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The independent effects of patient characteristics on the linking of notes was examined with a mixed model logistic regression. The effects of doctor characteristics and doctors\u2019 education and attitudes on the link ratio was analyzed with univariate analysis of variance. A survey was used to obtain arguments and attitudes on linking notes. For \u201cpatient characteristics\u201d, the odds of linking increased with an increase in the number of problems or hospital days, decreased, with an increase in the number of involved doctors, medical specialties or the number of notes. For \u201cdoctor characteristics\u201d, the link ratio increased with more work experience. For \u201cdoctors\u2019 education and attitudes\u201d, the link ratio increased with more familiarity in linking notes and belief in the added value of problem oriented charting. \u201cOverview\u201d was the most cited reason for linking; \u201cI don\u2019t know how\u201d the most cited reason for not linking. There is a huge variation within and between all disciplines. Important arguments, for and against, are found. Recommendations for policymakers and medical leadership are given to maximize the benefits.<\/jats:p>","DOI":"10.1177\/14604582211007534","type":"journal-article","created":{"date-parts":[[2021,4,10]],"date-time":"2021-04-10T08:35:17Z","timestamp":1618043717000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors affecting the manual linking of clinical progress notes to problems in daily clinical practice: A retrospective quantitative analysis and cross sectional survey"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6930-8458","authenticated-orcid":false,"given":"Felix","family":"Cillessen","sequence":"first","affiliation":[{"name":"Radboud university medical center, the Netherlands"}]},{"given":"Pieter","family":"de Vries Robb\u00e9","sequence":"additional","affiliation":[{"name":"Radboud university medical center, the Netherlands"}]},{"given":"Hans","family":"Bor","sequence":"additional","affiliation":[{"name":"Radboud university medical center, the Netherlands"}]},{"given":"Marion","family":"Biermans","sequence":"additional","affiliation":[{"name":"Radboud university medical center, the Netherlands"}]}],"member":"179","published-online":{"date-parts":[[2021,4,10]]},"reference":[{"key":"bibr1-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-370"},{"key":"bibr2-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196803142781105"},{"key":"bibr3-14604582211007534","volume-title":"Medical records, medical education, and patient care; the problem-oriented record as a basic tool","author":"Weed LL.","year":"1969"},{"key":"bibr4-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2017.04.016"},{"key":"bibr5-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2011-000121"},{"key":"bibr6-14604582211007534","first-page":"50","volume":"82","author":"Scichilone RA.","year":"2011","journal-title":"J AHIMA"},{"key":"bibr7-14604582211007534","doi-asserted-by":"publisher","DOI":"10.4338\/ACI-2014-07-RA-0057"},{"key":"bibr8-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1712466"},{"key":"bibr9-14604582211007534","first-page":"30","volume":"82","author":"Holmes C.","year":"2011","journal-title":"J AHIMA"},{"key":"bibr10-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-11-36"},{"key":"bibr11-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-016-0341-0"},{"key":"bibr12-14604582211007534","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocy011"},{"key":"bibr13-14604582211007534","unstructured":"Health Level Seven International. 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