Progress towards using community context with clinical data in primary care
Progress towards using community context with clinical data in primary care
复制标题
在初级保健中使用社区背景和临床数据方面取得的进展
DOI：
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
J. DeVoe
中科院分区：
文献类型：
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作者：
H. Angier;E. Jacobs;N. Huguet;S. Likumahuwa;S. Robert;J. DeVoe
社区层面的因素对健康有重大影响。人们再次热衷于将这些数据与电子健康记录(EHR)数据整合起来，用于初级保健，以改善美国的卫生公平。因此，反思到目前为止出版的内容是很有价值的。具体地说，我们评论：(1)关于将EHR中的社区层面因素结合起来用于初级保健的建议；(2)这些数据如何结合和使用的例子；以及(3)使用综合数据对医疗保健、患者健康和健康公平的影响。我们发现，有出版物讨论了综合数据在临床护理、目标干预、跟踪人群健康和激发社区伙伴关系方面的潜力，目的是减少健康差距和改善健康公平。尽管利用这些数据为初级保健提供信息的热情和潜力很大，但几乎没有证据表明医疗保健、患者健康或健康公平有所改善。
Community-level factors have significant impacts on health. There is renewed enthusiasm for integrating these data with electronic health record (EHR) data for use in primary care to improve health equity in the USA. Thus, it is valuable to reflect on what has been published to date. Specifically, we comment on: (1) recommendations about combining community-level factors in EHRs for use in primary care; (2) examples of how these data have been combined and used; and (3) the impact of using combined data on healthcare, patient health and health equity. We found publications discussing the potential of combined data to inform clinical care, target interventions, track population health and spark community partnerships with the goal of reducing health disparities and improving health equity. Although there is great enthusiasm and potential for using these data to inform primary care, there is little evidence of improved healthcare, patient health or health equity.