Genomic decision support needs in pediatric primary care Article Swipe
Jeffrey W. Pennington
,
Dean Karavite
,
Edward Krause
,
Jeffrey M. Miller
,
Barbara A. Bernhardt
,
Robert W. Grundmeier
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1093/jamia/ocw184
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1093/jamia/ocw184
Clinical genome and exome sequencing can diagnose pediatric patients with complex conditions that often require follow-up care with multiple specialties. The American Academy of Pediatrics emphasizes the role of the medical home and the primary care pediatrician in coordinating care for patients who need multidisciplinary support. In addition, the electronic health record (EHR) with embedded clinical decision support is recognized as an important component in providing care in this setting. We interviewed 6 clinicians to assess their experience caring for patients with complex and rare genetic findings and hear their opinions about how the EHR currently supports this role. Using these results, we designed a candidate EHR clinical decision support application mock-up and conducted formative exploratory user testing with 26 pediatric primary care providers to capture opinions on its utility in practice with respect to a specific clinical scenario. Our results indicate agreement that the functionality represented by the mock-up would effectively assist with care and warrants further development.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/jamia/ocw184
- https://academic.oup.com/jamia/article-pdf/24/4/851/18138847/ocw184.pdf
- OA Status
- bronze
- Cited By
- 7
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2590852979
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2590852979Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/jamia/ocw184Digital Object Identifier
- Title
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Genomic decision support needs in pediatric primary careWork title
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articleOpenAlex work type
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enPrimary language
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2017Year of publication
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2017-01-03Full publication date if available
- Authors
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Jeffrey W. Pennington, Dean Karavite, Edward Krause, Jeffrey M. Miller, Barbara A. Bernhardt, Robert W. GrundmeierList of authors in order
- Landing page
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https://doi.org/10.1093/jamia/ocw184Publisher landing page
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https://academic.oup.com/jamia/article-pdf/24/4/851/18138847/ocw184.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://academic.oup.com/jamia/article-pdf/24/4/851/18138847/ocw184.pdfDirect OA link when available
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Primary care, Decision support system, Clinical decision support system, Primary (astronomy), Medicine, Computer science, Computational biology, Artificial intelligence, Family medicine, Biology, Astronomy, PhysicsTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 1, 2024: 1, 2023: 1, 2020: 1, 2019: 2Per-year citation counts (last 5 years)
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43Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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