与肺癌风险因素相关的因素 肺癌风险因素的文档
Leah M Marcotte1, Sara Khor, David R Flum
1Department of Medicine, University of Washington School of Medicine, 4245 Roosevelt Way NE, Seattle, WA 98105.
The American journal of managed care
|July 10, 2023
概括
只有60%的人有足够的肺癌查风险因素文件. 根据患者的种族,保险,语言和诊所的文档有所不同,突出了肺癌查资格评估的差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 公共卫生 公共卫生
背景情况:
- 对肺癌风险因素的准确记录对于确定查资格至关重要.
- 文档实践的变化可能导致医疗保健获得的差异.
研究的目的:
- 为了确定与足够的肺癌风险因素文件相关的因素.
- 评估肺癌查资格性记录风险因素的临床水平变异性.
主要方法:
- 一项采用20632个人的电子健康记录数据进行的横截面研究.
- 使用Poisson和后勤回归模型来分析患者和临床水平的因素.
- 层次逻辑模型评估了31家诊所的可靠性调整比例.
主要成果:
- 60%的个人有足够的风险因素文件.
- 黑人种族,非英语首选语言,医疗补助保险和未激活的患者门户与较低的文档化率有关.
- 观察到临床层面的文档有显著的差异.
结论:
- 肺癌风险因子记录的数量很少,而且还很少.
- 包括种族,保险和语言在内的患者层面的因素与文档差异有关.
- 临床层面的文档变化表明系统性问题影响了肺癌查资格.
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