{"id":"https://openalex.org/W4283736103","doi":"https://doi.org/10.3233/shti220685","title":"The Impact of the COVID-19 Pandemic on Physician Electronic Health Record Use and Burden at a Canadian Mental Health Hospital","display_name":"The Impact of the COVID-19 Pandemic on Physician Electronic Health Record Use and Burden at a Canadian Mental Health Hospital","publication_year":2022,"publication_date":"2022-06-29","ids":{"openalex":"https://openalex.org/W4283736103","doi":"https://doi.org/10.3233/shti220685","pmid":"https://pubmed.ncbi.nlm.nih.gov/35773831"},"language":"en","primary_location":{"id":"doi:10.3233/shti220685","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti220685","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI220685","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI220685","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057651771","display_name":"Brian Lo","orcid":"https://orcid.org/0000-0003-1021-884X"},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Brian Lo","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024347831","display_name":"Lydia Sequeira","orcid":"https://orcid.org/0000-0002-2715-3918"},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Lydia Sequeira","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada","University of Toronto, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]},{"raw_affiliation_string":"University of Toronto, Toronto, ON, Canada","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024794642","display_name":"Anjchuca Karunaithas","orcid":null},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Anjchuca Karunaithas","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada","University of Toronto, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]},{"raw_affiliation_string":"University of Toronto, Toronto, ON, Canada","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091235259","display_name":"Gillian Strudwick","orcid":"https://orcid.org/0000-0002-1080-7372"},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Gillian Strudwick","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada","University of Toronto, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]},{"raw_affiliation_string":"University of Toronto, Toronto, ON, Canada","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070805920","display_name":"Damian Jankowicz","orcid":"https://orcid.org/0000-0002-0579-1337"},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Damian Jankowicz","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003472130","display_name":"Tania Tajirian","orcid":"https://orcid.org/0000-0003-0668-4397"},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Tania Tajirian","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada","University of Toronto, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]},{"raw_affiliation_string":"University of Toronto, Toronto, ON, Canada","institution_ids":["https://openalex.org/I185261750"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5003472130"],"corresponding_institution_ids":["https://openalex.org/I1338135719","https://openalex.org/I185261750"],"apc_list":null,"apc_paid":null,"fwci":8.4536,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.97127937,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":97},"biblio":{"volume":"295","issue":null,"first_page":"157","last_page":"160"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9952999949455261,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9952999949455261,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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":0.9797999858856201,"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/T11519","display_name":"Digital Mental Health Interventions","score":0.9477999806404114,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.8175897598266602},{"id":"https://openalex.org/keywords/pandemic","display_name":"Pandemic","score":0.6948317289352417},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.684453547000885},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.6836000084877014},{"id":"https://openalex.org/keywords/coronavirus-disease-2019","display_name":"Coronavirus disease 2019 (COVID-19)","score":0.6374397277832031},{"id":"https://openalex.org/keywords/mental-health","display_name":"Mental health","score":0.6293684840202332},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.6261815428733826},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5732678174972534},{"id":"https://openalex.org/keywords/focus-group","display_name":"Focus group","score":0.5028573870658875},{"id":"https://openalex.org/keywords/health-records","display_name":"Health records","score":0.45087406039237976},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.44887638092041016},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.3850690722465515},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.36895066499710083},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3248289227485657},{"id":"https://openalex.org/keywords/psychiatry","display_name":"Psychiatry","score":0.11723652482032776},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.1009874939918518},{"id":"https://openalex.org/keywords/infectious-disease","display_name":"Infectious disease (medical specialty)","score":0.08390152454376221},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.07999792695045471},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.07560873031616211},{"id":"https://openalex.org/keywords/disease","display_name":"Disease","score":0.07471972703933716}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.8175897598266602},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.6948317289352417},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.684453547000885},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.6836000084877014},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.6374397277832031},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6293684840202332},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6261815428733826},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5732678174972534},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5028573870658875},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.45087406039237976},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44887638092041016},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3850690722465515},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.36895066499710083},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3248289227485657},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.11723652482032776},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.1009874939918518},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.08390152454376221},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.07999792695045471},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.07560873031616211},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.07471972703933716},{"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/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","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/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006778","descriptor_name":"Hospitals, Psychiatric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006778","descriptor_name":"Hospitals, Psychiatric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006778","descriptor_name":"Hospitals, Psychiatric","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":"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":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","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},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti220685","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti220685","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI220685","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:35773831","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35773831","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":"Studies in health technology and informatics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.3233/shti220685","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti220685","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI220685","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8299999833106995,"id":"https://metadata.un.org/sdg/3"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4283736103.pdf","grobid_xml":"https://content.openalex.org/works/W4283736103.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W2142526493","https://openalex.org/W2416547532","https://openalex.org/W3031326545","https://openalex.org/W3042915862","https://openalex.org/W3045448862","https://openalex.org/W3092286735","https://openalex.org/W3096634645","https://openalex.org/W3144277597","https://openalex.org/W4242428206"],"related_works":["https://openalex.org/W3198269889","https://openalex.org/W1980878695","https://openalex.org/W2978914633","https://openalex.org/W322844111","https://openalex.org/W4300502024","https://openalex.org/W4287946196","https://openalex.org/W2155128311","https://openalex.org/W2087235874","https://openalex.org/W4281610442","https://openalex.org/W3211443502"],"abstract_inverted_index":{"The":[0],"COVID-19":[1],"Pandemic":[2],"has":[3],"significantly":[4],"changed":[5,45],"the":[6,18,24,47,51,108],"delivery":[7],"of":[8,15,20,26,63],"care":[9,95],"through":[10],"new":[11],"workflows":[12,122],"and":[13,50,68,79,110,123,138],"models":[14],"care.":[16],"However,":[17],"impact":[19,101],"these":[21,144],"changes":[22],"on":[23,102,135],"usage":[25,43,65,78],"electronic":[27],"health":[28,58],"record":[29],"(EHR)":[30],"systems":[31],"remains":[32],"unclear.":[33],"This":[34],"mixed":[35],"method":[36],"study":[37],"aims":[38],"to":[39,120,127,142],"understand":[40],"how":[41],"EHR":[42,64,77,109,112,129],"patterns":[44],"between":[46],"pandemic":[48],"onset":[49],"pre-pandemic":[52],"period":[53],"at":[54],"a":[55,69,89],"Canadian":[56],"mental":[57],"hospital,":[59],"using":[60],"an":[61,100],"analysis":[62],"log":[66],"data":[67],"qualitative":[70],"focus":[71,134],"group.":[72],"An":[73],"increase":[74],"in":[75,91],"after-hours":[76,111],"documentation":[80],"time":[81,103],"per":[82,105],"patient":[83,106],"was":[84],"observed,":[85],"as":[86,88],"well":[87],"decrease":[90],"order":[92],"time.":[93],"Virtual":[94],"(VC)":[96],"use":[97],"also":[98],"had":[99],"spent":[104],"within":[107],"usage.":[113],"Qualitative":[114],"results":[115],"highlighted":[116],"physician":[117],"concerns":[118],"related":[119],"VC":[121],"documentation,":[124],"which":[125],"contributed":[126],"additional":[128],"burden.":[130],"Future":[131],"work":[132],"should":[133],"different":[136],"contexts":[137],"developing":[139],"relevant":[140],"interventions":[141],"address":[143],"issues.":[145]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1}],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}