预测家庭医生身体活动 电子医疗记录输入
Cliff Lindeman1, Richard Golonka2, Doug Klein3
1Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada; Department of Family Medicine, University of Alberta, Edmonton, Canada.
Preventive medicine
|September 17, 2023
概括
在初级保健电子医疗记录中记录体育活动是罕见的,仅发生在1.9%的访问中. 患者和医生的特征影响了是否注意到身体活动.
科学领域:
- 初级保健研究初级保健研究
- 医疗信息学 医疗信息学
- 预防医学 预防医学
背景情况:
- 身体活动对健康至关重要,但其在电子病历 (EMR) 中的记录不一致.
- 了解文档模式可以改善患者护理和公共卫生倡议.
研究的目的:
- 为了比较与加拿大初级保健EMR体育活动文档相关的患者和医生特征.
- 识别影响体育活动信息记录的因素.
主要方法:
- 利用了加拿大初级保健哨兵监测网络 (CPSSSN) 的数据,包括769,185个患者记录.
- 采用单变量统计和多层模型来分析患者和提供者因素.
- 随机选择每位患者一次访问进行分析.
主要成果:
- 身体活动信息仅在1.9%的患者记录中记录.
- 特定的患者人口统计学 (例如,年龄25-34.9岁,男性) 和医生因素 (例如,女性,学术网站) 与更高的记录率有关.
- 多级建模确定了患者年龄,并发症,医生年龄,学术环境和EMR系统作为显著的共同变量.
结论:
- 在加拿大初级保健EMR中,身体活动的记录很少出现.
- 这项研究提供了对影响文档的患者和医生特征的见解.
- 这些发现强调了需要在初级保健机构中改进体育活动的系统记录.
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