A Help or a Hindrance: The Role of Electronic Health Records in Implementing New Practices in Community Mental Health Clinics.
A Help or a Hindrance: The Role of Electronic Health Records in Implementing New Practices in Community Mental Health Clinics.
复制标题
DOI：
10.1176/appi.ps.201900470
复制
发表时间：
2020-10-01
期刊：
影响因子：
--
通讯作者：
Stanhope V
中科院分区：
文献类型：
--
作者：
Matthews EB;Stanhope V
实践创新需要足够的组织资源。电子健康记录（EHR）是影响常规实践交付的关键组织资源，尽管其支持心理健康实践创新的能力在很大程度上是未知的。本研究探讨了社区精神卫生诊所（CMHC）提供者的忠诚度，以人为本的护理计划（PCCP），一个紧急的做法，以人为本的原则整合到精神卫生服务规划过程中的EHR可用性的影响。参与者包括在7个CMHC中实施PCCP的直接供应商和主管。使用3个时间点的378个服务计划的图表审查来衡量对PCCP的忠诚度。混合效应回归模型研究了EHR可用性对每个时间点PCCP保真度的影响。研究结果表明，电子病历并没有影响PCCP交付在基线，但正相关的保真度后实施。研究结果表明，电子病历是一种组织资源，可以支持实践创新的精神卫生与诊所范围内的实施工作配对时。
Practice innovation requires adequate organizational resources. Electronic health records (EHRs) are a key organizational resource impacting routine practice delivery, though their capacity to support practice innovation in mental health is largely unknown. This study examined the influence of EHR availability on community mental health clinic (CMHC) providers’ fidelity to Person-Centered Care Planning (PCCP), an emergent practice that integrates person-centered principles into the mental health service planning process. Participants included direct providers and supervisors implementing PCCP in 7 CMHCs. Fidelity to PCCP was measured using chart reviews of 378 service plans across 3 timepoints. Mixed effect regression models examined the influence of EHR availability on fidelity to PCCP at each timepoint. Findings suggest EHRs didn’t influence PCCP delivery at baseline but was positively associated with fidelity post-implementation. Findings suggest that EHRs are an organizational resource that can support practice innovation in mental health when paired with clinic-wide implementation efforts.
登录
查看更多内容
影响因子：
3.7
作者：
Ser G;Robertson A;Sheikh A
通讯作者：
Sheikh A
DOI：
10.1093/jamia/ocw021
发表时间：
2016-11-01
影响因子：
6.4
作者：
Madden, Jeanne M.;Lakoma, Matthew D.;Soumerai, Stephen B.
通讯作者：
Soumerai, Stephen B.
影响因子：
1.5
作者：
Kim, Joanna J.;Brookman-Frazee, Lauren;Lau, Anna S.
通讯作者：
Lau, Anna S.
DOI：
10.1007/s10488-008-0197-4
发表时间：
2009-01
影响因子：
2.6
作者：
Proctor, Enola K.;Landsverk, John;Aarons, Gregory;Chambers, David;Glisson, Charles;Mittman, Brian
通讯作者：
Mittman, Brian
影响因子：
3.8
作者：
Stanhope, Victoria;Ingoglia, Chuck;Marcus, Steven C.
通讯作者：
Marcus, Steven C.