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Authors
Asche C. Said Q. Joish V. Hall CO. Brixner D.
Title
A
record database.
Source
International Journal of Copd. 3(2):323-6, 2008.
Abstract
PURPOSE: The technology and sophistication of healthcare utilization
databases have expanded over the last decade to include results of lab
tests, vital signs, and other clinical information. This review
provides
an assessment of the methodological and analytical challenges of
conducting chronic obstructive pulmonary disease (COPD) outcomes
research
in a national electronic medical records (EMR) dataset and its
potential
application towards the assessment of national health policy issues,
as
well as a description of the challenges or limitations. METHODS: An
EMR
database and its application to measuring outcomes for COPD are
described.
The ability to measure adherence to the COPD evidence-based practice
guidelines, generated by the NIH and HEDIS quality indicators, in this
database was examined. Case studies, before and after their
publication,
were used to assess the adherence to guidelines and gauge the
conformity
to quality indicators. RESULTS: EMR was the only source of information
for
pulmonary function tests, but low frequency in ordering by primary
care
was an issue. The EMR data can be used to explore impact of variation
in
healthcare provision on clinical outcomes. The EMR database permits
access
to specific lab data and biometric information. CONCLUSIONS: The
richness
and depth of information on "real world" use of health services for
large
population-based analytical studies at relatively low cost render such
databases an attractive resource for outcomes research. Various
sources of
information exist to perform outcomes research. It is important to
understand the desired endpoints of such research and choose the
appropriate database source.
ISSN Print
1176-9106
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