开发和应用宽度-深度-背景 (BDC),这是一个概念框架,用于测量技术与合格的临床数据注册表的参与
Emma Kersey1, Jing Li1, Julia Kay1
1Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA 94143, United States.
JAMIA open
|July 29, 2024
概括
一个新的框架评估了临床医生与合格临床数据注册表 (QCDR) 的绩效仪表板的接触. 实践规模和EHR供应商影响了参与水平,突出了改善风湿病学仪表板采用的因素.
科学领域:
- 医疗信息学 医疗信息学
- 临床数据管理 临床数据管理
- 风湿病学实践管理管理
背景情况:
- 临床医生与合格临床数据注册表 (QCDR) 绩效仪表板的接触尚未得到充分理解.
- 仪表板越来越多地用于显示性能数据,但医疗保健提供者对其有效使用需要进一步调查.
研究的目的:
- 开发一个概念框架来评估用户与仪表板技术的互动.
- 将这个框架应用于风湿学QCDR,以了解参与模式和影响因素.
主要方法:
- 开发了宽度-深度-上下文 (BDC) 框架,包括仪表板会议 (宽度),行动 (深度) 和实践特征 (上下文).
- 应用了BDC框架,使用来自美国风湿病学学院风湿病学信息系统有效性 (RISE) 注册表的用户日志数据.
- 分析了2020-2021年213家门诊诊所的数据,以定义参与概况.
主要成果:
- 实践被分为四个参与概况:没有参与 (8%),极少参与 (39%),中度参与 (34%) 和最参与 (19%).
- 确定患者数量较大和特定电子健康记录 (EHR) 供应商 (eClinicalWorks, eMDs) 的诊所更可能具有高参与度.
- 经过调整后的分析证实了实践特征与参与程度之间的关联.
结论:
- BDC框架有效地描述了用户对QCDR仪表板的参与.
- 参与类风湿病仪表板的范围很大,受到实践层面上下文因素的影响.
- BDC框架为未来关于医疗保健机构仪表板参与的研究提供了有价值的工具.
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