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Bergstein VE, Lu AZ, Hodgens BH, Bodendorfer BM, DeFroda SF, Kaplan J, Aiyer AA. Fantasy football points capture performance declines in National Football League offensive skill players following an ankle injury. J Orthop 2024; 52:124-128. [PMID: 38596620 PMCID: PMC10999692 DOI: 10.1016/j.jor.2024.03.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Revised: 03/24/2024] [Accepted: 03/26/2024] [Indexed: 04/11/2024] Open
Abstract
Background The ankle is one of the anatomic sites most frequently injured in National Football League (NFL) players. Ankle injuries have previously been shown to have long-lasting negative impacts, and have been associated with impaired athletic performance. The aim of this study was to use fantasy football points as a metric to evaluate the impact of ankle injuries on NFL offensive skill player performance. Methods An open-access online database was used to identify NFL players who sustained ankle injuries from 2009 to 2020. Another public online database was used to determine fantasy points and other performance metrics for injured offensive skill players in the seasons before and after their ankle injury. Injured players were matched to a healthy control by position, age, and BMI. Paired T-tests were performed to evaluate performance metrics before and after the ankle injury. An ANCOVA was performed to assess the effect of return to play (RTP) time and injury type on fantasy performance. Results 303 players with ankle injuries were included. Fantasy output, including average points per game (PPG) and total fantasy points accrued in one season, significantly decreased in the season following a player's ankle injury (p < 0.0001). In running backs, tight ends, and wide receivers, performance significantly decreased in every metric evaluated (p < 0.0001). In quarterbacks, there was no significant change in performance, except for a decrease in the number of games played (p = 0.0033) and in the number of interceptions thrown (p = 0.029). Conclusion Assessing fantasy football output revealed a decrease in player performance in the season following an ankle injury, especially in route-running players. These results can be used to inform injury prevention and rehabilitation practices in the NFL.
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Affiliation(s)
| | - Amy Z. Lu
- Weill Cornell Medical College, New York, NY, USA
| | - Blake H. Hodgens
- Department of Orthopaedic Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC, USA
| | | | - Steven F. DeFroda
- Missouri Orthopaedic Institute, University of Missouri Healthcare, Columbia, MO, USA
| | - Jonathan Kaplan
- Duke Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA
| | - Amiethab A. Aiyer
- Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, MD, USA
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Liegl G, Fischer FH, Woodward M, Török M, Strippoli GFM, Hegbrant J, Davenport A, Cromm K, Canaud B, Bots ML, Blankestijn PJ, Barth C, Fischer KI, Rose M. Physical performance tasks were linked to the PROMIS physical function metric in patients undergoing hemodialysis. J Clin Epidemiol 2023; 159:128-138. [PMID: 37105321 PMCID: PMC10495039 DOI: 10.1016/j.jclinepi.2023.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 03/27/2023] [Accepted: 04/19/2023] [Indexed: 04/29/2023]
Abstract
OBJECTIVES To investigate whether a multi-item performance outcome measure, the physical performance test (PPT), can be calibrated to a common scale with patient-reported outcome measures, using the Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF) metric. STUDY DESIGN AND SETTING We analyzed baseline data (N = 1,113) from the CONVINCE study, an international trial in end-stage kidney disease patients comparing high-dose hemodiafiltration with high-flux hemodialysis. Assumptions of item response theory (IRT) modelling were investigated for the combined set of the nine-item PPT and a four-item PROMIS PF short form (PROMIS-PF4a). We applied unidimensional IRT linking for calibrating the PPT to the PROMIS PF metric. RESULTS Although some evidence for multidimensionality was found, classical test statistics (Cronbach's Alpha = 0.93), Mokken (Loevinger's H = 0.50), and bifactor analysis (explained common variance = 0.65) indicated that PPT and PROMIS-PF4a items can be used to assess a common PF construct. On the group level, the agreement between PROMIS-PF4a and linked PPT scores was stable across several subsamples. On the individual level, scores differed considerably. CONCLUSION We found preliminary evidence that the PPT can be linked to the PROMIS PF metric in hemodialysis patients, enabling group comparisons across patient-reported outcome and performance outcome measures. Alternative linking methods should be applied in future studies using a more comprehensive PROMIS PF item set.
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Affiliation(s)
- Gregor Liegl
- Center for Patient-Centered Outcomes Research (CPCOR), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
| | - Felix H Fischer
- Center for Patient-Centered Outcomes Research (CPCOR), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Mark Woodward
- The George Institute for Global Health, School of Public Health, Imperial College London, London, UK; The George Institute for Global Health, University of New South Wales, Sydney, Australia
| | | | - Giovanni F M Strippoli
- Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J) University of Bari, Italy & School of Public Health, University of Sydney, Sydney, Australia
| | - Jörgen Hegbrant
- Division of Nephrology, Department of Clinical Sciences, Lund University, Lund, Sweden
| | - Andrew Davenport
- UCL Department of Renal Medicine, Royal Free Hospital & University College London, London, UK
| | - Krister Cromm
- Center for Patient-Centered Outcomes Research (CPCOR), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Fresenius Medical Care Deutschland GmbH, Global Medical Office, Bad Homburg, Germany
| | - Bernard Canaud
- Fresenius Medical Care Deutschland GmbH, Global Medical Office, Bad Homburg, Germany; Montpellier University, School of Medicine, Montpellier, France
| | - Michiel L Bots
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Peter J Blankestijn
- Department of Nephrology & Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Claudia Barth
- B. Braun Avitum AG, Medical Scientific Affairs, Melsungen, Germany
| | - Kathrin I Fischer
- Center for Patient-Centered Outcomes Research (CPCOR), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Matthias Rose
- Center for Patient-Centered Outcomes Research (CPCOR), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
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Liegl G, Roorda LD, Terwee CB, Steultjens M, Roos EM, Guillemin F, Benedetti MG, Dagfinrud H, de Carvalho Bastone A, Peter WF. Suitability of the animated activity questionnaire for use as computer adaptive test: establishing the AAQ-CAT. Qual Life Res 2023:10.1007/s11136-023-03402-4. [PMID: 37010805 PMCID: PMC10329068 DOI: 10.1007/s11136-023-03402-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2023] [Indexed: 04/04/2023]
Abstract
PURPOSE The animated activity questionnaire (AAQ) is a computer-based measure of activity limitations. To answer a question, patients choose the animation of a person performing an activity that matches their own level of limitation. The AAQ has not yet been tested for suitability to be applied as computer-adaptive test (CAT). Thus, the objective of this study was to develop and evaluate an AAQ-based CAT to facilitate the application of the AAQ in daily clinical care. METHODS Patients (n = 1408) with hip/knee osteoarthritis from Brazil, Denmark, France, The Netherlands, Norway, Spain, and the UK responded to all 17 AAQ items. Assumptions of item-response theory (IRT) modelling were investigated. To establish item parameters for the CAT, a graded response model was estimated. To evaluate the performance of post-hoc simulated AAQ-based CATs, precision, test length, and construct validity (correlations with well-established measures of activity limitations) were evaluated. RESULTS Unidimensionality (CFI = 0.95), measurement invariance (R2-change < 2%), and IRT item fit (S-X2 p > .003) of the AAQ were supported. Performing simulated CATs, the mean test length was more than halved (≤ 8 items), while the range of precise measurement (standard error ≤ 0.3) was comparable to the full AAQ. The correlations between original AAQ scores and three AAQ-CAT versions were ≥ 0.95. Correlations of AAQ-CAT scores with patient-reported and performance measures of activity limitations were ≥ 0.60. CONCLUSION The almost non-verbal AAQ-CAT is an innovative and efficient tool in patients with hip/knee osteoarthritis from various countries, measuring activity limitations with lower respondent burden, but similar precision and construct validity compared to the full AAQ.
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Affiliation(s)
- Gregor Liegl
- Center for Patient-Centered Outcomes Research, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
| | - Leo D Roorda
- Amsterdam Rehabilitation Research Center | Reade, Amsterdam, The Netherlands
| | - Caroline B Terwee
- Department of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Martijn Steultjens
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
| | - Ewa M Roos
- Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Francis Guillemin
- EA 4360 APEMAC, Inserm CIC-EC 1433, University Hospital, Université de Lorraine, Nancy, France
| | | | - Hanne Dagfinrud
- Diakonhjemmet Hospital, Oslo, Norway
- University of Oslo, Oslo, Norway
| | - Alessandra de Carvalho Bastone
- Department of Physical Therapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, MG, Brazil
| | - Wilfred F Peter
- Amsterdam Rehabilitation Research Center | Reade, Amsterdam, The Netherlands
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Tengström M, Byrom B, Volotinen S, Huopaniemi U, Laurila T. Deriving stair-climbing performance outcome measures using the smartphone barometer: Results of an algorithm development study. Contemp Clin Trials 2022;:106862. [PMID: 35907489 DOI: 10.1016/j.cct.2022.106862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 07/23/2022] [Accepted: 07/25/2022] [Indexed: 11/21/2022]
Abstract
As we seek to gain richer insights to understand intervention effects, and increasingly decentralise aspects of clinical trials to simplify participation, there is a growing interest in leveraging wearables and sensors to generate novel and informative clinical outcome measures for at-home assessment. The sensors embedded within smartphone technology provide one approach to capture of this data, and may be particularly useful when patients are already using mobile devices for at-home capture of other clinical trials data, such as patient-reported outcomes. We describe the results of an initial algorithm development study to determine whether the atmospheric pressure data provided by an onboard smartphone sensor is sufficiently informative to enable detection of a small height gain, such as that achieved during a short stair climb performance test. We were able to sufficiently distinguish height changes of 0.6 m in indoor conditions, representing around 4 stairs on an average staircase. This suggests that the smartphone barometer may indeed be suitable for inclusion within future work developing a stair-climbing performance outcome test instrumented using a mobile application.
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Quinlan S, Sinclair P, Hunt A, Yan AF. The long-term effects of wearing moderate minimalist shoes on a child's foot strength, muscle structure and balance: A randomised controlled trial. Gait Posture 2022; 92:371-377. [PMID: 34923257 DOI: 10.1016/j.gaitpost.2021.12.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 12/06/2021] [Accepted: 12/08/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND From retrospective research, it is believed that children who predominantly spend their time shod have poorer foot strength and performance than those who are predominantly barefoot. Children's foot motion has been shown to be adversely affected by standard school shoes; however, the long-term effect of moderate minimalist shoes on foot strength, muscle structure and balance in children is unknown. RESEARCH QUESTION Does wearing moderate minimalist shoes, compared to stiff shoes, benefit a child's foot strength, muscle structure and performance over time? METHODS Seventy healthy children (9-12 yr) were randomly assigned to wear standard (control), or minimalist shoes (experimental) at school, for nine months. Cross-sectional areas (CSA) of Abductor Hallucis (AH) and Flexor Digitorum Brevis (FDB) muscles, and toe flexor strength (TFS) of hallux and lesser toes separately, were primary outcome measures. Single leg balance (SLB), Y-balance test (YBT) and standing long jump (SLJ) were secondary outcome measures. Pre- and post-intervention measurements were analysed for between group differences with ANCOVA. RESULTS Minimalist shoes resulted in moderate but statistically non-significant increases in muscle CSA (AH η2p =.04, FDB η2p =.05) and TFS (hallux η2p =.05, lesser toes η2p =.04). Significant moderate to large improvements in YBT in the experimental group were found in the postero-medial (P = .04, η2p =.07) and postero-lateral (P = .01, η2p =.10) directions. YBT (anterior, postero-medial and postero-lateral) was correlated with hallux TFS (R =.29,.27 and.33 respectively), lesser toes TFS (R =.28,.35 and.38 respectively) and SLJ (R =.30,.39 and.57 respectively). CSA of FDB was correlated with SLJ (R =.34) and SLB (R =.42). SIGNIFICANCE Wearing moderate minimalist shoes long-term improves balance in children. TFS is correlated with better balance and SLJ. Moderate minimalist school shoes are recommended for children.
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Affiliation(s)
- Shayan Quinlan
- Discipline of Exercise and Sport Science, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia.
| | - Peter Sinclair
- Discipline of Exercise and Sport Science, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia
| | - Adrienne Hunt
- Discipline of Exercise and Sport Science, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia
| | - Alycia Fong Yan
- Discipline of Exercise and Sport Science, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia.
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Lahane S, Kant R. A hybrid Pythagorean fuzzy AHP - CoCoSo framework to rank the performance outcomes of circular supply chain due to adoption of its enablers. Waste Manag 2021; 130:48-60. [PMID: 34049267 DOI: 10.1016/j.wasman.2021.05.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 04/30/2021] [Accepted: 05/11/2021] [Indexed: 06/12/2023]
Abstract
In the last few years, the Circular Supply Chain (CSC) has gained considerable attention among researchers, practitioners, and policymakers. It offers immense opportunities to embrace supply chain operations in three dimensions of sustainability. This study aims to identify and rank the performance outcomes (POs) realized due to CSC enablers (CSCEs) adoption. The study proposes a hybrid framework of the Pythagorean fuzzy analytic hierarchy process (PF-AHP) and Pythagorean fuzzy combined compromised solution (PF-CoCoSo) to achieve the objectives of this research. PF-AHP is used to obtain the CSCEs relative weights while PF-CoCoSo is used to ranks the POs concerning the CSCEs. An empirical case study is conducted for an Indian manufacturing organization to demonstrate the proposed framework's applicability. The result reveals that 'global climate pressure and ecological scarcity of resources' is the most significant CSCE to achieve the sustainability in the supply chain, followed by 'government rules, legislations and directives for CSC adoption', 'environment management certifications and systems', whereas, 'reduces waste and promotes green development' is the most critical PO realized due to adoption of CSCEs in CSC implementation process. The proposed framework is a systematic, more comprehensive, accurate, and structured approach to the business organization to improve its POs in a step-wise manner by implementing CSCEs. Sensitivity analysis is performed to check the effectiveness of the proposed framework. This research provides substantial contributions to sustainable development in the society as well as in the industry, and it will help researchers, practitioners, and policymakers working in the domain of CSC.
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Affiliation(s)
- Swapnil Lahane
- Mechanical Engineering Department, Sardar Vallabhbhai National Institute of Technology, Ichchhanath, Surat 395007, Gujarat, India.
| | - Ravi Kant
- Mechanical Engineering Department, Sardar Vallabhbhai National Institute of Technology, Ichchhanath, Surat 395007, Gujarat, India
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Ramamurti P, Stake S, Fassihi SC, Pandarinath R, Doerre T. No change in performance metrics in major league baseball players sustaining wrist fractures after being struck by an errant pitch. J Orthop 2020; 22:213-219. [PMID: 32425420 DOI: 10.1016/j.jor.2020.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 04/28/2020] [Indexed: 11/18/2022] Open
Abstract
Objective This study aimed to determine the effect of wrist fractures on performance metrics in Major League Baseball Players after they were hit by an errant pitch. Methods Players who sustained wrist fractures after being struck by a pitch were identified and changes in performance metrics were calculated. Results In both the short- and medium-term analysis, there were no significant differences in all pre- and post-injury offensive statistics following return to play. Conclusion Wrist fractures sustained after being struck by an errant pitch do not significantly impact professional baseball player performance if the player is able to return to sport.
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Affiliation(s)
- Pradip Ramamurti
- George Washington School of Medicine and Health Sciences, 2300 I St NW, Washington, DC, 20052, USA
| | - Seth Stake
- Department of Orthopedic Surgery, George Washington University, 2300 M St, Washington DC, 20037, USA
| | - Safa C Fassihi
- Department of Orthopedic Surgery, George Washington University, 2300 M St, Washington DC, 20037, USA
| | - Rajeev Pandarinath
- Department of Orthopedic Surgery, George Washington University, 2300 M St, Washington DC, 20037, USA
| | - Teresa Doerre
- Department of Orthopedic Surgery, George Washington University, 2300 M St, Washington DC, 20037, USA
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Schvartz-Leyzac KC, Zwolan TA, Pfingst BE. Effects of electrode deactivation on speech recognition in multichannel cochlear implant recipients. Cochlear Implants Int 2017; 18:324-334. [PMID: 28793847 DOI: 10.1080/14670100.2017.1359457] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES The objective of the current study is to evaluate how speech recognition performance is affected by the number of active electrodes that are turned off in multichannel cochlear implants. Several recent studies have demonstrated positive effects of deactivating stimulation sites based on an objective measure in cochlear implant processing strategies. Previous studies using an analysis of variance have shown that, on average, cochlear implant listeners' performance does not improve beyond eight active electrodes. We hypothesized that using a generalized linear mixed model would allow for better examination of this question. METHODS Seven peri- and post-lingual adult cochlear implant users (eight ears) were tested on speech recognition tasks using experimental MAPs which contained either 8, 12, 16 or 20 active electrodes. Speech recognition tests included CUNY sentences in speech-shaped noise, TIMIT sentences in quiet as well as vowel (CVC) and consonant (CV) stimuli presented in quiet and in signal-to-noise ratios of 0 and +10 dB. RESULTS The speech recognition threshold in noise (dB SNR) significantly worsened by approximately 2 dB on average as the number of active electrodes was decreased from 20 to 8. Likewise, sentence recognition scores in quiet significantly decreased by an average of approximately 12%. DISCUSSION/CONCLUSION Cochlear implant recipients can utilize and benefit from using more than eight spectral channels when listening to complex sentences or sentences in background noise. The results of the current study suggest a conservative approach for turning off stimulation sites is best when using site-selection procedures.
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Affiliation(s)
- Kara C Schvartz-Leyzac
- a Department of Otolaryngology , Kresge Hearing Research Institute, University of Michigan , Ann Arbor , USA.,b Department of Otolaryngology , Hearing Rehabilitation Center, University of Michigan , Ann Arbor , USA
| | - Teresa A Zwolan
- b Department of Otolaryngology , Hearing Rehabilitation Center, University of Michigan , Ann Arbor , USA
| | - Bryan E Pfingst
- a Department of Otolaryngology , Kresge Hearing Research Institute, University of Michigan , Ann Arbor , USA
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Paré G, Raymond L, Guinea AOD, Poba-Nzaou P, Trudel MC, Marsan J, Micheneau T. Electronic health record usage behaviors in primary care medical practices: A survey of family physicians in Canada. Int J Med Inform 2015; 84:857-67. [PMID: 26238705 DOI: 10.1016/j.ijmedinf.2015.07.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Revised: 07/13/2015] [Accepted: 07/14/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVE The importance and potential value of office-based electronic health record (EHR) systems is being recognized internationally. We thus sought to better understand how EHRs are actually being used by family physicians and what they perceive to be the main performance outcomes for themselves and their medical practices. METHODS We conducted a survey of family physicians practicing in medical practices in Quebec, Canada (n =331). Bivariate and multivariate statistical analyses were conducted to characterize EHR usage behaviors and assess the perceived performance outcomes of these systems. RESULTS EHR systems "as-used" vary substantively from one family physician to another in terms of the capabilities that are actually mobilized by them. Significant differences between "basic" and "advanced" users were observed in terms of the EHR system's characteristics and perceived performance outcomes. Physicians were also clustered under three profiles that could be clearly distinguished from one another, in terms of the extent to which their performance and their practice's performance was impacted by their EHR usage. Physicians that are "highly impacted" by their EHR system are those who have the longest usage experience and make the most extended use of their system's capabilities. CONCLUSIONS Our study indicates that only a minority of family physicians in our sample use most of the features available in their EHR system. Consequently, few physicians perceive gaining significant performance improvements from such systems. Future research must identify the factors that motivate primary care physicians to assimilate EHR systems in a more extensive manner.
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Affiliation(s)
- Guy Paré
- Chair in Information Technology in Health Care, HEC Montréal 3000, Côte-Sainte-Catherine Road, Montréal, Québec H3T 2A7, Canada.
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