使用电子健康记录以支持不健康的酒精使用查和干预太平洋西北地区的初级保健实践的挑战
James L McCormack1,2, Tracey L Thomas1, Chrystal Barnes1
1Oregon Rural Practice-Based Research Network, Oregon Health & Science University, Portland, OR 97239, United States.
概括
初级保健诊所在实施查,简短干预和转诊治疗 (SBIRT) 时面临着重要的电子健康记录 (EHR) 障碍. 挑战包括数据报告问题,缺乏提醒和文档负担.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 公共卫生 公共卫生
背景情况:
- 不健康的酒精使用 (UAU) 造成了重大的健康和社会成本.
- 查,简短干预和转诊治疗 (SBIRT) 是缓解UAU的有效策略.
- 电子健康记录 (EHR) 可以支持SBIRT的实施和质量改进.
研究的目的:
- 识别和描述使用EHR系统的初级保健诊所所遇到的障碍,以支持UAU查和干预交付.
- 了解影响SBIRT中EHR使用的社会技术因素.
主要方法:
- 从诊所日志,反思和采访中获得的数据的定性内容分析.
- 使用了为期15个月的量身定制的练习促进计划 (ANTECEDENT).
- 应用了8个领域的社会技术框架来分析EHR挑战.
主要成果:
- 常见的EHR障碍包括无法报告绩效数据,缺乏查提醒,有限的内置评估和繁的文档.
- 工作流的变化,有限的信息支持和竞争的组织优先事项也阻碍了SBIRT的实施.
- 48家使用9个不同的电子病历系统的诊所参与了这项研究.
结论:
- 初级保健诊所面临的重大挑战是整合EHR用于UAU查和随访.
- 需要进一步的研究来了解影响SBIRT采用和有效使用EHR特征的因素.
- 解决这些与EHR相关的障碍对于改善UAU护理质量至关重要.
关键词:
饮酒 饮酒 饮酒 饮酒 饮酒 饮酒酒精使用障碍 酒精使用障碍电子健康记录是电子健康记录.预防医学是预防医学.初级医疗保健的实践.质量改善 质量改善农村卫生服务 农村卫生服务滥用物质滥用物质滥用物质滥用物质滥用物质滥用物质滥用物质更多相关视频
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