The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data

Abstract Background Canadians are known to be frequent users of emergency department (ED) care. However, the exchange of information from ED visits to family physicians (FPs) is not well known. Our objectives were to determine whether Canadian FPs received information about their patient’s ED visit...

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Autores principales:	Liisa Jaakkimainen, Hannah Chung, Hong Lu, Bogdan Pinzaru, Elisa Candido
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Emergency room visits Family medicine Administrative data Electronic medical records Information coordination Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f22ef5dc57bf42a18f5074c2d2b70453
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spelling	oai:doaj.org-article:f22ef5dc57bf42a18f5074c2d2b704532021-11-28T12:29:39ZThe receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data10.1186/s12875-021-01582-x1471-2296https://doaj.org/article/f22ef5dc57bf42a18f5074c2d2b704532021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01582-xhttps://doaj.org/toc/1471-2296Abstract Background Canadians are known to be frequent users of emergency department (ED) care. However, the exchange of information from ED visits to family physicians (FPs) is not well known. Our objectives were to determine whether Canadian FPs received information about their patient’s ED visit and the patient characteristics related to the receipt of ED information. Methods This study was a descriptive record linkage study of FP Electronic Medical Record (EMR) data linked to health administrative data. Our study cohort included patients who had at least one ED visit in 2010 or 2015 in Ontario, Canada. An ED visit could include a transfer to or from another ED. The receipt of information from an ED note was examined in relation to patient age, sex, neighbourhood income quintiles, rurality and comorbidity. Results There were 26,609 patients in 2010 and 50,541 patients in 2015 with at least one ED visit. In 2010, 53.3% of FPs received an ED note for patients having a single ED visit compared to 41.0% in 2015. For patients with multiple ED visits, 58.2% of FPs received an ED note in 2010 compared to 45.7% in 2015. FPs were more likely to receive an ED note for patients not living in low income neighbourhoods, older patients, patients living in small urban areas and for patients having moderate comorbidity. FPs were less likely to receive a note for patients living in rural areas. Conclusions Community-based FPs are more likely to get information after an ED visit for their older and sicker patients. However, FPs do not receive any information from EDs for over half their patients. Electronic health record technologies and their adoption by ED providers need to improve the seamless transfer of information about the care provided in EDs to FPs in the community.Liisa JaakkimainenHannah ChungHong LuBogdan PinzaruElisa CandidoBMCarticleEmergency room visitsFamily medicineAdministrative dataElectronic medical recordsInformation coordinationMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Emergency room visits Family medicine Administrative data Electronic medical records Information coordination Medicine (General) R5-920
spellingShingle	Emergency room visits Family medicine Administrative data Electronic medical records Information coordination Medicine (General) R5-920 Liisa Jaakkimainen Hannah Chung Hong Lu Bogdan Pinzaru Elisa Candido The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
description	Abstract Background Canadians are known to be frequent users of emergency department (ED) care. However, the exchange of information from ED visits to family physicians (FPs) is not well known. Our objectives were to determine whether Canadian FPs received information about their patient’s ED visit and the patient characteristics related to the receipt of ED information. Methods This study was a descriptive record linkage study of FP Electronic Medical Record (EMR) data linked to health administrative data. Our study cohort included patients who had at least one ED visit in 2010 or 2015 in Ontario, Canada. An ED visit could include a transfer to or from another ED. The receipt of information from an ED note was examined in relation to patient age, sex, neighbourhood income quintiles, rurality and comorbidity. Results There were 26,609 patients in 2010 and 50,541 patients in 2015 with at least one ED visit. In 2010, 53.3% of FPs received an ED note for patients having a single ED visit compared to 41.0% in 2015. For patients with multiple ED visits, 58.2% of FPs received an ED note in 2010 compared to 45.7% in 2015. FPs were more likely to receive an ED note for patients not living in low income neighbourhoods, older patients, patients living in small urban areas and for patients having moderate comorbidity. FPs were less likely to receive a note for patients living in rural areas. Conclusions Community-based FPs are more likely to get information after an ED visit for their older and sicker patients. However, FPs do not receive any information from EDs for over half their patients. Electronic health record technologies and their adoption by ED providers need to improve the seamless transfer of information about the care provided in EDs to FPs in the community.
format	article
author	Liisa Jaakkimainen Hannah Chung Hong Lu Bogdan Pinzaru Elisa Candido
author_facet	Liisa Jaakkimainen Hannah Chung Hong Lu Bogdan Pinzaru Elisa Candido
author_sort	Liisa Jaakkimainen
title	The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
title_short	The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
title_full	The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
title_fullStr	The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
title_full_unstemmed	The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
title_sort	receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data
publisher	BMC
publishDate	2021
url	https://doaj.org/article/f22ef5dc57bf42a18f5074c2d2b70453
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The receipt of information by family physicians about their patient’s emergency department visits: a record linkage study of electronic medical records to health administrative data

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