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Table 1 Summary of RE-AIM framework [6] for Evaluation of OpenNotes

From: Evaluating the impact of patients' online access to doctors' visit notes: designing and executing the OpenNotes project

Domain

Methods

Outcomes

Reach

Administrative data re: PCP characteristics and panel information; Portal use data; Surveys of patients/PCPs

PCP and patient demographics PCP workload, sessions, visits PCP portal statistics: number patients on portal, number of OpenNotes Patient portal statistics: registered users, logons

Effectiveness

PCP pre- and post- intervention survey, interviews Patient pre- and post- intervention survey PCP/patient portal data

PCP and patient preferences about continuation of OpenNotes PCP reported burden from OpenNotes Patient measures: Perceptions of Benefits/Risks of OpenNotes, ACES Quality of patient-doctor relationship subscale, Perceived Efficacy in Patient-Physician Interactions (PEPPI) short form questionnaire, PCP portal and telephone messages Patient portal: number of notes viewed

Adoption

System level data PCP practice data

Description of systems, PCP practices, proportions using OpenNotes PCP panel size, registered portal users

Implementation

Process data, PCP surveys and interviews, non-respondent surveys

PCP expectations, burden, barriers to participation; detailed descriptions of PCP experiences, comments, recommendations

Maintenance

PCP/system responses

Decision to continue or discontinue OpenNotes