{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T03:59:29Z","timestamp":1785643169033,"version":"3.56.0"},"reference-count":64,"publisher":"Oxford University Press (OUP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objective The aim of this systematic review was to synthesize current knowledge of the factors influencing healthcare professional adoption of mobile health (m-health) applications.<\/jats:p>\n               <jats:p>Methods Covering a period from 2000 to 2014, we conducted a systematic literature search on four electronic databases (PubMed, EMBASE, CINAHL, PsychInfo). We also consulted references from included studies. We included studies if they reported the perceptions of healthcare professionals regarding barriers and facilitators to m-health utilization, if they were published in English, Spanish, or French and if they presented an empirical study design (qualitative, quantitative, or mixed methods). Two authors independently assessed study quality and performed content analysis using a validated extraction grid with pre-established categorization of barriers and facilitators.<\/jats:p>\n               <jats:p>Results The search strategy led to a total of 4223 potentially relevant papers, of which 33 met the inclusion criteria. Main perceived adoption factors to m-health at the individual, organizational, and contextual levels were the following: perceived usefulness and ease of use, design and technical concerns, cost, time, privacy and security issues, familiarity with the technology, risk-benefit assessment, and interaction with others (colleagues, patients, and management).<\/jats:p>\n               <jats:p>Conclusion This systematic review provides a set of key elements making it possible to understand the challenges and opportunities for m-health utilization by healthcare providers.<\/jats:p>","DOI":"10.1093\/jamia\/ocv052","type":"journal-article","created":{"date-parts":[[2015,6,16]],"date-time":"2015-06-16T00:50:54Z","timestamp":1434415854000},"page":"212-220","source":"Crossref","is-referenced-by-count":557,"title":["m-Health adoption by healthcare professionals: a systematic review"],"prefix":"10.1093","volume":"23","author":[{"given":"Marie-Pierre","family":"Gagnon","sequence":"first","affiliation":[{"name":"Faculty of Nursing, Universit\u00e9 Laval, Quebec City, Canada"},{"name":"Public Health and Practice-Changing Research, CHU de Qu\u00e9bec Research Center, Quebec City, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrice","family":"Ngangue","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Universit\u00e9 Laval, Quebec City, Canada"},{"name":"Public Health and Practice-Changing Research, CHU de Qu\u00e9bec Research Center, Quebec City, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Payne-Gagnon","sequence":"additional","affiliation":[{"name":"Public Health and Practice-Changing Research, CHU de Qu\u00e9bec Research Center, Quebec City, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Desmartis","sequence":"additional","affiliation":[{"name":"Public Health and Practice-Changing Research, CHU de Qu\u00e9bec Research Center, Quebec City, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,6,15]]},"reference":[{"key":"2020110613002999500_ocv052-B1","first-page":"1b","article-title":"The effects of innovation factors on smartphone adoption among nurses in community hospitals","volume":"7","author":"Putzer","year":"2010","journal-title":"Perspect Health Inf Manag."},{"issue":"Pt1","key":"2020110613002999500_ocv052-B2","first-page":"102","article-title":"Opportunities and barriers for mobile health in New Zealand","volume":"129","author":"Mirza","year":"2007","journal-title":"Stud Health Technol Inform."},{"key":"2020110613002999500_ocv052-B3","article-title":"mHealth: new horizons for health through mobile technologies - Based on the findings of the second global survey on eHealth (Global Observatory for eHealth series)","author":"World Health Organization","year":"2011"},{"issue":"1","key":"2020110613002999500_ocv052-B4","doi-asserted-by":"crossref","first-page":"e1001363","DOI":"10.1371\/journal.pmed.1001363","article-title":"The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis","volume":"10","author":"Free","year":"2013","journal-title":"PLoS Med."},{"issue":"7","key":"2020110613002999500_ocv052-B5","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1016\/j.pmrj.2011.05.004","article-title":"Mobile health: exploring attitudes among physical medicine and rehabilitation physicians toward this emerging element of health delivery","volume":"3","author":"Elwood","year":"2011","journal-title":"PM&R."},{"issue":"3","key":"2020110613002999500_ocv052-B6","first-page":"e229","article-title":"Mobile medical and health apps: state of the art, concerns, regulatory control and certification","volume":"5","author":"Boulos","year":"2014","journal-title":"Online J Public Health Inform\n              ."},{"issue":"1","key":"2020110613002999500_ocv052-B7","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1097\/NCN.0b013e3181c0474a","article-title":"Factors of adoption of mobile information technology by homecare nurses: a technology acceptance model 2 approach","volume":"28","author":"Zhang","year":"2010","journal-title":"Comput Inform Nurs."},{"issue":"1","key":"2020110613002999500_ocv052-B8","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1186\/1471-2458-14-188","article-title":"Systematic review on what works, what does not work and why of implementation of mobile health (mHealth) projects in Africa","volume":"14","author":"Aranda-Jan","year":"2014","journal-title":"BMC Public Health."},{"issue":"2","key":"2020110613002999500_ocv052-B9","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1377\/hlthaff.2012.1216","article-title":"A national action plan to support consumer engagement via e-health","volume":"32","author":"Ricciardi","year":"2013","journal-title":"Health Aff\n              ."},{"key":"2020110613002999500_ocv052-B10","first-page":"164","article-title":"Patient 2.0 Empowerment","volume-title":"International Conference on Semantic Web & Web Services","author":"Bos","year":"2008"},{"issue":"5","key":"2020110613002999500_ocv052-B11","doi-asserted-by":"crossref","first-page":"393","DOI":"10.2471\/BLT.11.099788","article-title":"Point of care in your pocket: a research agenda for the field of m-health","volume":"90","author":"Heerden","year":"2012","journal-title":"Bull World Health Organ."},{"issue":"1","key":"2020110613002999500_ocv052-B12","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s10916-010-9473-4","article-title":"Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals","volume":"36","author":"Gagnon","year":"2012","journal-title":"J Med Sys\n              ."},{"key":"2020110613002999500_ocv052-B13","first-page":"94","article-title":"mHealth - an Ultimate Platform to Serve the Unserved","volume":"5","author":"Akter","year":"2010","journal-title":"Yearb Med Inform\n              ."},{"issue":"2","key":"2020110613002999500_ocv052-B14","doi-asserted-by":"crossref","first-page":"e1001382","DOI":"10.1371\/journal.pmed.1001382","article-title":"Scaling Up mHealth: where is the evidence?","volume":"10","author":"Tomlinson","year":"2013","journal-title":"PLoS Med"},{"issue":"7","key":"2020110613002999500_ocv052-B15","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med\n              ."},{"key":"2020110613002999500_ocv052-B16","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/1741-7015-9-46","article-title":"Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review","volume":"9","author":"McGinn","year":"2011","journal-title":"BMC Med\n              ."},{"issue":"3","key":"2020110613002999500_ocv052-B17","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1136\/amiajnl-2013-002203","article-title":"Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions","volume":"21","author":"Gagnon","year":"2014","journal-title":"J Am Med Inform Assoc\n              ."},{"key":"2020110613002999500_ocv052-B18","volume-title":"The Diffusion of Innovations","author":"Rogers","year":"1995"},{"issue":"3","key":"2020110613002999500_ocv052-B19","doi-asserted-by":"crossref","first-page":"319","DOI":"10.2307\/249008","article-title":"Perceived usefulness, perceived ease of use, and user acceptance of information technology","volume":"13","author":"Davis","year":"1989","journal-title":"MIS Q."},{"issue":"4","key":"2020110613002999500_ocv052-B20","doi-asserted-by":"crossref","first-page":"e001099","DOI":"10.1136\/bmjopen-2012-001099","article-title":"\u2018It's on my iPhone': attitudes to the use of mobile computing devices in medical education, a mixed-methods study","volume":"2","author":"Wallace","year":"2012","journal-title":"BMJ Open."},{"issue":"11","key":"2020110613002999500_ocv052-B21","doi-asserted-by":"crossref","first-page":"642","DOI":"10.3928\/01484834-20120914-04","article-title":"Use of personal phones by senior nursing students to access health care information during clinical education: staff nurses' and students' perceptions","volume":"51","author":"Wittmann-Price","year":"2012","journal-title":"J Nurs Educ."},{"issue":"2","key":"2020110613002999500_ocv052-B22","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1258\/135763307780096230","article-title":"A qualitative study of the attitudes of patients and staff to the use of mobile phone technology for recording and gathering asthma data","volume":"13","author":"Cleland","year":"2007","journal-title":"J Telemed Telecare."},{"issue":"5","key":"2020110613002999500_ocv052-B23","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1111\/j.1365-2222.2007.02708.x","article-title":"Understanding the potential role of mobile phone-based monitoring on asthma self-management: qualitative study","volume":"37","author":"Pinnock","year":"2007","journal-title":"Clin Exp Allergy."},{"issue":"1","key":"2020110613002999500_ocv052-B24","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1080\/09540121.2013.802282","article-title":"Patient and provider perspectives on cellular phone-based technology to improve HIV treatment adherence","volume":"26","author":"Baranoski","year":"2014","journal-title":"AIDS Care."},{"issue":"4","key":"2020110613002999500_ocv052-B25","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1017\/S1463423609990107","article-title":"The acceptability to patients and professionals of remote blood pressure monitoring using mobile phones","volume":"10","author":"Bostock","year":"2009","journal-title":"Prim Health Care Res Dev."},{"issue":"5","key":"2020110613002999500_ocv052-B26","doi-asserted-by":"crossref","first-page":"3135","DOI":"10.1007\/s10916-011-9798-7","article-title":"Smartphone app use among medical providers in ACGME training programs","volume":"36","author":"Franko","year":"2012","journal-title":"J Med Syst."},{"issue":"4","key":"2020110613002999500_ocv052-B27","doi-asserted-by":"crossref","first-page":"A91","DOI":"10.1053\/j.ajkd.2013.02.307","article-title":"The smartphone in nephrology: preliminary survey on current trends and perceived needs","volume":"61","author":"Soni","year":"2013","journal-title":"Am J Kidney Dis."},{"issue":"2","key":"2020110613002999500_ocv052-B28","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/S0034-7094(12)70119-8","article-title":"Use of tablet (iPad\n              \u00ae\n              ) as a tool for teaching anesthesiology in an orthopedic rotation","volume":"62","author":"Tanaka","year":"2012","journal-title":"Rev Bras Anestesiol."},{"issue":"12","key":"2020110613002999500_ocv052-B29","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.jamda.2013.08.014","article-title":"Use and perceived benefits of mobile devices by physicians in preventing adverse drug events in the nursing home","volume":"14","author":"Handler","year":"2013","journal-title":"J Am Med Dir Assoc."},{"issue":"2","key":"2020110613002999500_ocv052-B30","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1111\/jmwh.12071","article-title":"A usability study of a mobile health application for rural Ghanaian midwives","volume":"59","author":"Velez","year":"2014","journal-title":"J Midwifery Womens Health."},{"issue":"1","key":"2020110613002999500_ocv052-B31","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.2196\/mhealth.2459","article-title":"User perceptions of an mHealth medicine dosing tool for community health workers","volume":"1","author":"Palazuelos","year":"2013","journal-title":"JMIR Mhealth Uhealth."},{"key":"2020110613002999500_ocv052-B32","first-page":"965","article-title":"Physician attitudes toward SMS\/Text messaging in medicine","author":"Hensel","year":"2008","journal-title":"AMIA Annu Symp Proc."},{"key":"2020110613002999500_ocv052-B33","first-page":"S77","article-title":"Personal digital assistant use by emergency medicine residents in ethiopia: An educational pilot on behalf of the TAAAC(EM) collaboration","volume":"15","author":"Ben-Yakov","year":"2013","journal-title":"Can J Emerg Med."},{"issue":"5","key":"2020110613002999500_ocv052-B34","doi-asserted-by":"crossref","first-page":"e64662","DOI":"10.1371\/journal.pone.0064662","article-title":"A pilot study of an mHealth application for healthcare workers: poor uptake despite high reported acceptability at a rural South African community-based MDR-TB treatment program","volume":"8","author":"Chaiyachati","year":"2013","journal-title":"PLoS One."},{"issue":"1","key":"2020110613002999500_ocv052-B35","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1089\/tmj.2011.0050","article-title":"Use of mobile learning by resident physicians in Botswana","volume":"18","author":"Chang","year":"2012","journal-title":"Telemed J E Health."},{"issue":"7","key":"2020110613002999500_ocv052-B36","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1080\/09540121.2013.774315","article-title":"Perceptions and acceptability of mHealth interventions for improving patient care at a community-based HIV\/AIDS clinic in Uganda: a mixed methods study","volume":"25","author":"Chang","year":"2013","journal-title":"AIDS Care."},{"key":"2020110613002999500_ocv052-B37","first-page":"115","article-title":"Is PDA good for complex documentation in healthcare?","volume":"146","author":"Chang","year":"2009","journal-title":"Stud Health Technol Inform"},{"issue":"4","key":"2020110613002999500_ocv052-B38","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1504\/IJEH.2006.010425","article-title":"Impacts of physicians' usage of a mobile information system","volume":"2","author":"Harkke","year":"2006","journal-title":"Int J Electron Healthc."},{"issue":"4","key":"2020110613002999500_ocv052-B39","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1017\/S0266462310001054","article-title":"Perceptions and attitudes of hospital staff toward paging system and the use of mobile phones","volume":"26","author":"Haroon","year":"2010","journal-title":"Int J Technol Assess Health Care."},{"issue":"6","key":"2020110613002999500_ocv052-B40","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1089\/tmj.2010.0221","article-title":"Physician impressions of using text message technology to increase vaccination compliance","volume":"17","author":"Hart","year":"2011","journal-title":"Telemed J E Health."},{"issue":"2","key":"2020110613002999500_ocv052-B41","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.ypmed.2013.04.007","article-title":"Parental and provider preferences and concerns regarding text message reminder\/recall for early childhood vaccinations","volume":"57","author":"Hofstetter","year":"2013","journal-title":"Prev Med."},{"key":"2020110613002999500_ocv052-B42","doi-asserted-by":"crossref","first-page":"S375","DOI":"10.1016\/S0020-7292(12)60756-5","article-title":"Acceptability of mobile phone technology for tracking cervical cancer in rural Guatemala","volume":"119","author":"Irwin","year":"2012","journal-title":"Int J Gynaecol Obstet."},{"issue":"4","key":"2020110613002999500_ocv052-B43","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1177\/082585970602200403","article-title":"A survey of PDA use by palliative medicine practitioners","volume":"22","author":"Lau","year":"2006","journal-title":"J Palliat Care."},{"issue":"4","key":"2020110613002999500_ocv052-B44","first-page":"276","article-title":"The use of smartphones in general and internal medicine units: a boon or a bane to the promotion of interprofessional collaboration? \n              J Interprof Care","volume":"26","author":"Lo","journal-title":"2012"},{"issue":"4","key":"2020110613002999500_ocv052-B45","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.ejon.2008.04.007","article-title":"Nurse's perceptions and experiences of using of a mobile-phone-based Advanced Symptom Management System (ASyMS) to monitor and manage chemotherapy-related toxicity","volume":"12","author":"Maguire","year":"2008","journal-title":"Eur J Oncol Nurs."},{"key":"2020110613002999500_ocv052-B46","first-page":"495","article-title":"What explains doctors' usage of Mobile Information and Communication Technologies? A comparison of US and Portuguese hospitals","author":"Martins","year":"2005","journal-title":"AMIA Annu Symp Proc."},{"issue":"6","key":"2020110613002999500_ocv052-B47","doi-asserted-by":"crossref","first-page":"e183","DOI":"10.2196\/jmir.2159","article-title":"Factors affecting mobile diabetes monitoring adoption among physicians: questionnaire study and path model","volume":"14","author":"Okazaki","year":"2012","journal-title":"J Med Internet Res."},{"key":"2020110613002999500_ocv052-B48","first-page":"S103","article-title":"Resident use of smartphones while providing patient care","volume":"26","author":"Patel","year":"2011","journal-title":"J Gen Intern Med."},{"key":"2020110613002999500_ocv052-B49","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1186\/1472-6947-12-121","article-title":"Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey","volume":"12","author":"Payne","year":"2012","journal-title":"BMC Med Inform Decis Mak."},{"issue":"4","key":"2020110613002999500_ocv052-B50","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.pcrj.2006.03.001","article-title":"Professional and patient attitudes to using mobile phone technology to monitor asthma: questionnaire survey","volume":"15","author":"Pinnock","year":"2006","journal-title":"Prim Care Respir J."},{"key":"2020110613002999500_ocv052-B51","first-page":"1b","article-title":"Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the southeastern United States","volume":"9","author":"Putzer","year":"2012","journal-title":"Perspect Health Inf Manag."},{"issue":"9","key":"2020110613002999500_ocv052-B52","first-page":"711","article-title":"Using a mobile phone application in youth mental health: An evaluation study","volume":"41","author":"Reid","year":"2012","journal-title":"Aust Fam Physician."},{"issue":"1","key":"2020110613002999500_ocv052-B53","first-page":"180","article-title":"Perceptions and experiences of heart failure patients and clinicians on the use of mobile phone-based telemonitoring","volume":"14","author":"Seto","year":"2012","journal-title":"J Med Internet Res."},{"issue":"4","key":"2020110613002999500_ocv052-B54","doi-asserted-by":"crossref","first-page":"e55","DOI":"10.2196\/jmir.1627","article-title":"Attitudes of heart failure patients and health care providers towards mobile phone-based remote monitoring","volume":"12","author":"Seto","year":"2010","journal-title":"J Med Internet Res."},{"issue":"3","key":"2020110613002999500_ocv052-B55","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/00024665-200505000-00011","article-title":"Public health nurses' perceptions of mobile computing in a school program","volume":"23","author":"Valaitis","year":"2005","journal-title":"Comput Inform Nurs."},{"issue":"6","key":"2020110613002999500_ocv052-B56","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/875512251202800603","article-title":"Effects of smartphones on pharmacist-physician clinical communication","volume":"28","author":"Wilson","year":"2012","journal-title":"J Pharm Technol."},{"issue":"9","key":"2020110613002999500_ocv052-B57","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1002\/jhm.775","article-title":"The use of smartphones for clinical communication on internal medicine wards","volume":"5","author":"Wu","year":"2010","journal-title":"J Hosp Med."},{"key":"2020110613002999500_ocv052-B58","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1186\/1472-6920-14-174","article-title":"Residents' and preceptors' perceptions of the use of the iPad for clinical teaching in a family medicine residency program","volume":"14","author":"Archibald","year":"2014","journal-title":"BMC Med Educ."},{"issue":"1","key":"2020110613002999500_ocv052-B59","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3163\/1536-5050.102.1.006","article-title":"Mobile devices in medicine: a survey of how medical students, residents, and faculty use smartphones and other mobile devices to find information","volume":"102","author":"Boruff","year":"2014","journal-title":"J Med Libr Assoc."},{"key":"2020110613002999500_ocv052-B60","article-title":"Mobile phone-based clinical guidance for rural health providers in India","author":"Gautham","year":"2014","journal-title":"Health Informatics J"},{"issue":"3","key":"2020110613002999500_ocv052-B61","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/NXN.0b013e318270100b","article-title":"Factors influencing nurses' intentions toward the use of mobile electronic medical records","volume":"31","author":"Hsu","year":"2013","journal-title":"Comput Inform Nurs."},{"key":"2020110613002999500_ocv052-B62","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/1472-6947-13-88","article-title":"An investigation of the effect of nurses' technology readiness on the acceptance of mobile electronic medical record systems","volume":"13","author":"Kuo","year":"2013","journal-title":"BMC Med Inform Decis Mak."},{"issue":"1","key":"2020110613002999500_ocv052-B63","doi-asserted-by":"crossref","first-page":"9903","DOI":"10.1007\/s10916-012-9903-6","article-title":"Mobile tablet use among academic physicians and trainees","volume":"37","author":"Sclafani","year":"2013","journal-title":"J Med Syst."},{"key":"2020110613002999500_ocv052-B64","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/1741-7015-11-20","article-title":"RAMESES publication standards: meta-narrative reviews","volume":"11","author":"Wong","year":"2013","journal-title":"BMC Med\n              ."}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/23\/1\/212\/34146858\/ocv052.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/23\/1\/212\/34146858\/ocv052.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T18:44:26Z","timestamp":1604688266000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/23\/1\/212\/2379923"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,15]]},"references-count":64,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2015,6,15]]},"published-print":{"date-parts":[[2016,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocv052","relation":{},"ISSN":["1527-974X","1067-5027"],"issn-type":[{"value":"1527-974X","type":"electronic"},{"value":"1067-5027","type":"print"}],"subject":[],"published-other":{"date-parts":[[2016,1]]},"published":{"date-parts":[[2015,6,15]]}}}