电子健康记录中的哺乳期信息与美国五个卫生系统的调查数据的比较
Gregory P Jansen1, Elisabeth M Seburg2, Gabriela Vazquez-Benitez2
1Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN.
Epidemiology (Cambridge, Mass.)
|December 8, 2025
概括
电子健康记录 (EHR) 显示了与跟踪母乳养的调查数据的实质一致. 这证实了EHR数据作为哺乳研究和公共卫生研究的可靠来源.
科学领域:
- 生殖健康 生殖健康
- 公共卫生研究 公共卫生研究
- 在医疗保健中的数据科学.
背景情况:
- 研究的哺乳状态数据通常通过调查收集.
- 电子健康记录 (EHR) 为母乳养研究提供了一个新的数据源.
- 将EHR数据与传统调查方法进行比较对于验证新数据源至关重要.
研究的目的:
- 为了比较母乳养信息的准确性,从结构化的EHR字段与调查数据进行比较.
- 评估EHR和调查数据在产后人群中哺乳状态之间的一致性.
主要方法:
- 包括来自五个美国医疗保健系统的参与者,他们被诊断为活产和抑郁症.
- 对比了来自EHR的母乳养数据和调查答案 (产后3-4个月收集的).
- 协议使用百分比协议,科恩的卡帕,灵敏度,特异性,PPV和NPV进行评估.
主要成果:
- 根据调查数据,有史以来使用母乳养的患病率在调查时分别为93.2%和73.0%.
- 乳房状态的电子健康记录和调查数据之间的一致性很高 (≥92%的一致性,≥0.77卡帕).
- 对于拥有较少EHR记录的人来说,同意率略低.
结论:
- 关于哺乳状态的EHR和调查数据之间存在实质性的协议.
- 结构化EHR数据是乳房流行病学研究的可行和潜在的有价值资源.
- 在未来的哺乳期研究中,EHR数据可以补充或潜在地取代调查数据.
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