Using an EMR to Improve Urban Child Health

使用电子病历改善城市儿童健康

基本信息

批准号：
7031565
负责人：
WILLIAM G ADAMS
金额：
$ 10.26万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-04-01 至 2007-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7031565
关键词：
adolescence (12-20)asthma automated medical record system clinical research computer program /software computer system design /evaluation decision making disease /disorder prevention /control health care quality health disparity human subject informatics pediatrics urban area

项目摘要

DESCRIPTION (provided by the applicant): The candidate is a pediatrician, epidemiologist, and an applied informatics fellow with the National Library of Medicine. His primary career objective is to improve the quality of urban pediatric primary care using computer-based technologies such as the electronic medical record (EMR). Using resources available in Boston through the Boston University School of Medicine, the Neighborhood Health Center Healthnet Collaboration, and the National Initiative for Child Healthcare Quality, he proposes to spend three years evaluating strategies to improve the quality of pediatric health care using EMR technologies. His focus will be in two areas of central importance to the primary care clinician-preventive services and the care of asthma. The specific aims of this project are to use a common EMR in a network of urban primary care centers to: 1) describe the content and quality of EMR-based urban child and adolescent primary care; 2) evaluate the efficacy of evidence-enhanced audit and feedback to improve the delivery of multiple primary care services (preventive services and asthma care); 3) describe the perceptions of primary care clinicians and quality improvement strategies used following receipt of practice-based audit and feedback; 4) evaluate incremental improvements in quality following the addition of point-of-care decision support to improve the delivery of multiple primary care services (preventive services and asthma care); and 5) describe the perceptions of primary care clinicians following receipt of point-of-care decision support. These studies build on the candidate's six years of experience in the development and evaluation of pediatric EMR software. The long-term career objectives are to lead a collaborative research network in the City of Boston that will develop, use, and evaluate technology-based solutions (including the EMR) to improve the health and healthcare of urban children.

描述（由申请人提供）：候选人是一名儿科医生、流行病学家和国家医学图书馆的应用信息学研究员。他的主要职业目标是利用电子病历 (EMR) 等计算机技术提高城市儿科初级保健的质量。他建议利用波士顿大学医学院、邻里健康中心 Healthnet Collaboration 和国家儿童医疗保健质量倡议在波士顿提供的资源，利用三年时间评估利用 EMR 技术提高儿科医疗保健质量的策略。他的重点将放在对初级保健临床医生至关重要的两个领域——预防服务和哮喘护理。该项目的具体目标是在城市初级保健中心网络中使用通用电子病历来： 1）描述基于电子病历的城市儿童和青少年初级保健的内容和质量； 2) 评估循证审计和反馈的有效性，以改善多种初级保健服务（预防服务和哮喘护理）的提供； 3) 描述初级保健临床医生的看法以及收到基于实践的审核和反馈后所使用的质量改进策略； 4) 评估添加护理点决策支持以改善多种初级保健服务（预防服务和哮喘护理）的提供后质量的逐步改进； 5) 描述初级保健临床医生在收到护理点决策支持后的看法。这些研究建立在候选人六年的儿科 EMR 软件开发和评估经验的基础上。长期职业目标是领导波士顿市的一个合作研究网络，该网络将开发、使用和评估基于技术的解决方案（包括 EMR），以改善城市儿童的健康和医疗保健。