"Salt in the Wound": Safety Net Clinician Perspectives on Performance Feedback Derived From EHR Data.
"Salt in the Wound": Safety Net Clinician Perspectives on Performance Feedback Derived From EHR Data.
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DOI：
10.1097/jac.0000000000000166
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Nelson C
中科院分区：
文献类型：
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作者：
Bunce AE;Gold R;Davis JV;Mercer M;Jaworski V;Hollombe C;Nelson C
可以提取电子健康记录（EHR）数据来计算绩效反馈，但用户对这种反馈的看法会影响其有效性。通过定性分析，我们在11个社区卫生中心（CHCs）中确定了基于ehr的绩效反馈感知合法性的障碍和促进因素。提供者表示，这些措施很少考虑到CHC患者复杂的生活或提供者根据这种复杂性做出的决定，这降低了措施的感知有效性。最后，提出了提高企业绩效反馈感知效度的建议。我们的研究结果通过探索提供者对医疗保健中心的看法，为基于电子病历的绩效反馈文献提供了补充。
Electronic health record (EHR) data can be extracted for calculating performance feedback, but users' perceptions of such feedback impact its effectiveness. Through qualitative analyses, we identified perspectives on barriers and facilitators to the perceived legitimacy of EHR-based performance feedback, in 11 community health centers (CHCs). Providers said such measures rarely accounted for CHC patients' complex lives or for providers' decisions as informed by this complexity, which diminished the measures' perceived validity. Suggestions for improving the perceived validity of performance feedback in CHCs are presented. Our findings add to the literature on EHR-based performance feedback by exploring provider perceptions in CHCs.