J Am Med Inform Assoc - Racial differences in cancer screening with electronic health records and electronic preventive care reminders.

Tópicos

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

Resumo

CKGROUND: Health information technology (HIT) can increase preventive care. There are hopes and fears about the impact of HIT on racial disparities in cancer screening.OBJECTIVE: To determine whether electronic health records (EHRs) or electronic preventive care reminders (e-reminders) modify racial differences in cancer screening order rates.DESIGN: Using the 2006-2010 National Ambulatory and National Hospital Ambulatory Medical Care Surveys, we measured (1) visit-based differences in rates of age-appropriate breast, cervical and colon cancer screening orders between white and non-white subjects at primary care visits with and without EHRs, and, at visits with EHRs, with and without e-reminders, and (2) whether EHRs or e-reminders modified these differences.MAIN OUTCOMES: Mammography (N=45,380); Pap smears (N=73,348); and sigmoidoscopy/colonoscopy (N=50,955) orders.RESULTS: Among an estimated 2.4 billion US adult primary care visits, orders for screening for breast, cervical or colon cancer did not differ between clinics with and without EHRs or e-reminders. There was no difference in screening orders between non-white and white patients for breast (aOR=1.1; 95% CI 0.9 to 1.4) or cervical cancer (aOR=1.2; 95% CI 1.0 to 1.3). For colon cancer, non-white patients were more likely to receive screening orders than white patients overall (aOR=1.5; 95% CI 1.1 to 2.0), at visits with EHRs (aOR=1.8; 95% CI 1.1 to 2.8) and at visits with e-reminders (aOR=2.1; 95% CI 1.2 to 3.7). EHRs or e-reminders did not modify racial differences in cancer screening rates.CONCLUSIONS: In this visit-based analysis, non-white patients had higher colon cancer screening order rates than white patients. Despite hopes and fears about HIT, EHRs and e-reminders did not ameliorate or exacerbate racial differences in cancer screening order rates.

Resumo Limpo

ckground health inform technolog hit can increas prevent care hope fear impact hit racial dispar cancer screeningobject determin whether electron health record ehr electron prevent care remind eremind modifi racial differ cancer screen order ratesdesign use nation ambulatori nation hospit ambulatori medic care survey measur visitbas differ rate ageappropri breast cervic colon cancer screen order white nonwhit subject primari care visit without ehr visit ehr without eremind whether ehr eremind modifi differencesmain outcom mammographi n pap smear n sigmoidoscopycolonoscopi n ordersresult among estim billion us adult primari care visit order screen breast cervic colon cancer differ clinic without ehr eremind differ screen order nonwhit white patient breast aor ci cervic cancer aor ci colon cancer nonwhit patient like receiv screen order white patient overal aor ci visit ehr aor ci visit eremind aor ci ehr eremind modifi racial differ cancer screen ratesconclus visitbas analysi nonwhit patient higher colon cancer screen order rate white patient despit hope fear hit ehr eremind amelior exacerb racial differ cancer screen order rate

Resumos Similares

BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,745053696812107 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,703950469925256 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,69078626649993 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,690588236709294 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,685766683910073 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,683373897570948 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,680684250341866 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,679837832637841 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,679274478203005 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,676717218997641 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,67667848341532 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,67638447860104 )
BMC Med Inform Decis Mak - Evaluating quality of care for patients with type 2 diabetes using electronic health record information in Mexico. ( 0,675518155601919 )
Healthc (Amst) - Meaningful use: Floor or ceiling? ( 0,670290158442189 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,669811930674147 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,668934000251175 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,668213551813623 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,667812174202996 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,667386560379515 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,666914035666963 )
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. ( 0,665690171681104 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,664858847012859 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,661874540488146 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,661597538306586 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,661151615073212 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,654494207485645 )
Appl Clin Inform - Use of Headings and Classifications by Physicians in Medical Narratives of EHRs: An evaluation study in a Finnish hospital. ( 0,652984330427844 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,65263981085772 )
BMC Med Inform Decis Mak - Survey of patient and public perceptions of electronic health records for healthcare, policy and research: study protocol. ( 0,652462477699942 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,651910758275121 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,65083391214012 )
Methods Inf Med - Semantic validation of standard-based electronic health record documents with W3C XML schema. ( 0,649977774701636 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,643133723767366 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,643032965152306 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,640439742776835 )
Appl Clin Inform - Utilizing an electronic health record system to improve vaccination coverage in children. ( 0,640356049404422 )
Appl Clin Inform - Diffusion of Electronic Health Records and electronic communication in Norway. ( 0,63961445936525 )
J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. ( 0,639580268729278 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,639241888774676 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,638393217036602 )
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. ( 0,631979125393097 )
Appl Clin Inform - An exploratory, population-based, mixed-methods program evaluation of user satisfaction of services provided by a regional extension center (REC). ( 0,630729149647405 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,630118596606588 )
J Am Med Inform Assoc - Use of electronic health record data to evaluate overuse of cervical cancer screening. ( 0,628166789309219 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,627545765481511 )
J Med Syst - Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting. ( 0,626151473638411 )
Perspect Health Inf Manag - Electronic health records and information portability: a pilot study in a rural primary healthcare center in India. ( 0,625493621059695 )
Telemed J E Health - Implementation of a regional virtual tumor board: a prospective study evaluating feasibility and provider acceptance. ( 0,625070731469018 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,622306427292329 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,619565454700214 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,619229724247418 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,617110535418384 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,615965482286959 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,615326043225342 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,61422539890525 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,613535030783477 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,613506003880207 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,613110650413797 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,611461880706662 )
Perspect Health Inf Manag - Exploring patient satisfaction before and after electronic health record (EHR) implementation: the Kuwait experience. ( 0,608971705708342 )
J Am Med Inform Assoc - There is no neutral position on fraud! ( 0,607808454369931 )
Int J Med Inform - Contingency planning for electronic health record-based care continuity: a survey of recommended practices. ( 0,607113546505281 )
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. ( 0,606007647633951 )
J Med Syst - Usability evaluation of paper-based Hajji Health Record format. ( 0,605394998195961 )
J Telemed Telecare - Improving the access of young urban children to speech, language and hearing screening via telehealth. ( 0,603525147297874 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,602513884263374 )
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. ( 0,602181700988377 )
Appl Clin Inform - Comprehensive electronic medical record implementation levels not associated with 30-day all-cause read-missions within Medicare beneficiaries with heart failure. ( 0,599211485714647 )
Appl Clin Inform - Clinician perceptions of pediatric growth chart use and electronic health records in Kentucky. ( 0,598556908090334 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,595316013861242 )
Health Informatics J - Using electronic health record systems to optimize admission decisions: the Creatinine case study. ( 0,594600564973467 )
Perspect Health Inf Manag - Digital family histories for data mining. ( 0,592974552185062 )
Telemed J E Health - Mobile health is worth it! Economic benefit and impact on health of a population-based mobile screening program in new Mexico. ( 0,592397595334416 )
J Am Med Inform Assoc - Factors associated with difficult electronic health record implementation in office practice. ( 0,592219864507827 )
J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,592195812405348 )
Perspect Health Inf Manag - Evaluation of inpatient clinical documentation readiness for ICD-10-CM. ( 0,591310637976965 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,590060607544872 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,589752232783931 )
Healthc (Amst) - Health information exchange among U.S. hospitals: who's in, who's out, and why? ( 0,589641025084516 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,587572578226248 )
J Am Med Inform Assoc - Improving the quality of cancer care in America through health information technology. ( 0,587549180015905 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,586233562239042 )
Int J Med Inform - Physician productivity and the ambulatory EHR in a large academic multi-specialty physician group. ( 0,584533951587563 )
AMIA Annu Symp Proc - Validating Health Information Exchange (HIE) Data For Quality Measurement Across Four Hospitals. ( 0,584498655769816 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,582282254205434 )
J Am Med Inform Assoc - ICU nurses' acceptance of electronic health records. ( 0,582156369533982 )
Perspect Health Inf Manag - Impact of electronic health record systems on information integrity: quality and safety implications. ( 0,581714917444718 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,580967288681384 )
Comput Methods Programs Biomed - Critical laboratory result reporting system in cancer patients. ( 0,580825225084151 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,579545734255012 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,579080036546265 )
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. ( 0,579064061769812 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,579001214476002 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,575194085732847 )
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. ( 0,57492763215431 )
Healthc (Amst) - The effect of health information technology implementation in Veterans Health Administration hospitals on patient outcomes. ( 0,574703800599745 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,574623972760569 )
Perspect Health Inf Manag - The impact of electronic health record usage on cancer registry systems in Alabama. ( 0,573691809134738 )
J Am Med Inform Assoc - Using electronic health records to save money. ( 0,573460324041238 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,571287730838449 )