BMC Med Inform Decis Mak - Evaluating quality of care for patients with type 2 diabetes using electronic health record information in Mexico.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ method(1969) cluster(1462) data(1082) }
{ treatment(1704) effect(941) patient(846) }
{ studi(1119) effect(1106) posit(819) }
{ monitor(1329) mobil(1314) devic(1160) }
{ cancer(2502) breast(956) screen(824) }
{ framework(1458) process(801) describ(734) }
{ system(1050) medic(1026) inform(1018) }
{ patient(2837) hospit(1953) medic(668) }
{ patient(2315) diseas(1263) diabet(1191) }
{ algorithm(1844) comput(1787) effici(935) }
{ research(1218) medic(880) student(794) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ clinic(1479) use(1117) guidelin(835) }
{ model(2220) cell(1177) simul(1124) }
{ model(2341) predict(2261) use(1141) }
{ use(976) code(926) identifi(902) }
{ can(774) often(719) complex(702) }
{ imag(1057) registr(996) error(939) }
{ network(2748) neural(1063) input(814) }
{ studi(2440) review(1878) systemat(933) }
{ data(1714) softwar(1251) tool(1186) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ blood(1257) pressur(1144) flow(957) }
{ medic(1828) order(1363) alert(1069) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ drug(1928) target(777) effect(648) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Several low and middle-income countries are implementing electronic health records (EHR). In the near future, EHRs could become an efficient tool to evaluate healthcare performance if appropriate indicators are developed. The aims of this study are: a) to develop quality of care indicators (QCIs) for type 2 diabetes (T2DM) in the Mexican Institute of Social Security (IMSS) health system; b) to determine the feasibility of constructing QCIs using the IMSS EHR data; and c) to evaluate the quality of care (QC) provided to IMSS patients with T2DM.METHODS: We used a three-stage mixed methods approach: a) development of QCIs following the RAND-UCLA method; b) EHR data extraction and construction of indicators; c) QC evaluation using EHR data from 25,130 T2DM patients who received care in 2009.RESULTS: We developed 18 QCIs, of which 14 were possible to construct using available EHR data. QCIs comprised both process of care and health outcomes. Several flaws in the EHR design and quality of data were identified. The indicators of process and outcomes of care suggested areas for improvement. For example, only 13.0% of patients were referred to an ophthalmologist; 3.9% received nutritional counseling; 63.2% of overweight/obese patients were prescribed metformin, and only 23% had HbA1c <7% (or plasma glucose=130mg/dl).CONCLUSIONS: EHR data can be used to evaluate QC. The results identified both strengths and weaknesses in the electronic information system as well as in the process and outcomes of T2DM care at IMSS. This information can be used to guide targeted interventions to improve QC.

Resumo Limpo

ckground sever low middleincom countri implement electron health record ehr near futur ehr becom effici tool evalu healthcar perform appropri indic develop aim studi develop qualiti care indic qcis type diabet tdm mexican institut social secur imss health system b determin feasibl construct qcis use imss ehr data c evalu qualiti care qc provid imss patient tdmmethod use threestag mix method approach develop qcis follow randucla method b ehr data extract construct indic c qc evalu use ehr data tdm patient receiv care result develop qcis possibl construct use avail ehr data qcis compris process care health outcom sever flaw ehr design qualiti data identifi indic process outcom care suggest area improv exampl patient refer ophthalmologist receiv nutrit counsel overweightobes patient prescrib metformin hbac plasma glucosemgdlconclus ehr data can use evalu qc result identifi strength weak electron inform system well process outcom tdm care imss inform can use guid target intervent improv qc

Resumos Similares

Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,828473849608932 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,826511997122602 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,821628371907574 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,811047920812939 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,808983402440244 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,808921371482613 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,808377596597438 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,804657112583302 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,80330965059518 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,803103096740987 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,802501994892684 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,798716209745416 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,79825375487293 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,796312034850091 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,795100533762089 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,791620226081518 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,791269692315577 )
Int J Med Inform - Electronic health records implementation: an evaluation of information system impact and contingency factors. ( 0,783356650401364 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,782490274318676 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,781146805738837 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,780879824025826 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,778035392249817 )
Telemed J E Health - Seamless integration of ISO/IEEE11073 personal health devices and ISO/EN13606 electronic health records into an end-to-end interoperable solution. ( 0,777412490399571 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,777374488815545 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,775006562621216 )
Healthc (Amst) - Meaningful use: Floor or ceiling? ( 0,77448491566313 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,772747867585232 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,770758690570709 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,767776816978194 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,766740083546544 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,763420142517253 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,75847561438 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,752137270482656 )
J Am Med Inform Assoc - Security practices and regulatory compliance in the healthcare industry. ( 0,751675574306212 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,751308883910483 )
AMIA Annu Symp Proc - Health information exchange, Health Information Technology use, and hospital readmission rates. ( 0,750113712962637 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,747949065237824 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,746090532363064 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,744722756376441 )
J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. ( 0,744639925189751 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,743964423710649 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,743015367700869 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,740643119176885 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,740538232393117 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,740246790068558 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,739175838764865 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,739083093235302 )
AMIA Annu Symp Proc - The EHR's roles in collaboration between providers: A qualitative study. ( 0,734837593238678 )
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. ( 0,728450471057729 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,726865693279493 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,725335573034964 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,724353510657893 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,723504581354384 )
Healthc (Amst) - Health information exchange among U.S. hospitals: who's in, who's out, and why? ( 0,719951368040628 )
J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,719162607205268 )
Perspect Health Inf Manag - Evaluation of inpatient clinical documentation readiness for ICD-10-CM. ( 0,71738483928729 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,716920975307759 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,714934318679703 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,714257362898018 )
Telemed J E Health - M-HELP: a miniaturized total health examination system launched on a mobile phone platform. ( 0,713097921625412 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,712158658522744 )
Perspect Health Inf Manag - Yes, Virginia, there is a paper record! ( 0,710942966144644 )
Int J Med Inform - Do service innovations influence the adoption of electronic health records in long-term care organizations? Results from the U.S. National Survey of Residential Care Facilities. ( 0,710899241505652 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,710796684136346 )
Methods Inf Med - Semantic validation of standard-based electronic health record documents with W3C XML schema. ( 0,706893931556064 )
Perspect Health Inf Manag - Impact of electronic health record systems on information integrity: quality and safety implications. ( 0,705420058729941 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,703694538670675 )
J Am Med Inform Assoc - There is no neutral position on fraud! ( 0,700882716268373 )
J Am Med Inform Assoc - The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement system. ( 0,699417529316853 )
AMIA Annu Symp Proc - Validating Health Information Exchange (HIE) Data For Quality Measurement Across Four Hospitals. ( 0,69820548850115 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,697657368628288 )
J Med Syst - Analysis of network type exchange in the health care system: a stakeholder approach. ( 0,696502463014591 )
J Am Med Inform Assoc - Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico. ( 0,695903209594421 )
J Am Med Inform Assoc - Methods and dimensions of electronic health record data quality assessment: enabling reuse for clinical research. ( 0,695074032399712 )
J Med Syst - Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting. ( 0,694792261234951 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,69407805287925 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,693926074063276 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,692035776577808 )
Appl Clin Inform - Adoption of electronic health records: a qualitative study of academic and private physicians and health administrators. ( 0,691998824111812 )
Perspect Health Inf Manag - Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia. ( 0,691238617484727 )
Appl Clin Inform - Comprehensive electronic medical record implementation levels not associated with 30-day all-cause read-missions within Medicare beneficiaries with heart failure. ( 0,690116237475981 )
J Am Med Inform Assoc - How is the electronic health record being used? Use of EHR data to assess physician-level variability in technology use. ( 0,689166543657376 )
Int J Med Inform - Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. ( 0,689119010810183 )
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. ( 0,688743757386851 )
J Am Med Inform Assoc - Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal. ( 0,688494912618634 )
J Med Syst - Challenges, alternatives, and paths to sustainability for health information exchange efforts. ( 0,686428870369837 )
J Am Med Inform Assoc - The use of open source electronic health records within the federal safety net. ( 0,685953881890763 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,68509782818204 )
AMIA Annu Symp Proc - Data Quality and Interoperability Challenges for eHealth Exchange Participants: Observations from the Department of Veterans Affairs' Virtual Lifetime Electronic Record Health Pilot Phase. ( 0,683385479791073 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,682475805261846 )
J Am Med Inform Assoc - Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative. ( 0,682039790728373 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,681553646544381 )
J Am Med Inform Assoc - Patient safety goals for the proposed Federal Health Information Technology Safety Center. ( 0,681402626714286 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,681162852168159 )
Appl Clin Inform - Utilizing an electronic health record system to improve vaccination coverage in children. ( 0,681120747164776 )
Healthc (Amst) - Instant replay. ( 0,678731344602925 )
J Am Med Inform Assoc - The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs. ( 0,678281670763419 )
Appl Clin Inform - Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. ( 0,677639103424173 )
BMC Med Inform Decis Mak - Development and evaluation of a de-identification procedure for a case register sourced from mental health electronic records. ( 0,677393358754715 )
Int J Med Inform - The IT productivity paradox in health: a stakeholder's perspective. ( 0,677232122761882 )