将健康信息交换数据与自我报告进行比较,以测量癌症查的数据
Oindrila Bhattacharyya1,2,3, Susan M Rawl4, Stephanie L Dickinson5
1Department of Economics, Indiana University Purdue University, Indianapolis, IN, USA.
BMC medical research methodology
|July 25, 2023
概括
健康信息交换 (HIE) 和自我报告 (SR) 为测量癌症查提供了补充数据. 结合HIE和SR,为基于人口的癌症查测量提供了最全面的方法.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 电子健康记录 (EHR) 仅限于单个医疗机构的癌症查测量.
- 卫生信息交换 (HIE) 将来自多个系统的EHR数据汇总起来,使得基于人口的测量成为可能.
- 将HIE数据与自我报告 (SR) 进行比较对于了解基于人口的癌症查收件至关重要.
研究的目的:
- 评估与调查自我报告 (SR) 相比,全州HIE数据的价值,以衡量基于人口的癌症查.
- 评估各种癌症查测试和其时间的HIE和SR之间的一致性.
- 确定HIE和SR在获取癌症查数据方面的独特贡献.
主要方法:
- 在印第安纳州进行了一项全州调查,将自我报告的癌症查接收和时间与HIE数据进行比较.
- 癌症查包括结肠镜检查,便免疫化学测试 (FIT),HPV测试,帕普测试和乳房影像.
- 使用Gwet的AC来评估HIE和SR之间的对应性,用于查接收和自上次查以来的时间.
主要成果:
- 对查收件的一致性 (Gwet的AC) 从相当到相当 (0.24-0.73).
- 自上次查以来的时间一致性从相当到几乎完美 (0.21-0.90).
- 对于实验室测试 (FIT,HPV),HIE提供了更多的独特数据,而SR则提供了更多的程序 (结肠镜检查,Pap检查,乳房镜检查).
结论:
- 单独的HIE和SR都不足以进行全面的癌症查测量.
- 基于人口的癌症查测量的最佳方法包括整合HIE和患者自我报告数据.
- 在选择数据收集方法时,应考虑特定类型的癌症查测试.
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