Implementation of a Biopsychosocial History and Physical Exam Template in the Electronic Health Record: Mixed Methods Study.

ABSTRACT:

Background

Patients' perspectives and social contexts are critical for prevention of hospital readmissions; however, neither is routinely assessed using the traditional history and physical (H&P) examination nor commonly documented in the electronic health record (EHR). The H&P 360 is a revised H&P template that integrates routine assessment of patient perspectives and goals, mental health, and an expanded social history (behavioral health, social support, living environment and resources, function). Although the H&P 360 has shown promise in increasing psychosocial documentation in focused teaching contexts, its uptake and impact in routine clinical settings are unknown.

Objective

The aim of this study was to assess the feasibility, acceptability, and impact on care planning

SUBMITTER: Rieger EY 

PROVIDER: S-EPMC9993233 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature