Trishna Narula, MD, MPH
Clinical Assistant Professor, Psychiatry and Behavioral Sciences
Bio
Dr. Narula is currently serving patients at Stanford's centerspace clinic, where she is also working to lead and launch a new South Asian program.
Clinical Focus
- Cultural Psychiatry
- Psychotherapy, Psychodynamic
- Women's Health
- Health Policy
- Psychiatry
Academic Appointments
-
Clinical Assistant Professor, Psychiatry and Behavioral Sciences
Professional Education
-
Board Certification: American Board of Psychiatry and Neurology, Psychiatry (2025)
-
Residency: Stanford University Psychiatry and Behavioral Sciences (2025) CA
-
Medical Education: Stanford University School of Medicine (2021) CA
-
Residency, Stanford University, Psychiatry
-
MD, Stanford University
-
MPH, Emory University, Epidemiology & Maternal/Child Health
-
BA, Rice University, Psychology & Global Health
All Publications
-
Electronic Health Records and the Frequency of Diagnostic Test Orders
AMERICAN JOURNAL OF MANAGED CARE
2017; 23 (1): E16-?
Abstract
To determine whether electronic health record (EHR) access influences the number of laboratory and imaging tests ordered, which is a frequently cited mechanism for EHR-enabled cost savings.We analyzed data on non-federally employed office-based physicians from the 2008 to 2012 Electronic Health Medical Records Survey, a supplement to the National Ambulatory Medical Care Survey.We estimated logistic regressions to determine the relationship between EHR utilization and the volume of laboratory and imaging tests ordered in our study population, controlling for age, sex, race, clinic type, payer type, health status, comorbidities, and new patients.Physicians who actively used an EHR system ordered more complete blood count (CBC) tests than physicians who did not (odds ratio [OR], 1.34; P <.001), even after adjusting for patient demographics, health status, and case mix. EHR-using physicians also ordered more computerized tomography scans (OR, 1.41; P <.001) and x-rays (OR, 1.39; P <.001); the difference for magnetic resonance imaging scans was not significant (OR, 1.08; P = .449). Subgroup analysis highlighted differences in ordering among various patient cohorts.Using the most recent available nationally representative data, excluding federal and Veterans Affairs' hospitals, we found that physicians with EHR access ordered more tests than their non-EHR counterparts, thus contradicting a common rationale for EHR implementation. We argue that EHR use may actually increase healthcare expenditures by facilitating the ease of ordering tests. Whether these extra tests carry clinical utility requires further analysis.
View details for Web of Science ID 000392952800003
View details for PubMedID 28141935
-
The Role of Age and Gender Bias Among Medical Students in the Evaluation of Constipation in Elderly Women
NATURE PUBLISHING GROUP. 2016: S251–S252
View details for DOI 10.14309/00000434-201610001-00552
View details for Web of Science ID 000395764600545