...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of women’s health >Mammography use among Black women: the role of electronic medical records.
【24h】

Mammography use among Black women: the role of electronic medical records.

机译：黑人女性在乳房X光检查中的应用：电子病历的作用。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND AND AIMS: Accurately documenting mammography use is essential to assess quality of care for early breast cancer detection in underserved populations. Self-reports and medical record reports frequently result in different accounts of whether a mammogram was performed. We hypothesize that electronic medical records (EMRs) provide more accurate documentation of mammography use than paper records, as evidenced by the level of agreement between women's self-reported mammography use and mammography use documented in medical records. METHODS: Black women aged 40-75 were surveyed in six primary care sites in Boston, Massachusetts (n = 411). Survey data assessed self-reported mammography prevalence within 2 years of study entry. Corresponding medical record data were collected at each site. Positive predictive value (PPV) of self-report and kappa statistics compared data agreement among sites with and without EMRs. Logistic regression estimated effects of site and patient characteristics on agreement between data sources. RESULTS: Medical records estimated a lower prevalence of mammography use (58%) than self-report (76%). However, self-report and medical record estimates were more similar in sites with EMRs. PPV of self-report was 88% in sites with continuous access to EMRs and 61% at sites without EMRs. Kappa statistics indicated greater data agreement at sites with EMRs (0.72, 95% CI 0.56-0.88) than without EMRs (0.46, 95% CI 0.29-0.64). Adjusted for covariates, odds of data agreement were greatest in sites where EMRs were available during the entire study period (OR 4.31, 95% CI 1.67-11.13). CONCLUSIONS: Primary care sites with EMRs better document mammography use than those with paper records. Patient self-report of mammography screening is more accurate at sites with EMRs. Broader access to EMRs should be implemented to improve quality of documenting mammography use. At a minimum, quality improvement efforts should confirm the accuracy of paper records with supplemental data.
机译：背景与目的：准确记录乳房X线照片的使用对于评估服务不足人群的早期乳腺癌检测的护理质量至关重要。自我报告和病历报告经常导致对是否进行了乳房X光检查的不同解释。我们假设电子病历（EMR）提供的乳腺X线摄影记录比纸质记录更准确，这由女性自我报告的乳腺X线摄影使用与病历中记录的乳腺X线摄影使用之间的一致程度证明。方法：在马萨诸塞州波士顿市（n = 411）的六个初级保健场所对40-75岁的黑人妇女进行了调查。调查数据评估了进入研究的2年内自我报告的X线摄片的患病率。在每个站点收集了相应的病历数据。自我报告和Kappa统计数据的正预测值（PPV）比较了有无EMR的站点之间的数据一致性。 Logistic回归估计站点和患者特征对数据源之间一致性的影响。结果：医学记录估计的乳房X线摄影使用率（58％）低于自我报告（76％）。但是，在具有EMR的地点，自我报告和病历估计值更为相似。连续访问EMR的站点的自我报告PPV为88％，而没有EMR的站点的自我报告PPV为61％。 Kappa统计数据表明，具有EMR（0.72，95％CI 0.56-0.88）的站点的数据一致性要好于没有EMR（0.46，95％CI 0.29-0.64）的站点。经协变量调整后，在整个研究期间均可用EMR的地点，数据一致性的几率最大（OR 4.31，95％CI 1.67-11.13）。结论：具有电子病历的初级保健场所比具有纸质记录的场所更好地进行乳腺X线摄影。在具有EMR的部位，乳房X光检查的患者自我报告更为准确。应该实施更广泛的电子病历访问，以提高乳房X线照片使用记录的质量。质量改进工作至少应通过补充数据确认纸质记录的准确性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号