J Am Med Inform Assoc - Using EHRs to integrate research with patient care: promises and challenges.

Tópicos

{ implement(1333) system(1263) develop(1122) }
{ ehr(2073) health(1662) electron(1139) }
{ record(1888) medic(1808) patient(1693) }
{ high(1669) rate(1365) level(1280) }
{ can(774) often(719) complex(702) }
{ system(1050) medic(1026) inform(1018) }
{ medic(1828) order(1363) alert(1069) }
{ inform(2794) health(2639) internet(1427) }
{ research(1218) medic(880) student(794) }
{ gene(2352) biolog(1181) express(1162) }
{ survey(1388) particip(1329) question(1065) }
{ sequenc(1873) structur(1644) protein(1328) }
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{ featur(1941) imag(1645) propos(1176) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
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{ problem(2511) optim(1539) algorithm(950) }
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{ care(1570) inform(1187) nurs(1089) }
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{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
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{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Clinical research is the foundation for advancing the practice of medicine. However, the lack of seamless integration between clinical research and patient care workflow impedes recruitment efficiency, escalates research costs, and hence threatens the entire clinical research enterprise. Increased use of electronic health records (EHRs) holds promise for facilitating this integration but must surmount regulatory obstacles. Among the unintended consequences of current research oversight are barriers to accessing patient information for prescreening and recruitment, coordinating scheduling of clinical and research visits, and reconciling information about clinical and research drugs. We conclude that the EHR alone cannot overcome barriers in conducting clinical trials and comparative effectiveness research. Patient privacy and human subject protection policies should be clarified at the local level to exploit optimally the full potential of EHRs, while continuing to ensure participant safety. Increased alignment of policies that regulate the clinical and research use of EHRs could help fulfill the vision of more efficiently obtaining clinical research evidence to improve human health.

Resumo Limpo

clinic research foundat advanc practic medicin howev lack seamless integr clinic research patient care workflow imped recruit effici escal research cost henc threaten entir clinic research enterpris increas use electron health record ehr hold promis facilit integr must surmount regulatori obstacl among unintend consequ current research oversight barrier access patient inform prescreen recruit coordin schedul clinic research visit reconcil inform clinic research drug conclud ehr alon overcom barrier conduct clinic trial compar effect research patient privaci human subject protect polici clarifi local level exploit optim full potenti ehr continu ensur particip safeti increas align polici regul clinic research use ehr help fulfil vision effici obtain clinic research evid improv human health

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