J Am Med Inform Assoc - Harmonized patient-reported data elements in the electronic health record: supporting meaningful use by primary care action on health behaviors and key psychosocial factors.

Tópicos

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Resumo

CKGROUND: Electronic health records (EHR) have the potential to improve patient care through efficient access to complete patient health information. This potential may not be reached because many of the most important determinants of health outcome are rarely included. Successful health promotion and disease prevention requires patient-reported data reflecting health behaviors and psychosocial issues. Furthermore, there is a need to harmonize this information across different EHR systems.METHODS: To fill this gap a three-phased process was used to conceptualize, identify and recommend patient-reported data elements on health behaviors and psychosocial factors for the EHR. Expert panels (n=13) identified candidate measures (phase 1) that were reviewed and rated by a wide range of health professionals (n=93) using the grid-enabled measures wiki social media platform (phase 2). Recommendations were finalized through a town hall meeting with key stakeholders including patients, providers, researchers, policy makers, and representatives from healthcare settings (phase 3).RESULTS: Nine key elements from three areas emerged as the initial critical patient-reported elements to incorporate systematically into EHR--health behaviors (eg, exercise), psychosocial issues (eg, distress), and patient-centered factors (eg, demographics). Recommendations were also made regarding the frequency of collection ranging from a single assessment (eg, demographic characteristics), to annual assessment (eg, health behaviors), or more frequent (eg, patient goals).CONCLUSIONS: There was strong stakeholder support for this initiative reflecting the perceived value of incorporating patient-reported elements into EHR. The next steps will include testing the feasibility of incorporating these elements into the EHR across diverse primary care settings.

Resumo Limpo

ckground electron health record ehr potenti improv patient care effici access complet patient health inform potenti may reach mani import determin health outcom rare includ success health promot diseas prevent requir patientreport data reflect health behavior psychosoci issu furthermor need harmon inform across differ ehr systemsmethod fill gap threephas process use conceptu identifi recommend patientreport data element health behavior psychosoci factor ehr expert panel n identifi candid measur phase review rate wide rang health profession n use griden measur wiki social media platform phase recommend final town hall meet key stakehold includ patient provid research polici maker repres healthcar set phase result nine key element three area emerg initi critic patientreport element incorpor systemat ehrhealth behavior eg exercis psychosoci issu eg distress patientcent factor eg demograph recommend also made regard frequenc collect rang singl assess eg demograph characterist annual assess eg health behavior frequent eg patient goalsconclus strong stakehold support initi reflect perceiv valu incorpor patientreport element ehr next step will includ test feasibl incorpor element ehr across divers primari care set

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