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We performed multi level regression analyses (mixed models) with patients (level 1) nested within the practices (level 2).
We used multiple sources of data to explore: (1) the practices' level of engagement in the GEM implementation; (2) the users' (i.e., providers and staff) opinions about their EHR system and expectations for the GE M (3) the level of use of the GEM information during the patient encounter, and; (4) factors affecting the level of use and decisions about continuing to use the software.
Three additional factors contributed to the practices' level of GEM usage and decision to sustain usage: (1) level of integration of the GEM information into the EHR system; (2) consistency of data collection process with nursing workflow; and (3) patient reluctance to provide HRQL information.
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Cluster-randomised controlled trial at the practice level.
Randomisation takes place at the practice level.
Therefore studying the variation at the practice level is legitimate.
Guideline adherence was described at the practice level.
Two studies performed cluster randomisation at the practice level.
QOF data are registered at the practice level.
Adjustment for clustering was made at the practice level.
The second level was the practice level at which the organisational measures were specified.
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CEO of Professional Science Editing for Scientists @ prosciediting.com