黑人城市队列中中风护理的不连续性:从EHR数据的洞察力
Mohammad A Faysel1, David Kaufman1, Aimee Afable2
1Health Informatics Program, SUNY Downstate Health Sciences University, NY, USA.
Studies in health technology and informatics
|January 25, 2024
概括
黑人中风患者面临着显著的护理缺口,超过一半的患者没有回来进行随访. 本研究探讨了使用电子健康记录 (EHR) 在服务不足的人群中导致这些不连续性的因素.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 脑卒中不成比例地影响黑人人口,增加了他们面临糟糕后果的风险.
- 服务不足的社区经常遇到障碍,无法持续获得医疗保健.
- 在中风后的护理中断可能导致不良健康事件和降低生活质量.
研究的目的:
- 为了描述一个服务不足的黑人中风患者队列.
- 确定导致该人口中护理不连续性的因素.
- 利用电子健康记录 (EHR) 数据来了解医疗保健的差距.
主要方法:
- 电子健康记录 (EHR) 数据的回顾性分析.
- 一个被诊断患有中风的患者队列的表征.
- 检查后续预约的遵守情况.
主要成果:
- 研究队列主要是黑人 (90.1%).
- 大多数 (57%) 患者在中风诊断后没有返回进行随访.
- 电子健康记录被用来识别患者的人口统计和护理模式.
结论:
- 黑人中风患者的随访不遵守率很高.
- 了解护理不连续性的驱动因素对于改善这个脆弱群体的结果至关重要.
- 欧洲人脉健康数据为识别和解决中风护理中的健康差异提供了有价值的见解.
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