Evaluation of a computerized clinical decision support system and EHR-link

这项建议的目的是满足对有效信息技术的更多经验性成果数据的需求 改善低收入移民人群高血压控制的策略。高血压 在美国，估计有5000万至6200万成年人受到影响（Muntner 2002）。尽管有证据表明，适当的BP控制 显著降低心血管事件的风险，高血压指南的依从性仍然很低。 （Fahey 2006）。卫生技术有潜力通过加强 供应商遵守循证指南（Tierney 2003）。然而，根据一项全国性的数据， 调查检查健康中心使用HIT在美国，只有8%的社区卫生中心（CHC）报告 使用完整的EHR（NACHC 2006）。社区卫生中心采用电子健康记录的比例较低尤其令人关切， 为那些得不到充分服务的人提供护理，他们在慢性病和各种疾病方面承受着不成比例的负担。

This proposal aims to address the need for more empirical outcome data on effective information technology strategies for improving control of hypertension among low income immigrant populations. Hypertension affects an estimated 50-62 million adults in the US (Muntner 2002). Despite evidence that adequate BP control significantly reduces the risk for cardiovascular events adherence to hypertension guidelines remains low. (Fahey 2006). Health technology has the potential to facilitate translating research into practice by enhancing provider compliance with evidence based guidelines (Tierney 2003). Yet according to data from a National Survey examining health center use of HIT in the US, only 8% of community health centers (CHCs) report using a full EHR (NACHC 2006). The low adoption of EHRs is of particular concern in CHCs, a major source of care for the underserved who bear a disproportionate burden of chronic diseases and illnesses.