哪些癌症患者可以访问他们的临床笔记? 一个差异分析分析
Susan Chimonas1, Charlie White1, Kenneth Seier1
1Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.
JCO clinical cancer informatics
|October 16, 2025
概括
癌症患者在访问临床笔记方面面临差异,黑人,西班牙裔和非英语说话者不太可能访问或打开笔记. 需要有针对性的干预措施,以确保所有瘤病人的数字健康获得公平.
科学领域:
- 医疗信息学 医疗信息学
- 健康 公平 卫生 公平
- 在瘤学瘤学.
背景情况:
- "21世纪治疗法"要求患者立即通过电子方式获取临床笔记.
- 医疗保健领域的技术进步可能无意中扩大现有的健康差距.
- 了解瘤学中的注意事项访问不平等性对于复杂的护理管理至关重要.
研究的目的:
- 调查瘤病患者临床笔记获取和打开率的差异.
- 识别与不平等获得电子健康信息相关的患者特征.
- 为在癌症护理中公平利用数字健康资源的战略提供信息.
主要方法:
- 一项回顾性研究分析了从2021年9月到2022年8月通过患者门户访问的临床笔记.
- 用物流和Poisson回归模型来评估差异.
- 来自一个大量的专业癌症中心的患者数据被利用.
主要成果:
- 包括超过124,000名患者和815,000份笔记;访问了43.7%的笔记.
- 基于种族,种族和语言,观察到笔记访问的显著差异.
- 黑人,西班牙裔和非英语说话者与白人,非西班牙裔,英语说话者相比,笔记访问和打开率较低.
结论:
- 在瘤病患者获得临床笔记方面存在种族,种族和语言差异.
- 量身定制的干预措施对于弥合医疗保健中的数字沟至关重要.
- 确保平等地获得数字健康工具对于不同患者群体至关重要.
更多相关视频
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
640
07:41Performing Data Mining And Integrative Analysis Of Biomarker in Breast Cancer Using Multiple Publicly Accessible Databases
Published on: May 17, 2019
9.5K
相关概念视频
Cancer Survival Analysis
645
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
645
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Ethical Standards II
1.2K
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
1.2K
Methods of Documentation VI: Case Management Model
854
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
854
Documentation of Nursing Diagnosis
1.6K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.6K
Hazard Ratio
559
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
559
