期刊
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
卷 26, 期 8-9, 页码 847-854出版社
OXFORD UNIV PRESS
DOI: 10.1093/jamia/ocz062
关键词
real world data; health information technology; data quality; immigrants; pragmatic trials; health equity
类别
资金
- Centers for Disease Control and Prevention (CDC), Prevention Research Centers (PRC) Program [U48DP005008]
- National Institutes of Health (NIH) National Institute on Minority Health and Health Disparities (NIMHD) [P60MD000538, U54MD000538]
- NIH National Center for the Advancement of Translational Science (NCATS) [UL1TR001445]
- NIH National Institute of Diabetes and Digestive Kidney Diseases (NIDDK) [R01DK110048]
Randomized controlled trials face cost, logistic, and generalizability limitations, including difficulty engaging racial/ethnic minorities. Real-world data (RWD) from pragmatic trials, including electronic health record (EHR) data, may produce intervention evaluation findings generalizable to diverse populations. This case study of Project IMPACT describes unique barriers and facilitators of optimizing RWD to improve health outcomes and advance health equity in small immigrant-serving community-based practices. Project IMPACT tested the effect of an EHR-based health information technology intervention on hypertension control among small urban practices serving South Asian patients. Challenges in acquiring accurate RWD included EHR field availability and registry capabilities, cross-sector communication, and financial, personnel, and space resources. Although using RWD from community-based practices can inform health equity initiatives, it requires multidisciplinary collaborations, clinic support, procedures for data input (including social determinants), and standardized field logic/rules across EHR platforms.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据