Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study.

Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study. Abstract Text:

Grace M Kuo,Patricia Dolan Mullen,Amy McQueen,Paul R Swank,John C Rogers,

INTRODUCTION: This study compared the frequency of oral counseling and written information by primary care physicians at paper medical record (PMR) clinics and electronic medical record (EMR) clinics, and assessed relationships between medication counseling and medication outcomes (knowledge, questions, reported adherence and side effects, and medication fill). METHODS: A cross-sectional study with two convenience samples of English-speaking adult patients receiving > or =1 prescription at the primary care index visit was conducted in two PMR clinics, with 184 (48% response) patients seen by one of 22 physicians, and in two EMR clinics, with 249 (37% response) patients seen by one of 25 physicians. Data were from medical record reviews of the index visit and 2-week post-visit telephone interviews. RESULTS: Three mutually exclusive counseling categories were evaluated. Patients received 1,095 prescriptions, 61% with oral counseling for indications, 21% with oral counseling for indications and side effects, and 12% with written information plus oral ("multi-mode") counseling. General linear mixed models found 1) less multi-mode counseling in PMR clinics (2%) than EMR clinics (20%); 2) PMR and EMR clinics were similar in oral counseling for indications and side effects; and 3) PMR clinics provided more oral counseling only for indications (69%) than EMR (53%) clinics. The impact of receiving oral or written counseling on patients' reports of having questions about their medications was inconclusive. Not receiving oral counseling for indications was associated with more questions, but not receiving written information was associated with fewer questions. Filling a prescription was lower when no oral counseling for indications and side effects was reported, but the absence of written information was associated with more prescriptions fills. CONCLUSIONS: Physicians' use of EMR to print medication information did not seem to compromise their oral counseling for medication indications and side effects. This feature of the EMR was underutilized by physicians; however, future studies addressing patient recall and evaluating the quality and content of medication counseling are needed.

Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study. Publishing Authors By Initials

GM Kuo,PD Mullen,A McQueen,PR Swank,JC Rogers,

For similar population characteristics: population: urban population research abstracts see: population characteristics: population: urban population research

PUBMED ID PMID:

MEDLINE DATE:

Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of the American Board of Family Medicine :

VOLUME: 20

Page Numbers: 164-73

Journal Abbreviation:

ISSN: 1557-2625

DAY: 3

MONTH: 12

YEAR: 2007

Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 101256526

Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study. Keywords Mesh Terms:

KEYWORDS: Urban Population

MESH TERMS: statistics & numerical data

Chemical & Substance for Abstract: Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study.

AFFILIATION: Department of Family and Community Medicine, Baylor College of Medicine, 3701 Kirby Drive, Houston, TX 77098, USA. gkuo@bcm.edu

Country: United States

AGENCY: United States NCI

GRANT: R25 CA 57712-11

ACRONYM: CA

MEDLINETA: J Am Board Fam Med

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network SPUR-Net study Related Publications

• A polymorphism in a conserved posttranscriptional regulatory motif alters bone morphogenetic protein 2 (BMP2) RNA:protein interactions.
• A preliminary study of screening for risk of autism in children with fragile X syndrome: testing two risk cut-offs for the Checklist for Autism in Toddlers.
• An evolutionary and molecular analysis of Bmp2 expression.
• Characterization of somatostatin receptor subtype 2 expression in stably transfected A-427 human cancer cells.
• Conservation of Bmp2 post-transcriptional regulatory mechanisms.
• Cross-sectional comparison of electronic and paper medical records on medication counseling in primary care clinics: a Southern Primary-Care Urban Research Network (SPUR-Net) study.
• Designing new microsatellite markers for linkage and population genetic analyses in rhesus macaques and other nonhuman primates.
• Differential effects of single versus multiple administrations of haloperidol and risperidone on functional outcome after experimental brain trauma.
• Early Experiential Effects on Laterality: Research on Chicks has Relevance to Other Species.
• Emotional responsivity in children with autism, children with other developmental disabilities, and children with typical development.
• Extraction of CEA from tumour tissue, foetal colon and patients' sera, and the effect of perchloric acid.
• From predicting mosquito habitat to malaria seasons using remotely sensed data: practice, problems and perspectives.
• Global environmental data for mapping infectious disease distribution.
• Leptin and thyrotropin-releasing hormone: cooperative action in the hindbrain to activate brown adipose thermogenesis.
• MicroPET imaging of breast cancer using radiolabeled bombesin analogs targeting the gastrin-releasing peptide receptor.
• Models for vectors and vector-borne diseases.
• Modulation of Bone Morphogenetic Protein (BMP) 2 gene expression by Sp1 transcription factors.
• Municipal healthcare workers: work-related health hazards.
• Neural basis of category-specific semantic deficits for living things: evidence from semantic dementia, HSVE and a neural network model.
• Nonsurgical collection of blastocysts from dairy goats.
• On the accuracy of techniques for obtaining the calibration coefficient N(K) of 192Ir HDR brachytherapy sources.
• Phylogenetic analysis of fungal centromere H3 proteins.
• Selective loss of high-frequency oscillations in phrenic and hypoglossal activity in the decerebrate rat during gasping.
• Statins: lower lipids and better bones?
• Three-dimensional visualization of microvessel architecture of whole-mount tissue by confocal microscopy.
• Tick-borne Disease Systems: Mapping Geographic and Phylogenetic Space.
• Time-frequency coherence analysis of phrenic and hypoglossal activity in the decerebrate rat during eupnea, hyperpnea, and gasping.
• Verifying liquid-handler performance for complex or nonaqueous reagents: a new approach.
• Visual Fixation Patterns during Reciprocal Social Interaction Distinguish a Subgroup of 6-Month-Old Infants At-Risk for Autism from Comparison Infants.
• Worksite health promotion: skills and functions of professional staff.