Identifying Diagnostic Pathways for Undifferentiated Abdominal Pain Using Electro

项目摘要 背景：未分化的投诉，如腹痛提出了诊断 对初级保健医生的挑战，部分原因是有明确的证据或指南描述 缺乏最佳诊断方法。我们有机会研究未分化的 使用电子健康记录（EHR）数据评估投诉。总体目标：发展 并应用一种新的方法，使用EHR数据来研究诊断途径（步骤 用于诊断评价）。我们将使用无差别的 以成人初级保健人群中的腹痛作为测试案例。与AHRQ的相关性 感兴趣的领域：拟议的研究将产生一种新的健康IT方法， 使用EHR数据识别诊断途径。这一方法将提供基础 需要使用集成数据和卫生IT知识管理，以提高 诊断决策。具体目的和方法：（1）：确定诊断途径 未分化的腹痛，包括诊断测试，程序，处方， 转诊和随访;（2）通过半结构化访谈，确定具体原因 医生的诊断实践。长期目标： 拟议的研究将应用我们的EDW方法来研究与以下方面相关的结果： 不同的诊断途径，从而确定最佳的诊断实践， 腹痛，最终还有其他各种无差别的主诉。

Project Summary Background: Undifferentiated complaints such as abdominal pain present a diagnostic challenge to primary care physicians, in part because clear evidence or guidelines describing best diagnostic practices are lacking. We have the opportunity to study the way undifferentiated complaints are assessed using electronic health record (EHR) data. Overall goal: To develop and apply a new methodology, which uses EHR data to study diagnostic pathways (the steps taken for diagnostic evaluation) for undifferentiated complaints. We will use undifferentiated abdominal pain in an adult primary care population as the test case. Relevance to AHRQ's Area of Interest: The proposed research will result in a new health IT methodology for identifying diagnostic pathways using EHR data. This methodology will provide the groundwork needed to use integrated data and health IT knowledge management in order to improve diagnostic decision making. Specific Aims and Methods: (1): To identify diagnostic pathways for undifferentiated abdominal pain including diagnostic testing, procedures, prescriptions, referral and follow-up; (2) Through semi-structured interviews, to identify reasons for specific diagnostic practices among physicians. Long-term Objective: The eventual goal of the proposed research will be to apply our EDW methodology to study outcomes associated with different diagnostic pathways, thereby identifying best diagnostic practices for undifferentiated abdominal pain and eventually a variety of other undifferentiated complaints.