患者记录重复的流行病学
Onur Sahin1,2, Audrey Zhao2, Reuben Joseph Applegate1
1Department of Clinical and Health Informatics, D. Bradley McWilliams School of Biomedical Informatics, The University of Texas Health Science Center (UTHealth), Houston, Texas, United States.
Applied clinical informatics
|September 27, 2024
概括
复制患者记录在黑人,西班牙裔和老年人中更为常见,以及那些有更多健康问题和频繁的医疗保健访问的人. 识别这些模式有助于预防医疗错误和健康差异.
科学领域:
- 医疗信息学 医疗信息学
- 患者记录管理 患者记录管理
- 健康 公平 卫生 公平
背景情况:
- 重复的患者记录带来了重大风险,包括增加医疗保健成本和医疗错误.
- 准确的患者识别对于安全有效的医疗保健服务至关重要.
研究的目的:
- 调查人口统计因素,并发病,医疗保健利用率和重复电子健康记录的发生率之间的联系.
- 为了确定易于重复记录创建的高风险患者群体.
主要方法:
- 来自城市学术医疗中心300多万名患者的大型队列的分析.
- 利用经过验证的企业主人指数来识别重复的医疗记录.
- 检查了与人口统计学变量 (种族,种族,性别,年龄) 的关联,查尔森并发症指数 (CCI),诊断人数和医疗保健遭遇.
主要成果:
- 在黑人患者 (OR: 1.35),西班牙裔患者 (OR: 1.48) 和老年人 (OR: 1.01) 中,重复记录的可能性更高.
- 具有"其他"性别 (OR:4.71),更高的并发症得分 (CCI,OR:1.10) 和更多的医疗保健遭遇 (OR:1.01) 的患者也显示出更高的几率.
- 与女性相比,男性性别与重复记录的几率较低 (OR:0.88) 相联系.
结论:
- 人口统计因素,并发症和医疗保健使用模式与重复的患者记录有显著的联系.
- 了解重复记录的流行病学对于制定有针对性的预防和缓解策略至关重要.
- 解决重复记录可以帮助减少医疗保健差异,特别是在少数群体中.
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