视角:利用电子健康记录数据在食品中是药物程序评估:考虑和潜在的前进路径
Christopher R Long1, Amy L Yaroch1, Carmen Byker Shanks1
1Gretchen Swanson Center for Nutrition, Omaha, NE, USA.
Advances in nutrition (Bethesda, Md.)
|February 24, 2024
概括
食品是药物 (FIM) 计划的目标是医疗保健补偿,但数据收集是具有挑战性的. 电子健康记录 (EHR) 为FIM评估提供了潜在的但现有的困难.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 营养科学 营养科学
背景情况:
- 越来越多的人对食品是药物 (FIM) 计划的兴趣,以获得医疗保健报销.
- FIM研究人员需要通过改善健康结果和减少医疗保健利用来证明成本效益.
- 用于FIM评估的初级数据收集是资源密集和繁重的.
研究的目的:
- 确定使用电子健康记录 (EHR) 进行FIM计划评估的挑战和机遇.
- 讨论评估FIM长期结果的替代数据来源.
- 在大型卫生系统内为FIM评估提供最佳实践信息.
主要方法:
- 分析利用EHR数据用于FIM评估的反复出现的挑战,重点关注生物标志物和医疗保健利用.
- 审查100多个Gus Schumacher营养激励计划项目产品处方FIM项目的经验.
- 讨论用于FIM研究的EHR数据的潜力和局限性.
主要成果:
- 对于FIM研究来说,EHR存在重大,往往无法克服的困难,尽管它们对现有数据的潜力很大.
- 在使用EHR来跟踪生物标志物和FIM计划影响的医疗保健利用方面存在特定的挑战.
- 大型综合卫生系统处于独特的位置,可以利用自己的电子健康记录数据进行FIM结果评估.
结论:
- 虽然EHR提供了一个有希望的途径,但实际挑战阻碍了它们在FIM评估中的广泛使用.
- 对于全面的FIM结果评估,可能需要结合EHR数据和其他来源.
- 在综合卫生系统中,对电子健康记录的战略性使用可能为FIM计划的有效性提供有价值的见解.
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