在美国,什么来量化良好的初级保健? 使用真实世界的数据对算法和指标的审查
Yun Wang1, Jianwei Zheng2, Todd Schneberk3
1School of Pharmacy, Chapman University, Irvine, US. yunwang@chapman.edu.
BMC primary care
|June 24, 2023
概括
来自电子健康记录和索赔的现实数据可以评估初级保健的质量. 这些方法为评估初级保健医生 (PCP) 提供了具有成本效益的策略,并为系统重新设计提供了信息.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 初级保健医生 (PCP) 对于全面的患者护理和转诊至关重要.
- 随着COVID-19的流行,人们更需要了解复杂患者的初级保健质量.
- 传统的患者质量评估调查是耗时且昂贵的.
研究的目的:
- 审查使用真实世界数据 (RWD) 进行初级保健质量评估的算法和指标.
- 评估RWD来源的优点和局限性,如EHR和索赔数据.
- 为决策者提供有关重新设计初级保健系统的信息.
主要方法:
- 确定可能的PCP (多元性和主要提供商).
- 使用复合措施评估工艺质量.
- 使用指数 (间隔,变异,相对变异) 评估护理的连续性和规律性.
- 分析来自电子健康记录 (EHR) 和行政索赔的现实数据.
主要成果:
- 电子健康记录审计评估工作流程和临床适当性.
- 索赔数据通过编码数据提供可靠的质量信息.
- RWD为初级保健质量评估提供了一个具有成本效益的分析策略.
结论:
- RWD,特别是EHR和索赔数据,为初级保健质量提供了有价值的见解.
- 这些数据源可以量化和资格化初级保健业绩.
- 利用RWD对于支持患者和为改善初级保健系统的政策提供信息至关重要.
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