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J Ambul Care Manage. 2014 Jan-Mar;37(1):2-10. doi: 10.1097/JAC.0000000000000000.

GAPS in implementing health assessments in primary care: a literature review.

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  • 1Department of Family Medicine (Drs James and West, Mr Fernald, and Mss Huff and Staton) and General Internal Medicine (Dr Ross), University of Colorado Denver, Anschutz Medical Campus, Aurora; and Center for Primary Care, Prevention and Clinical Partnerships, Agency for Healthcare Research and Quality, Rockville, Maryland (Dr Ricciardi).


Patient-reported health data are critical components of patient-centered health care. However, barriers related to acquisition, implementation, and data use have not been well characterized. We conducted a systematic review of literature about health assessments in ambulatory and primary care covering 2 domains: (1) best practices in health assessments in primary care and (2) integration of health assessments into electronic health records. Our review found that training and standardization of practice workflows improves implementation of health assessments; however, gaps remain on identification and selection of health assessments, integration with electronic health records, and optimal intervals of health assessments administration.

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