Health Information Technology/Cardiovascular Disease

健康信息技术/心血管疾病

• 批准号: 7113289
• 负责人: BASIT IQBAL CHAUDHRY
• 金额: $ 6.61万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7113289
• 关键词: automated medical record system; behavioral /social science research tag; cardiovascular disorder; cardiovascular disorder prevention; cardiovascular disorder risk; computer assisted medical decision making; computer assisted patient care; congestive heart failure; diabetes mellitus; governmental health /scientific organization; health care model; health care service evaluation; health services research tag; human data; hyperlipidemia; hypertension; myocardial ischemia /hypoxia; outpatient care; postdoctoral investigator; smoking cessation; statistics /biometry; veterans

DESCRIPTION (provided by applicant): Despite significant findings from large randomized clinical trials related to cardiovascular disease, studies still show significant deficits in the quality of cardiovascular disease care patients receive, suggesting evidence is not consistently translating into care. Health Information Technologies (HIT), such as the electronic health record hold great potential to improve quality of care through improved data management, computerized decision support and population health provisions, such as electronic disease management tools. However, few studies have examined the impact that a comprehensive HIT system has on the delivery of evidence based care. The goal of this study is to evaluate the changes in quality for cardiovascular disease and its associated major risk factors associated with adoption of comprehensive HIT system. We hypothesize that the components of a comprehensive HIT system improve the quality of ambulatory care for ischemic and congestive heart disease by synergistically increasing the delivery of recommended processes of care. The HIT under examination is the VA's Computerized Patient Record System (GPRS); the nations' most widely used HIT system. The study uses a nationwide sample, consisting of the 150 largest ambulatory care clinics in the VA. It uses a retrospective quasi-experimental design which takes advantage of differential diffusion of CPRS amongst ambulatory facilities to address confounding and bias. Primary data collection related to CPRS adoption is currently in its pilot chase.

描述（由申请人提供）：尽管与心血管疾病有关的大型随机临床试验的显着发现，研究仍然显示出患者心脏血管疾病护理质量的严重缺陷，但表明证据并非一致地转化为护理。健康信息技术（HIT），例如电子健康记录，通过改进数据管理，计算机决策支持和人口健康规定（例如电子疾病管理工具）具有巨大的潜力来提高护理质量。但是，很少有研究研究了全面的命中系统对提供基于证据的护理的影响。这项研究的目的是评估与采用综合命中系统有关的心血管疾病质量变化及其相关的主要危险因素。我们假设综合命中系统的组成部分通过协同增加推荐的护理过程的交付来提高缺血性和充血性心脏病的门诊护理质量。受到审查的是VA的计算机化患者记录系统（GPRS）；国家最广泛使用的命中系统。该研究使用了全国性样本，由VA中的150家最大的门诊诊所组成。它使用回顾性的准实验设计，它利用了心理室设施中CPR的差异扩散来解决混杂和偏见。与CPR采用有关的主要数据收集目前正在其试点追逐中。