Improving Hypertension Quality Measurement Using Electronic Health Records
Improving Hypertension Quality Measurement Using Electronic Health Records
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DOI：
10.1097/mlr.0b013e31818b070c
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发表时间：
2009-04-01
期刊：
影响因子：
3
通讯作者：
Baker, David W.
中科院分区：
文献类型：
--
作者：
Persell, Stephen D.;Kho, Abel N.;Baker, David W.
背景：简单的高血压结局测量可能不能表明哪些患者接受了不良护理。随着激励措施的增加，这可能会出现问题。目的：比较使用简单结果测量的测量质量与使用电子健康记录中可用数据的更复杂的测量方法。设计：横断面研究，受试者：共5905名高血压成年人，7月1日期间就诊3次或以上。2005年和2006年12月31日在内科诊所。测量方法：我们测量了简单对照，即最后一次血压低于目标的高血压患者的比例(
Background: Simple hypertension outcome measures may not indicate which patients receive poor care. This could be problematic as incentives increase.Objective: Compare measured quality using simple outcome measures to more sophisticated measures utilizing data available within an electronic health record.Design: Cross-sectional study, Subjects: A total of 5905 hypertensive adults with 3 or more clinic visits between July 1. 2005 and December 3 1, 2006 at an internal medicine clinic.Measures: We measured simple control as the proportion of diagnosed hypertension patients with their last blood pressure below goal (