Electronic Information System to Enhance Practice at an Opioid Treatment Program

电子信息系统加强阿片类药物治疗项目的实践

• 批准号: 7161963
• 负责人: LAWRENCE S BROWN
• 金额: $ 21.48万
• 依托单位: START TREATMENT AND RECOVERY CENTERS INC
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2009-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7161963
• 关键词: clinical research; counseling; health; information systems; satisfaction; substance abuse related disorder

DESCRIPTION (provided by applicant): Background: Considerable discussion continues about effective ways to achieve desirable healthcare outcomes. An electronic health information system has been the focus of many discussions, especially at the Addiction Research and Treatment Corporation (ARTC). ARTC is an outpatient opioid treatment program providing primary medical care and HIV-related care for approximately 3,000 predominantly minority adults in Brooklyn and Manhattan in New York City. This economically disenfranchised population is also infected with hepatitis C virus. These patients are subject to significant disparities in healthcare access and quality compared to the general population. At ARTC, little information, especially clinical data, is stored electronically. There are few electronic systems; these are not integrated with each other. To test various hypotheses, ARTC will assess, over a three-year study, the implementation of an electronic health information system integrating counseling and social services, medical services, case management, HIV counseling and testing, dispensing information, administrative and fiscal data. Methods: Four specific aims (quality, productivity, satisfaction, and risk management) and one secondary aim (financial performance) will be examined to assess the impact of an electronic information system; these were selected from pre-study needs assessments involving stakeholders (patients, clinicians and managers) and/or prior published investigations. A number of hypotheses are proposed within each specific aim. For each quantitative measurement selected, the data sources will be either surveys of stakeholders or will be derived directly from the information system. Measurements will be assessed pre and post-implementation of an integrated electronic health information system for statistically significant changes. Conclusion: The results may have the potential to inform continuing discussions about the impact of integrated electronic systems in enhancing agency cost-effectiveness in substance abuse treatment settings. Because the patient population is largely economically disenfranchised and suffers disproportionately from HIV and HCV infection, the study findings have the potential to be responsive to the challenges of these infections and the healthcare disparities suffered by this patient population.

描述（由申请人提供）：背景：关于实现理想医疗保健结果的有效方法的讨论仍在继续。电子健康信息系统一直是许多讨论的焦点，特别是在成瘾研究和治疗公司（ARTC）。ARTC是一个门诊阿片类药物治疗项目，为纽约市布鲁克林和曼哈顿约3,000名主要是少数族裔的成年人提供初级医疗保健和艾滋病毒相关护理。这些经济上被剥夺权利的人口也感染了丙型肝炎病毒。与普通人群相比，这些患者在医疗保健获取和质量方面存在显著差异。在ARTC，很少有信息，特别是临床数据，是电子存储的。电子系统很少;这些系统没有相互集成。为了验证各种假设，ARTC将在三年的研究中评估电子健康信息系统的实施情况，该系统将咨询和社会服务、医疗服务、病例管理、艾滋病毒咨询和检测、配药信息、行政和财政数据整合在一起。研究方法：将检查四个具体目标（质量、生产率、满意度和风险管理）和一个次要目标（财务绩效），以评估电子信息系统的影响;这些目标选自涉及利益相关者（患者、临床医生和管理人员）的研究前需求评估和/或先前发表的调查。在每个具体目标内提出了若干假设。对于选定的每一项量化计量，数据来源将是对利益攸关方的调查，或直接来自信息系统。将在实施综合电子卫生信息系统前后评估测量结果，以确定统计上的重大变化。结论：这些结果可能有助于继续讨论综合电子系统对提高药物滥用治疗机构的成本效益的影响。由于患者人群在很大程度上被剥夺了经济权利，并且不成比例地遭受HIV和HCV感染，因此研究结果有可能应对这些感染的挑战以及该患者人群所遭受的医疗保健差异。