},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.2777999937534332},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2727000117301941},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.27140000462532043},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.2694999873638153},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.26750001311302185},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.26010000705718994},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.25929999351501465},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.2572999894618988},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.25619998574256897},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.2556999921798706}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2196/preprints.107010","doi":"https://doi.org/10.2196/preprints.107010","is_oa":true,"landing_page_url":"https://doi.org/10.2196/preprints.107010","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.2196/preprints.107010","doi":"https://doi.org/10.2196/preprints.107010","is_oa":true,"landing_page_url":"https://doi.org/10.2196/preprints.107010","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.4000000059604645}],"study_designs":[{"id":"https://openalex.org/study-designs/study-protocol","display_name":"Study Protocol"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7133690738","https://openalex.org/W7130596674","https://openalex.org/W4323908118","https://openalex.org/W7170187726","https://openalex.org/W4394568137","https://openalex.org/W7079676620","https://openalex.org/W7170871525","https://openalex.org/W2624877633","https://openalex.org/W3089037107","https://openalex.org/W4403824011"],"abstract_inverted_index":{"BACKGROUND":[0],"The":[1,87,110,139,177,215,277,383],"nationwide":[2,340],"rollout":[3,365],"of":[4,24,45,57,107,130,148,194,204,226,234,284,303,324,342,353,389],"the":[5,25,46,55,58,100,108,128,135,192,195,227,282,304,325,339,343,370,390],"opt-out":[6],"electronic":[7],"health":[8,52,403],"record":[9],"(abbreviation:":[10],"eHR;":[11],"German:":[12],"Elektronische":[13],"Patientenakte,":[14],"abbreviation:":[15],"ePA)":[16],"in":[17,146,186,345],"Germany":[18,346],"represents":[19],"a":[20,142,149,181,187],"major":[21],"digital":[22,402],"transformation":[23],"healthcare":[26,32],"system.":[27],"Despite":[28],"being":[29],"mandatory":[30],"for":[31,399],"providers":[33],"(HCPs)":[34],"since":[35],"October":[36],"2025":[37],"and":[38,75,78,83,97,104,116,124,132,162,168,170,199,220,244,258,267,286,289,297,317,330,347,360,367,392,396],"available":[39],"by":[40,62],"default":[41],"to":[42,92,99,190,252,374],"nearly":[43],"90%":[44],"German":[47,196],"population":[48],"insured":[49],"under":[50],"statutory":[51],"insurance":[53],"(SHI),":[54],"implementation":[56,120,254,299,341,355,381],"eHR":[59,326,344,391],"is":[60,372],"accompanied":[61],"substantial":[63],"uncertainties.":[64],"Successful":[65],"adoption":[66],"depends":[67],"on":[68,180,294],"SHI":[69],"funds":[70],"as":[71,73,270,272],"well":[72,271],"HCP":[74],"patient":[76],"engagement,":[77],"requires":[79],"overcoming":[80],"technical,":[81,295],"organizational,":[82,296],"workflow-related":[84,298],"barriers.":[85,300],"OBJECTIVE":[86],"ePA.IMPULS":[88,336],"research":[89],"project":[90,140,371],"aims":[91],"systematically":[93],"identify":[94],"key":[95],"facilitators":[96],"barriers":[98],"successful":[101],"implementation,":[102,158],"use,":[103,123],"perceived":[105,259],"benefits":[106,126],"eHR.":[109,197],"study":[111,151,178],"evaluates":[112],"how":[113],"structured":[114,152],"technical":[115],"organizational":[117],"support":[118,238],"influences":[119],"processes,":[121],"system":[122],"care-related":[125],"from":[127,237],"perspectives":[129,156,166,333],"HCPs":[131,319],"patients":[133],"during":[134],"national":[136],"rollout.":[137],"METHODS":[138],"employs":[141],"longitudinal":[143],"mixed-methods":[144],"design":[145],"terms":[147],"cohort":[150],"across":[153,320,363],"4":[154,171],"analytical":[155],"(launch,":[157],"use":[159,256],"&":[160],"acceptance,":[161],"benefit),":[163],"2":[164],"stakeholder":[165,368],"(HCPs":[167],"patients),":[169],"time":[172],"points":[173],"(t0":[174],"\u2013":[175,328],"t3).":[176],"builds":[179],"pilot":[182,188,206,228,278],"phase":[183,207,279],"(t-1)":[184,280,306],"conducted":[185],"region":[189],"test":[191],"launch":[193],"Practices":[198],"hospitals":[200,221],"that":[201,222],"were":[202,223],"part":[203,225],"this":[205],"represent":[208],"an":[209,349],"intervention":[210,285],"group":[211,217],"receiving":[212],"intensive":[213],"support.":[214],"control":[216,287],"comprises":[218],"practices":[219],"not":[224],"phase.":[229],"Quantitative":[230],"surveys,":[231],"qualitative":[232,273,361],"analyses":[233,302],"free-text":[235],"entries":[236],"or":[239],"feedback":[240],"systems,":[241],"focus":[242],"groups,":[243],"linked":[245],"administrative":[246],"claims":[247],"data":[248,293,307],"will":[249,262,314,385],"be":[250,263],"used":[251],"assess":[253],"challenges,":[255],"patterns,":[257],"benefits.":[260],"Data":[261],"analyzed":[264],"using":[265],"descriptive":[266],"inferential":[268],"statistics":[269],"content":[274],"analysis.":[275],"RESULTS":[276],"enabled":[281],"establishment":[283],"groups":[288],"generated":[290],"comprehensive":[291],"baseline":[292],"Retrospective":[301],"pilot-phase":[305],"have":[308],"been":[309],"completed.":[310],"Subsequent":[311],"follow-up":[312],"assessments":[313],"compare":[315],"supported":[316],"unsupported":[318],"multiple":[321,364],"functional":[322],"expansions":[323],"(t1":[327],"t3)":[329],"integrate":[331],"patients\u2019":[332],"(t1).":[334],"CONCLUSIONS":[335],"prospectively":[337],"accompanies":[338],"provides":[348],"empirically":[350],"grounded":[351],"assessment":[352],"real-world":[354],"processes.":[356],"By":[357],"combining":[358],"quantitative":[359],"evidence":[362],"phases":[366],"perspectives,":[369],"expected":[373],"generate":[375],"actionable,":[376],"policy-relevant":[377],"insights":[378],"into":[379],"effective":[380],"strategies.":[382],"findings":[384],"inform":[386],"iterative":[387],"improvements":[388],"offer":[393],"transferable":[394],"methodological":[395],"practical":[397],"guidance":[398],"future":[400],"large-scale":[401],"initiatives.":[404]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-07-15T00:00:00"}