{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T03:18:25Z","timestamp":1768533505125,"version":"3.49.0"},"reference-count":71,"publisher":"Oxford University Press (OUP)","issue":"e1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4,1]]},"abstract":"<jats:p>This report describes a 2-year prospective, longitudinal survey of attending physicians in 3 clinical areas (family medicine, general pediatrics, internal medicine) who experienced a transition from a homegrown electronic health record (EHR) to a vendor EHR. Participants were already highly familiar with using EHRs. Data were collected 1 month before and 3, 6, 13, and 25 months post implementation. Our primary goal was to determine if perceptions followed a J-curve pattern in which they initially dropped but eventually surpassed baseline measures. A J-curve was not found for any measures, including workflow, safety, communication, and satisfaction. Only the reminders and alerts measure dropped and then returned to baseline (U-curve); a few remained flatlined. Most dropped and remained below baseline (L-curve). The only measure that remained above baseline was documenting in the exam room with the patient. This study adds to the literature about current controversies surrounding EHR adoption and physician satisfaction.<\/jats:p>","DOI":"10.1093\/jamia\/ocw077","type":"journal-article","created":{"date-parts":[[2016,7,4]],"date-time":"2016-07-04T00:27:52Z","timestamp":1467592072000},"page":"e157-e165","source":"Crossref","is-referenced-by-count":36,"title":["Two-year longitudinal assessment of physicians\u2019 perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?"],"prefix":"10.1093","volume":"24","author":[{"given":"David A","family":"Hanauer","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Michigan Health System"},{"name":"School of Information, University of Michigan"}]},{"given":"Greta L","family":"Branford","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Michigan Health System"}]},{"given":"Grant","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Michigan Health System"}]},{"given":"Sharon","family":"Kileny","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Michigan Health System"}]},{"given":"Mick P","family":"Couper","sequence":"additional","affiliation":[{"name":"Institute for Social Research, University of Michigan"}]},{"given":"Kai","family":"Zheng","sequence":"additional","affiliation":[{"name":"School of Information, University of Michigan"},{"name":"School of Public Health, University of Michigan,"}]},{"given":"Sung W","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Michigan Health System"},{"name":"Blood and Marrow Transplantation Program, University of Michigan Health System"}]}],"member":"286","published-online":{"date-parts":[[2016,7,3]]},"reference":[{"key":"2020110612432254300_ocw077-B1"},{"key":"2020110612432254300_ocw077-B2","author":"Charles"},{"issue":"9","key":"2020110612432254300_ocw077-B3","first-page":"734","article-title":"HITECH spurs EHR vendor competition and innovation, resulting in increased adoption","volume":"20","author":"Joseph","year":"2014","journal-title":"Am J Manag Care."},{"issue":"1","key":"2020110612432254300_ocw077-B4","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1136\/amiajnl-2014-002726","article-title":"Electronic health records improve clinical note quality","volume":"22","author":"Burke","year":"2015","journal-title":"J Am Med Inform Assoc."},{"issue":"10","key":"2020110612432254300_ocw077-B5","doi-asserted-by":"crossref","first-page":"742","DOI":"10.7326\/0003-4819-144-10-200605160-00125","article-title":"Systematic review: impact of health information technology on quality, efficiency, and costs of medical care","volume":"144","author":"Chaudhry","year":"2006","journal-title":"Ann Intern Med."},{"issue":"1 Pt 2","key":"2020110612432254300_ocw077-B6","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1111\/1475-6773.12135","article-title":"Clinical benefits of electronic health record use: national findings","volume":"49","author":"King","year":"2014","journal-title":"Health Serv Res."},{"issue":"2","key":"2020110612432254300_ocw077-B7","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1136\/jamia.2010.007229","article-title":"Early cost and safety benefits of an inpatient electronic health record","volume":"18","author":"Zlabek","year":"2011","journal-title":"J Am Med Inform Assoc."},{"issue":"3","key":"2020110612432254300_ocw077-B8","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1377\/hlthaff.2012.0306","article-title":"A survey analysis suggests that electronic health records will yield revenue gains for some practices and losses for many","volume":"32","author":"Adler-Milstein","year":"2013","journal-title":"Health Aff (Millwood)."},{"key":"2020110612432254300_ocw077-B9","article-title":"Emergency physician task switching increases with the introduction of a commercial electronic health record","author":"Benda","year":"2015","journal-title":"Ann Emerg Med."},{"issue":"8","key":"2020110612432254300_ocw077-B10","first-page":"562","article-title":"Faculty, resident, and clinic staff's evaluation of the effects of EHR implementation","volume":"42","author":"Bloom","year":"2010","journal-title":"Family Med."},{"issue":"2","key":"2020110612432254300_ocw077-B11","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1089\/dia.2015.0435","article-title":"Ranting in 2016: a medical system in crisis","volume":"18","author":"Hirsch","year":"2016","journal-title":"Diabetes Technol Ther."},{"issue":"1","key":"2020110612432254300_ocw077-B12","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s11606-012-2192-4","article-title":"Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices","volume":"28","author":"Howard","year":"2013","journal-title":"J Gen Intern Med."},{"key":"2020110612432254300_ocw077-B13","author":"Kane"},{"issue":"6","key":"2020110612432254300_ocw077-B14","doi-asserted-by":"crossref","first-page":"e1441","DOI":"10.1542\/peds.2012-0396","article-title":"Pediatricians' use of health information technology: a national survey","volume":"130","author":"Leu","year":"2012","journal-title":"Pediatrics."},{"issue":"12","key":"2020110612432254300_ocw077-B15","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/j.ijmedinf.2010.09.002","article-title":"Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network","volume":"79","author":"McAlearney","year":"2010","journal-title":"Int J Med Inform."},{"issue":"11","key":"2020110612432254300_ocw077-B16","doi-asserted-by":"crossref","first-page":"1860","DOI":"10.1001\/jamainternmed.2014.4506","article-title":"Use of internists\u2019 free time by ambulatory care Electronic Medical Record systems","volume":"174","author":"McDonald","year":"2014","journal-title":"JAMA Int Med."},{"issue":"4","key":"2020110612432254300_ocw077-B17","doi-asserted-by":"crossref","first-page":"635","DOI":"10.2190\/HS.44.4.a","article-title":"Administrative work consumes one-sixth of U.S. physicians' working hours and lowers their career satisfaction","volume":"44","author":"Woolhandler","year":"2014","journal-title":"Int J Health Services."},{"issue":"1","key":"2020110612432254300_ocw077-B18","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1111\/jep.12076","article-title":"The good, the bad and the early adopters: providers' attitudes about a common, commercial EHR","volume":"20","author":"Makam","year":"2014","journal-title":"J Eval Clin Pract."},{"issue":"11","key":"2020110612432254300_ocw077-B19","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.ijmedinf.2014.06.011","article-title":"Electronic health records implementation: an evaluation of information system impact and contingency factors","volume":"83","author":"Nguyen","year":"2014","journal-title":"Int J Med Inform."},{"key":"2020110612432254300_ocw077-B20"},{"issue":"17","key":"2020110612432254300_ocw077-B21","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1056\/NEJMp1509961","article-title":"Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine","volume":"373","author":"Rosenbaum","year":"2015","journal-title":"N Engl J Med."},{"issue":"10","key":"2020110612432254300_ocw077-B22","doi-asserted-by":"crossref","first-page":"1010. e21","DOI":"10.1016\/j.amjmed.2014.06.011","article-title":"Perceptions of electronic health record implementation: a statewide survey of physicians in Rhode Island","volume":"127","author":"Wylie","year":"2014","journal-title":"Am J Med."},{"key":"2020110612432254300_ocw077-B23"},{"issue":"8","key":"2020110612432254300_ocw077-B24","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1007\/s11606-011-1703-z","article-title":"Transitioning between electronic health records: effects on ambulatory prescribing safety","volume":"26","author":"Abramson","year":"2011","journal-title":"J Gen Intern Med."},{"issue":"8","key":"2020110612432254300_ocw077-B25","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.ijmedinf.2012.02.010","article-title":"Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing","volume":"81","author":"Abramson","year":"2012","journal-title":"Int J Med Inform."},{"issue":"4","key":"2020110612432254300_ocw077-B26","doi-asserted-by":"crossref","first-page":"367","DOI":"10.4338\/ACI-2012-04-R-0014","article-title":"Transitioning from a legacy EHR to a commercial, vendor-supplied EHR: one academic health system's experience","volume":"3","author":"Gettinger","year":"2012","journal-title":"Appl Clin Inform."},{"issue":"6","key":"2020110612432254300_ocw077-B27","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1111\/j.1365-2753.2011.01756.x","article-title":"Satisfaction after the transition between electronic health record systems at six ambulatory practices","volume":"18","author":"Pfoh","year":"2012","journal-title":"J Eval Clin Pract."},{"issue":"3","key":"2020110612432254300_ocw077-B28","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1136\/amiajnl-2011-000333","article-title":"Transitioning between ambulatory EHRs: a study of practitioners' perspectives","volume":"19","author":"Zandieh","year":"2012","journal-title":"J Am Med Inform Assoc."},{"issue":"6","key":"2020110612432254300_ocw077-B29","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1007\/s11606-008-0573-5","article-title":"Challenges to EHR implementation in electronic- versus paper-based office practices","volume":"23","author":"Zandieh","year":"2008","journal-title":"J Gen Intern Med."},{"issue":"4","key":"2020110612432254300_ocw077-B30","first-page":"522","article-title":"Perspectives on electronic medical record implementation after two years of use in primary health care practice","volume":"25","author":"Terry","year":"2012","journal-title":"J AmBoard Family Med."},{"issue":"7","key":"2020110612432254300_ocw077-B31","first-page":"508","article-title":"Adoption of electronic medical records in family practice: the providers' perspective","volume":"41","author":"Terry","year":"2009","journal-title":"Fam Med."},{"issue":"2","key":"2020110612432254300_ocw077-B32","first-page":"99","article-title":"Implementing an electronic medical record at a residency site: physicians' perceived effects on quality of care, documentation, and productivity","volume":"108","author":"Brotzman","year":"2009","journal-title":"WMJ."},{"issue":"7","key":"2020110612432254300_ocw077-B33","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.ijmedinf.2010.04.006","article-title":"Physician productivity and the ambulatory EHR in a large academic multi-specialty physician group","volume":"79","author":"Cheriff","year":"2010","journal-title":"Int J Med Inform."},{"issue":"2","key":"2020110612432254300_ocw077-B34","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/PEC.0b013e3181ce2f99","article-title":"Clinician perceptions of an electronic medical record during the first year of implementaton in emergency services","volume":"26","author":"Chisolm","year":"2010","journal-title":"Pediatric Emergency Care."},{"issue":"4","key":"2020110612432254300_ocw077-B35","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1007\/s11606-009-0906-z","article-title":"Trends in primary care clinician perceptions of a new electronic health record","volume":"24","author":"El-Kareh","year":"2009","journal-title":"J Gen Intern Med."},{"issue":"2","key":"2020110612432254300_ocw077-B36","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1136\/amiajnl-2012-001114","article-title":"Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units","volume":"20","author":"Hoonakker","year":"2013","journal-title":"J Am Med Inform Assoc."},{"issue":"2","key":"2020110612432254300_ocw077-B37","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/s11606-012-2153-y","article-title":"Patient safety perceptions of primary care providers after implementation of an electronic medical record system","volume":"28","author":"McGuire","year":"2013","journal-title":"J Gen Intern Med."},{"issue":"10","key":"2020110612432254300_ocw077-B38","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1007\/s11606-014-2891-0","article-title":"Does it get easier to use an EHR? Report from an urban regional extension center","volume":"29","author":"Ryan","year":"2014","journal-title":"J Gen Intern Med."},{"issue":"3","key":"2020110612432254300_ocw077-B39","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1136\/amiajnl-2011-000462","article-title":"Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department","volume":"19","author":"Spellman Kennebeck","year":"2012","journal-title":"J Am Med Inform Assoc."},{"issue":"11","key":"2020110612432254300_ocw077-B40","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/j.ijmedinf.2010.09.006","article-title":"The impact of electronic medical record systems on outpatient workflows: a longitudinal evaluation of its workflow effects","volume":"79","author":"Vishwanath","year":"2010","journal-title":"Int J Med Inform."},{"issue":"3","key":"2020110612432254300_ocw077-B41","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1108\/09534810210429309","article-title":"The \u201cdeath valley\u201d of change","volume":"15","author":"Elrod","year":"2002","journal-title":"J Organizational Change Manag."},{"key":"2020110612432254300_ocw077-B42","volume-title":"Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys","author":"The American Association For Public Opinion Research"},{"key":"2020110612432254300_ocw077-B43","author":"Verdon"},{"issue":"1","key":"2020110612432254300_ocw077-B44","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1197\/jamia.M1409","article-title":"Take note(s): differential EHR satisfaction with two implementations under one roof","volume":"11","author":"O'Connell","year":"2004","journal-title":"J Am Med Inform Assoc."},{"issue":"6","key":"2020110612432254300_ocw077-B45","doi-asserted-by":"crossref","first-page":"e1674","DOI":"10.1542\/peds.2012-2724","article-title":"We are still waiting for fully supportive electronic health records in pediatrics","volume":"130","author":"Spooner","year":"2012","journal-title":"Pediatrics."},{"issue":"2","key":"2020110612432254300_ocw077-B46","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1136\/jamia.2010.009316","article-title":"Explaining physicians' use of EMR systems and performance in the shakedown phase","volume":"18","author":"Sykes","year":"2011","journal-title":"J Am Med Inform Assoc."},{"issue":"4","key":"2020110612432254300_ocw077-B47","doi-asserted-by":"crossref","first-page":"201","DOI":"10.5694\/mja12.10499","article-title":"Effect of an electronic medical record information system on emergency department performance","volume":"198","author":"Mohan","year":"2013","journal-title":"Med J Aust."},{"issue":"5","key":"2020110612432254300_ocw077-B48","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1197\/jamia.M1700","article-title":"The impact of electronic health records on time efficiency of physicians and nurses: a systematic review","volume":"12","author":"Poissant","year":"2005","journal-title":"J Am Med Inform Assoc."},{"issue":"1","key":"2020110612432254300_ocw077-B49","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/j.1945-1474.2009.00062.x","article-title":"Predictors of physician satisfaction among electronic health record system users","volume":"32","author":"Menachemi","year":"2010","journal-title":"J Healthcare Qual."},{"key":"2020110612432254300_ocw077-B50","author":"Brookstone"},{"issue":"1","key":"2020110612432254300_ocw077-B51","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1136\/amiajnl-2012-001093","article-title":"The future state of clinical data capture and documentation: a report from AMIA's 2011 Policy Meeting","volume":"20","author":"Cusack","year":"2013","journal-title":"J Am Med Inform Assoc."},{"issue":"3","key":"2020110612432254300_ocw077-B52","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.2196\/medinform.4457","article-title":"Meaningful use of electronic health records: experiences from the field and future opportunities","volume":"3","author":"Slight","year":"2015","journal-title":"JMIR Med Inform."},{"issue":"e1","key":"2020110612432254300_ocw077-B53","doi-asserted-by":"crossref","first-page":"e152","DOI":"10.1136\/amiajnl-2013-002260","article-title":"Electronic health record use and preventive counseling for US children and adolescents","volume":"21","author":"Rand","year":"2014","journal-title":"J Am Med Inform Assoc."},{"issue":"e1","key":"2020110612432254300_ocw077-B54","doi-asserted-by":"crossref","first-page":"e100","DOI":"10.1136\/amiajnl-2013-001875","article-title":"Electronic medical records and physician stress in primary care: results from the MEMO Study","volume":"21","author":"Babbott","year":"2014","journal-title":"J Am Med Inform Assoc."},{"issue":"1","key":"2020110612432254300_ocw077-B55","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1001\/jamainternmed.2015.6559","article-title":"Computers in the Examination Room","volume":"176","author":"Frankel","year":"2016","journal-title":"JAMA Int Med."},{"issue":"3","key":"2020110612432254300_ocw077-B56","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.ijmedinf.2013.11.003","article-title":"Dynamic modeling of patient and physician eye gaze to understand the effects of electronic health records on doctor-patient communication and attention","volume":"83","author":"Montague","year":"2014","journal-title":"Int J Med Inform."},{"issue":"1","key":"2020110612432254300_ocw077-B57","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1001\/jamainternmed.2015.6186","article-title":"Association between clinician computer use and communication with patients in safety-net clinics","volume":"176","author":"Ratanawongsa","year":"2016","journal-title":"JAMA Int Med."},{"issue":"23","key":"2020110612432254300_ocw077-B58","doi-asserted-by":"crossref","first-page":"2497","DOI":"10.1001\/jama.2012.4946","article-title":"A piece of my mind. The cost of technology","volume":"307","author":"Toll","year":"2012","journal-title":"JAMA."},{"issue":"24","key":"2020110612432254300_ocw077-B59","doi-asserted-by":"crossref","first-page":"2240","DOI":"10.1056\/NEJMp1203102","article-title":"Escaping the EHR trap\u2014the future of health IT","volume":"366","author":"Mandl","year":"2012","journal-title":"N Engl J Med."},{"issue":"3","key":"2020110612432254300_ocw077-B60","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1370\/afm.1531","article-title":"In search of joy in practice: a report of 23 high-functioning primary care practices","volume":"11","author":"Sinsky","year":"2013","journal-title":"Ann Fam Med."},{"issue":"1","key":"2020110612432254300_ocw077-B61","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1093\/jamia\/ocv142","article-title":"Strategizing EHR use to achieve patient-centered care in exam rooms: a qualitative study on primary care providers","volume":"23","author":"Zhang","year":"2016","journal-title":"J Am Med Inform Assoc."},{"issue":"3","key":"2020110612432254300_ocw077-B62","doi-asserted-by":"crossref","first-page":"286","DOI":"10.4338\/ACI-2010-01-R-0001","article-title":"Change management\u2014recommendations for successful electronic medical records implementation","volume":"1","author":"Shoolin","year":"2010","journal-title":"Appl Clin Inform."},{"issue":"5","key":"2020110612432254300_ocw077-B63","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1136\/jamia.1994.95153426","article-title":"Changes in physicians' computer anxiety and attitudes related to clinical information system use","volume":"1","author":"Brown","year":"1994","journal-title":"J Am Med Inform Assoc."},{"issue":"1","key":"2020110612432254300_ocw077-B64","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/0163278707311874","article-title":"Nonresponse bias and cost-effectiveness in a Norwegian survey of family physicians","volume":"31","author":"Bjertnaes","year":"2008","journal-title":"Eval Health Professions."},{"issue":"1","key":"2020110612432254300_ocw077-B65","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1111\/j.1475-6773.2005.00350.x","article-title":"Response rates and response bias for 50 surveys of pediatricians","volume":"40","author":"Cull","year":"2005","journal-title":"Health Serv Res."},{"key":"2020110612432254300_ocw077-B66","first-page":"4136","article-title":"Conducting survey research among physicians and other medical professionals: a review of current literature","volume":"2008","author":"Flanigan","year":"2008","journal-title":"Proc Survey Res Methods Section, Am Stat Assoc."},{"issue":"1","key":"2020110612432254300_ocw077-B67","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/S0749-3797(00)00258-0","article-title":"Physician response to surveys","volume":"20","author":"Kellerman","year":"2001","journal-title":"A review of the literature. Am J Prev Med."},{"issue":"2","key":"2020110612432254300_ocw077-B68","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1177\/0163278707300632","article-title":"Nonresponse bias in a mail survey of physicians","volume":"30","author":"McFarlane","year":"2007","journal-title":"Eval Health Professions."},{"issue":"4","key":"2020110612432254300_ocw077-B69","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s10916-005-9009-5","article-title":"Investigating response bias in an information technology survey of physicians","volume":"30","author":"Menachemi","year":"2006","journal-title":"J Med Syst."},{"issue":"2","key":"2020110612432254300_ocw077-B70","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1111\/jep.12458","article-title":"Influence of electronic medical record implementation on provider retirement at a major academic medical centre","volume":"22","author":"Crowson","year":"2015","journal-title":"J Eval Clin Pract."},{"issue":"2","key":"2020110612432254300_ocw077-B71","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1136\/amiajnl-2014-003023","article-title":"Implications of an emerging EHR monoculture for hospitals and healthcare systems","volume":"22","author":"Koppel","year":"2015","journal-title":"J Am Med Inform Assoc."}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/24\/e1\/e157\/34149405\/ocw077.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/24\/e1\/e157\/34149405\/ocw077.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T15:55:40Z","timestamp":1656777340000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/24\/e1\/e157\/2631469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,3]]},"references-count":71,"journal-issue":{"issue":"e1","published-online":{"date-parts":[[2016,7,3]]},"published-print":{"date-parts":[[2017,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocw077","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2017,4]]},"published":{"date-parts":[[2016,7,3]]}}}