{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:39:49Z","timestamp":1765827589280},"reference-count":257,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2017,9,2]],"date-time":"2017-09-02T00:00:00Z","timestamp":1504310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe a new, comprehensive process model of clinical information interaction in primary care (Clinical Information Interaction Model, or CIIM) based on a systematic synthesis of published research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We used the \u201cbest fit\u201d framework synthesis approach. Searches were performed in PubMed, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Library and Information Science Abstracts, Library, Information Science and Technology Abstracts, and Engineering Village. Two authors reviewed articles according to inclusion and exclusion criteria. Data abstraction and content analysis of 443 published papers were used to create a model in which every element was supported by empirical research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The CIIM documents how primary care clinicians interact with information as they make point-of-care clinical decisions. The model highlights 3 major process components: (1) context, (2) activity (usual and contingent), and (3) influence. Usual activities include information processing, source-user interaction, information evaluation, selection of information, information use, clinical reasoning, and clinical decisions. Clinician characteristics, patient behaviors, and other professionals influence the process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The CIIM depicts the complete process of information interaction, enabling a grasp of relationships previously difficult to discern. The CIIM suggests potentially helpful functionality for clinical decision support systems (CDSSs) to support primary care, including a greater focus on information processing and use. The CIIM also documents the role of influence in clinical information interaction; influencers may affect the success of CDSS implementations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The CIIM offers a new framework for achieving CDSS workflow integration and new directions for CDSS design that can support the work of diverse primary care clinicians.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jamia\/ocx085","type":"journal-article","created":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T03:12:30Z","timestamp":1501643550000},"page":"746-758","source":"Crossref","is-referenced-by-count":7,"title":["Comprehensive process model of clinical information interaction in primary care: results of a \u201cbest-fit\u201d framework synthesis"],"prefix":"10.1093","volume":"25","author":[{"given":"Tiffany C","family":"Veinot","sequence":"first","affiliation":[{"name":"School of Information and School of Public Health, University of Michigan, Ann Arbor, MI, USA"}]},{"given":"Charles R","family":"Senteio","sequence":"additional","affiliation":[{"name":"Department of Library and Information Science, School of Communication and Information, Rutgers University, New Brunswick, NJ, USA"}]},{"given":"David","family":"Hanauer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical School, University of Michigan, Ann Arbor, MI, USA"}]},{"given":"Julie C","family":"Lowery","sequence":"additional","affiliation":[{"name":"Center for Clinical Management, Research, VA Ann Arbor Healthcare System, University of Michigan, Ann Arbor, MI, USA"}]}],"member":"286","published-online":{"date-parts":[[2017,9,2]]},"reference":[{"key":"2020110612380186200_ocx085-B1","volume-title":"Clinical Decision Support: The Road to Broad Adoption","author":"Greenes","year":"2014"},{"key":"2020110612380186200_ocx085-B2","volume-title":"Challenges and Barriers to Clinical Decision Support (CDS) Design and Implementation Experienced in the Agency for 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