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

基本信息

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
项目类别：
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

项目摘要

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）：尽管与心血管疾病有关的大型随机临床试验的显着发现，研究仍然显示出患者心脏血管疾病护理质量的严重缺陷，但表明证据并非一致地转化为护理。健康信息技术（HIT），例如电子健康记录，通过改进数据管理，计算机决策支持和人口健康规定（例如电子疾病管理工具）具有巨大的潜力来提高护理质量。但是，很少有研究研究了全面的命中系统对提供基于证据的护理的影响。这项研究的目的是评估与采用综合命中系统有关的心血管疾病质量变化及其相关的主要危险因素。我们假设综合命中系统的组成部分通过协同增加推荐的护理过程的交付来提高缺血性和充血性心脏病的门诊护理质量。受到审查的是VA的计算机化患者记录系统（GPRS）；国家最广泛使用的命中系统。该研究使用了全国性样本，由VA中的150家最大的门诊诊所组成。它使用回顾性的准实验设计，它利用了心理室设施中CPR的差异扩散来解决混杂和偏见。与CPR采用有关的主要数据收集目前正在其试点追逐中。