J Med Syst - Quality and cost improvement of healthcare via complementary measurement and diagnosis of patient general health outcome using electronic health record data: research rationale and design.

Tópicos

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Resumo

In this evolving 'third era of health', one of the US Health Care Reform Act's goals is to effectively facilitate the primary care physician's ability to better diagnose and manage the health outcome of the outpatient. That goal must include research on the complementary quantitative-qualitative assessment and rating of the patient's health status. This paper proposes an overview of the rationale and design of a research program for a balanced measurement and diagnostic clinical decision support system (CDSS) of the changing general health status of the patient -including disease- using electronic health record (EHR) data. The rationale, objectives, health metric-diagnostic tools architecture, simulation-optimization, and clinical trials are outlined. Resources, time frames, costs, feasibility, healthcare benefits and data-integration of the project are delineated. The basis and components of the research program to achieve an automated-CDSS to complement physician's clinical judgment, calculating a mathematical 'health equation' from each patient's EHR database, assisting physician-patient collaboration to diagnose, and improve general health outcomes is described. Use of multiple dimensional index, ways of classification, and causal factors' assessments, to arrive at the EHR-based CDSS algorithm-software providing a general health level and state rating of the patient are proposed. Its application could provide a compass for the general practitioner's best choice and use of the myriad of healthcare educational and technological options available with lower costs for everyday clinical practice and research. It could advance the approaches and focus of the 'eras of diseases', to the promising 'era of health', in an integrated, general approach to 'health.'

Resumo Limpo

evolv third era health one us health care reform act goal effect facilit primari care physician abil better diagnos manag health outcom outpati goal must includ research complementari quantitativequalit assess rate patient health status paper propos overview rational design research program balanc measur diagnost clinic decis support system cdss chang general health status patient includ diseas use electron health record ehr data rational object health metricdiagnost tool architectur simulationoptim clinic trial outlin resourc time frame cost feasibl healthcar benefit dataintegr project delin basi compon research program achiev automatedcdss complement physician clinic judgment calcul mathemat health equat patient ehr databas assist physicianpati collabor diagnos improv general health outcom describ use multipl dimension index way classif causal factor assess arriv ehrbas cdss algorithmsoftwar provid general health level state rate patient propos applic provid compass general practition best choic use myriad healthcar educ technolog option avail lower cost everyday clinic practic research advanc approach focus era diseas promis era health integr general approach health

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