Abstract Cryptocurrency has gained popularity as a potential new global payment method. It the to be faster, cheaper, and more secure than existing networks, making it game-changer in economy. However, research is needed identify factors driving cryptocurrency adoption understand its impact. We use social network analysis (SNA) influencing reveal impact of each on adoption. Our initially revealed 44 influential factors, which were later reduced 25 exerting different influence. Based SNA, we...

Patient safety currently receives only scant attention in most residency curricula. Safety is a subject that transcends the US Accreditation Council for Graduate Medical Education's 6 core competencies.To design and implement new patient curriculum collaboration with Schools of Nursing Pharmacy, such way as to address all competencies.The applies university-based family medicine programme 45 residents at 5 sites, including urban, suburban rural sites. CURRICULUM DESIGN: The includes...

Potentially inappropriate medications (PIMs) are associated with worse health outcomes among older adults. Our objective was to examine the association between PIM prescription and health-related quality of life (HRQoL) adults in United States using nationally representative data.

<h3>Objective:</h3> To evaluate the performance of a trigger tool for identifying adverse drug events (ADEs) among older adults in ambulatory primary care practices. <h3>Methods:</h3> Manual 12-month retrospective chart review at six practices using 39-item tool. Patients aged 65 or above with cardiovascular diagnoses were included. Charts triggers underwent detailed by physician and pharmacist to identify ADEs. <h3>Results:</h3> Of 1289 charts reviewed, 645 (50%) had least one trigger. A...

Abstract Context: Health information technology (HIT) is a national policy priority. Knowledge about the special needs, if any, of rural health care providers should be taken into account as put action. Little known, however, rural‐urban differences in HIT adoption at level. Purpose: To conduct first assessment primary offices, with particular attention to electronic medical record (EMR) adoption, range capabilities use, and plans for adoption. Methods: A mail survey 5,200 stratified by...

Objective This study explored the self-management strategies and treatment burden experienced by low-income US primary care patients with chronic kidney disease. Methods Semi-structured interviews were conducted 34 from two practices on Buffalo’s East Side, a community. Qualitative analysis was undertaken using an inductive thematic content approach. We applied normalization process theory (NPT) to concept of interpret categorize our findings. Results The sample predominantly...

Purpose: Unprecedented efforts are underway across the United States to electronically capture and exchange health information improve care population health, reduce costs. This increased collection sharing of electronic patient data raises several governance issues, including privacy, security, liability, market competition. Those engaged in such have had develop agreements (DSAs) among entities involved exchange, many whom “nontraditional” and/or new partners. paper shares lessons learned...

Inaccurate use of International Classification Diseases, Ninth Revision (ICD-9), codes obfuscates registries used for research, resulting in unreliable data and inaccurate measurement outcomes, it may contribute to mismanagement patients. Thus is important understand the prevalence ICD-9 code misuse. We chose chronic kidney disease (CKD) as a condition interest after several patients recruited previous study indicated they did not have disease, despite presence (585.x) their electronic...

Background and objective We postulate that professional proximity due to common patients geographical among practice locations are significant factors influencing the adoption of health information exchange (HIE) services by healthcare providers. The this study is investigate direct indirect network effects these drivers on HIE diffusion.

To investigate whether the use of diabetes registries meeting Meaningful Use core objectives in primary care practices is associated with differences quality and hospital utilization rates.A practice assessment survey was conducted to identify how were using registries. Insurance claims data from 2010 used compare health outcomes patients that Use-related other practices. Logistic hierarchical linear modeling analyze data.Records 12,514 diabetic (including 10,809 type 2 diabetes) 50 urban...

Aims The purpose of this qualitative evaluation was to explore the experience implementing routine telemonitoring (TM) in real-world primary care settings from perspective those delivering intervention; namely TM staff, and report on lessons learned that could inform future projects type. Background Routine for high-risk patients within practices may help improve chronic disease control reduce complications, including unnecessary hospital admissions. However, little is known about how...

There are international calls for improving education health care workers around certain core competencies, of which patient safety and quality integral transcendent parts. Although relevant teaching programs have been developed, little is known about how best to assess their effectiveness. The objective this work was develop implement an structured clinical examination (OSCE) evaluate the impact a curriculum.The curriculum implemented in family medicine residency program with 47 trainees....

Primary care is a highly complex environment in which multiple safety problems have been identified. Each primary practice can be viewed as adaptive system with its own unique characteristics. The introduction of an electronic medical record (EMR) into such represents significant perturbation that unpredictable effects. From standpoint this mean reduction some vulnerabilities and increase others, well the new did not exist under old system.To estimate impacts EMR on various aspects function...

Repetition of medical services by providers is one the major sources healthcare costs. The lack access to previous information on a patient at point care often leads physician perform procedures that have already been done. Multiple initiatives and legislation both federal state levels mandated Health Information Exchange (HIE) systems address this problem. This study aims assess extent which HIE could reduce these repetitions, using data from Centers for Medicare 8 Medicaid Services...

Abstract Objective The objective of this research is to empirically explore the drivers patients’ consent sharing their medical records on health information exchange (HIE) platforms. Materials and Methods authors analyze a dataset consisting choices 20 076 patients in Western New York. A logistic regression applied investigate effects age, gender, complexity conditions, role primary care physicians willingness disclose HIE Results likelihood providing increases by age (odds ratio (OR) =...