Impact of Health Information Technology Quality of Care--Cardiovascular Disease

健康信息技术对护理质量的影响——心血管疾病

• 批准号: 7286733
• 负责人: BASIT IQBAL CHAUDHRY
• 金额: $ 6.61万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7286733
• 关键词: Address; Adoption; Ambulatory Care; Cardiac; Cardiovascular Diseases; Caring; Clinic; Computerized Patient Records; Condition; Congestive; Congestive Heart Failure; Counseling; Data Analyses; Data Collection; Development; Diabetes Mellitus; Diffusion; Disease Management; Dyslipidemias; Electronic Health Record; Electronics; Experimental Designs; Frequencies; Goals; Health; Health Personnel; Heart Diseases; Hypertension; Information Systems; Information Technology; Investigation; Logistics; Manuscripts; Myocardial Ischemia; National Research Service Awards; Patient Care; Patients; Population; Preparation; Primary Prevention; Process; Purpose; Quality of Care; Randomized Clinical Trials; Research Design; Risk Factors; Sampling; Schedule; System; Tobacco Use Cessation; Translating; Work; base; computerized; data collection methodology; data management; improved; instrument; macrovascular disease; tool

DESCRIPTION (provided by applicant): Despite significant findings from large randomized clinical trials related to cardiovascular disease, studies still show significant deficits in the quality of cardiovascular disease care patients receive, suggesting evidence is not consistently translating into care. Health Information Technologies (HIT), such as the electronic health record hold great potential to improve quality of care through improved data management, computerized decision support and population health provisions, such as electronic disease management tools. However, few studies have examined the impact that a comprehensive HIT system has on the delivery of evidence based care. The goal of this study is to evaluate the changes in quality for cardiovascular disease and its associated major risk factors associated with adoption of comprehensive HIT system. We hypothesize that the components of a comprehensive HIT system improve the quality of ambulatory care for ischemic and congestive heart disease by synergistically increasing the delivery of recommended processes of care. The HIT under examination is the VA's Computerized Patient Record System (GPRS); the nations' most widely used HIT system. The study uses a nationwide sample, consisting of the 150 largest ambulatory care clinics in the VA. It uses a retrospective quasi-experimental design which takes advantage of differential diffusion of CPRS amongst ambulatory facilities to address confounding and bias. Primary data collection related to CPRS adoption is currently in its pilot chase.

描述（由申请人提供）：尽管与心血管疾病相关的大型随机临床试验有重大发现，但研究仍然表明心血管疾病患者接受的护理质量存在显着缺陷，这表明证据并不能始终如一地转化为护理。电子健康记录等健康信息技术 (HIT) 通过改进数据管理、计算机化决策支持和电子疾病管理工具等人口健康服务，具有提高护理质量的巨大潜力。然而，很少有研究探讨综合 HIT 系统对提供循证护理的影响。本研究的目的是评估心血管疾病质量的变化及其与采用综合 HIT 系统相关的主要危险因素。我们假设综合 HIT 系统的组成部分通过协同增加推荐护理流程的提供来提高缺血性和充血性心脏病的门诊护理质量。正在审查的 HIT 是 VA 的计算机化患者记录系统 (GPRS)；全国使用最广泛的 HIT 系统。该研究使用了全国样本，其中包括 VA 150 家最大的门诊护理诊所。它采用回顾性准实验设计，利用 CPRS 在流动设施之间的差异扩散来解决混杂因素和偏差。与 CPRS 采用相关的主要数据收集目前正在进行试点。