The association between EHRs and care coordination varies by team cohesion.

ABSTRACT:

Objective

To examine whether primary care team cohesion changes the association between using an integrated outpatient-inpatient electronic health record (EHR) and clinician-rated care coordination across delivery sites.

Study design

Self-administered surveys of primary care clinicians in a large integrated delivery system, collected in 2005 (N=565), 2006 (N=678), and 2008 (N=626) during the staggered implementation of an integrated EHR (2005-2010), including validated questions on team cohesion. Using multivariable regression, we examined the combined effect of EHR use and team cohesion on three dimensions of care coordination across delivery sites: access to timely and complete information, treatment agreement, and responsibility agreement.

Principal findings

Among

SUBMITTER: Graetz I 

PROVIDER: S-EPMC3925412 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature