{"id":"https://openalex.org/W4306898418","doi":"https://doi.org/10.1093/jamia/ocac191","title":"Distinct components of alert fatigue in physicians\u2019 responses to a noninterruptive clinical decision support alert","display_name":"Distinct components of alert fatigue in physicians\u2019 responses to a noninterruptive clinical decision support alert","publication_year":2022,"publication_date":"2022-10-20","ids":{"openalex":"https://openalex.org/W4306898418","doi":"https://doi.org/10.1093/jamia/ocac191","pmid":"https://pubmed.ncbi.nlm.nih.gov/36264258"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocac191","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocac191","pdf_url":"https://academic.oup.com/jamia/article-pdf/30/1/64/47829407/ocac191.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/30/1/64/47829407/ocac191.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5105842465","display_name":"Douglas A. Murad","orcid":null},"institutions":[{"id":"https://openalex.org/I1343052199","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1343052199"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Douglas A Murad","raw_affiliation_strings":["Medical Informatics, Kaiser Permanente Southern California , San Diego, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Informatics, Kaiser Permanente Southern California , San Diego, CA, USA","institution_ids":["https://openalex.org/I1343052199"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034230547","display_name":"Yusuke Tsugawa","orcid":"https://orcid.org/0000-0002-1937-4833"},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yusuke Tsugawa","raw_affiliation_strings":["Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine at UCLA , Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine at UCLA , Los Angeles, CA, USA","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070990818","display_name":"David Elashoff","orcid":"https://orcid.org/0000-0002-5865-8580"},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David A Elashoff","raw_affiliation_strings":["Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine at UCLA , Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine at UCLA , Los Angeles, CA, USA","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103962261","display_name":"Kevin Baldwin","orcid":null},"institutions":[{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"funder","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kevin M Baldwin","raw_affiliation_strings":["UCLA Health Information Technology , Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Health Information Technology , Los Angeles, CA, USA","institution_ids":["https://openalex.org/I2799798094"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063670687","display_name":"Douglas S. Bell","orcid":"https://orcid.org/0000-0002-5063-8294"},"institutions":[{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"funder","lineage":["https://openalex.org/I2799798094"]},{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Douglas S Bell","raw_affiliation_strings":["Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine at UCLA , Los Angeles, CA, USA","UCLA Health Information Technology , Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Department of Medicine, David Geffen School of Medicine at UCLA , Los Angeles, CA, USA","institution_ids":["https://openalex.org/I161318765"]},{"raw_affiliation_string":"UCLA Health Information Technology , Los Angeles, CA, USA","institution_ids":["https://openalex.org/I2799798094"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5063670687"],"corresponding_institution_ids":["https://openalex.org/I161318765","https://openalex.org/I2799798094"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":4.5814,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.95588171,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"30","issue":"1","first_page":"64","last_page":"72"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.5026999711990356,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.5026999711990356,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.37459999322891235,"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/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":0.015399999916553497,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.7726219892501831},{"id":"https://openalex.org/keywords/depression","display_name":"Depression (economics)","score":0.6866025924682617},{"id":"https://openalex.org/keywords/quartile","display_name":"Quartile","score":0.6814711689949036},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.5406560301780701},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.531338095664978},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.4573887884616852},{"id":"https://openalex.org/keywords/ambulatory","display_name":"Ambulatory","score":0.4327489733695984},{"id":"https://openalex.org/keywords/audit","display_name":"Audit","score":0.42290422320365906},{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.4162837266921997},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.411082923412323},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.32062727212905884},{"id":"https://openalex.org/keywords/confidence-interval","display_name":"Confidence interval","score":0.19593685865402222},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.09967944025993347}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7726219892501831},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.6866025924682617},{"id":"https://openalex.org/C68443243","wikidata":"https://www.wikidata.org/wiki/Q2786686","display_name":"Quartile","level":3,"score":0.6814711689949036},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5406560301780701},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.531338095664978},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4573887884616852},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.4327489733695984},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.42290422320365906},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.4162837266921997},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.411082923412323},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32062727212905884},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.19593685865402222},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09967944025993347},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","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},{"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/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1093/jamia/ocac191","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocac191","pdf_url":"https://academic.oup.com/jamia/article-pdf/30/1/64/47829407/ocac191.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:36264258","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36264258","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,"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":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:ark:/13030/qt3nk9w3p8","is_oa":false,"landing_page_url":null,"pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},{"id":"pmh:oai:escholarship.org:ark:/13030/qt3nk9w3p8","is_oa":false,"landing_page_url":"https://escholarship.org/uc/item/3nk9w3p8","pdf_url":null,"source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of the American Medical Informatics Association, vol 30, iss 1","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9748542","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9748542","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,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocac191","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocac191","pdf_url":"https://academic.oup.com/jamia/article-pdf/30/1/64/47829407/ocac191.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, Justice and strong institutions","score":0.5799999833106995}],"awards":[{"id":"https://openalex.org/G1447258349","display_name":null,"funder_award_id":"TL1TR001883","funder_id":"https://openalex.org/F4320337870","funder_display_name":"Clinical and Translational Science Institute, University of California, Los Angeles"},{"id":"https://openalex.org/G2748059289","display_name":null,"funder_award_id":"TL1TR001883","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G6347781248","display_name":null,"funder_award_id":"TL1TR001883","funder_id":"https://openalex.org/F4320337472","funder_display_name":"National Center for Advancing Translational Sciences"},{"id":"https://openalex.org/G7143140379","display_name":null,"funder_award_id":"TL1TR001883","funder_id":"https://openalex.org/F4320334246","funder_display_name":"Clinical and Translational Science Institute, University of Minnesota"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332502","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60"},{"id":"https://openalex.org/F4320334246","display_name":"Clinical and Translational Science Institute, University of Minnesota","ror":null},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"},{"id":"https://openalex.org/F4320337870","display_name":"Clinical and Translational Science Institute, University of California, Los Angeles","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4306898418.pdf","grobid_xml":"https://content.openalex.org/works/W4306898418.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W1155385988","https://openalex.org/W1968592812","https://openalex.org/W2004953943","https://openalex.org/W2005867789","https://openalex.org/W2021751247","https://openalex.org/W2043736628","https://openalex.org/W2044859414","https://openalex.org/W2102704809","https://openalex.org/W2110922423","https://openalex.org/W2111489845","https://openalex.org/W2116329141","https://openalex.org/W2132322340","https://openalex.org/W2136115801","https://openalex.org/W2136636673","https://openalex.org/W2150923182","https://openalex.org/W2167549250","https://openalex.org/W2491185291","https://openalex.org/W2564966959","https://openalex.org/W2605753964","https://openalex.org/W2612251907","https://openalex.org/W2794452209","https://openalex.org/W2799949975","https://openalex.org/W2809750665","https://openalex.org/W3018217315"],"related_works":["https://openalex.org/W4297998612","https://openalex.org/W2618286804","https://openalex.org/W2329643025","https://openalex.org/W2002770077","https://openalex.org/W3131163342","https://openalex.org/W2092256833","https://openalex.org/W2142369114","https://openalex.org/W2361728394","https://openalex.org/W2166271660","https://openalex.org/W3089582840"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Clinical":[1],"decision":[2],"support":[3],"(CDS)":[4],"alerts":[5,25,100,112,166,190],"may":[6],"improve":[7],"health":[8,54],"care":[9],"quality":[10],"but":[11],"\"alert":[12],"fatigue\"":[13],"can":[14],"reduce":[15],"provider":[16,27,116],"responsiveness.":[17],"We":[18,38,92],"analyzed":[19,39],"how":[20],"the":[21,40,83,90,94,103,107,114,120,125,164,168,192,197,205,213,228,234],"introduction":[22],"of":[23,46,74,85,96,109,127,199,209,248],"competing":[24,97],"affected":[26],"adherence":[28,79,200],"to":[29,176,219],"a":[30,47,51,66,72,220,246],"single":[31],"depression":[32,62,128,140,222],"screening":[33],"alert.":[34,91],"MATERIALS":[35],"AND":[36],"METHODS:":[37],"audit":[41],"data":[42],"from":[43],"all":[44,110],"occurrences":[45],"CDS":[48,111],"alert":[49,68,130,141,210,223,231,243,249],"at":[50],"large":[52],"academic":[53],"system.":[55],"For":[56],"patients":[57,154],"who":[58,161],"screen":[59,129],"positive":[60],"for":[61,133],"during":[63,102,143],"ambulatory":[64],"visits,":[65],"noninterruptive":[67,221],"was":[69,80,224],"presented,":[70],"offering":[71],"number":[73],"relevant":[75],"documentation":[76],"actions.":[77],"Alert":[78],"defined":[81],"as":[82,245],"selection":[84],"any":[86],"option":[87],"offered":[88],"within":[89],"assessed":[93],"effect":[95],"clinical":[98],"guidance":[99],"presented":[101],"same":[104,115,193],"encounter":[105],"and":[106,135,151],"total":[108],"that":[113],"had":[117,162],"seen":[118,163],"in":[119,167,191,204,212],"prior":[121,169,214],"90":[122,170,215],"days,":[123],"on":[124],"probability":[126],"adherence,":[131],"adjusting":[132],"physician":[134],"patient":[136],"characteristics.":[137],"RESULTS:":[138],"The":[139],"fired":[142],"55":[144],"649":[145],"office":[146],"visits":[147],"involving":[148],"418":[149],"physicians":[150,160,203],"40":[152],"474":[153],"over":[155,233],"41":[156],"months.":[157],"After":[158],"adjustment,":[159],"most":[165],"days":[171],"were":[172],"much":[173],"less":[174],"likely":[175],"respond":[177],"(adjusted":[178],"OR":[179],"highest-lowest":[180],"quartile,":[181],"0.38;":[182],"95%":[183],"CI":[184],"0.35-0.42;":[185],"P":[186],"<":[187],".001).":[188],"Competing":[189],"visit":[194],"further":[195],"reduced":[196],"likelihood":[198],"only":[201],"among":[202],"middle":[206],"two":[207],"quartiles":[208],"exposure":[211,232,244],"days.":[216],"CONCLUSIONS:":[217],"Adherence":[218],"strongly":[225],"associated":[226],"with":[227],"provider's":[229],"cumulative":[230],"past":[235],"quarter.":[236],"Health":[237],"systems":[238],"should":[239],"monitor":[240],"providers'":[241],"recent":[242],"measure":[247],"fatigue.":[250]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":3}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}
