Assessing the Impact of Electronic Health Record Interventions on Hepatitis B Screening and Vaccination.
J Health Care Poor Underserved
; 29(4): 1587-1605, 2018.
Article
en En
| MEDLINE
| ID: mdl-30449765
ABSTRACT
BACKGROUND:
Hepatitis B virus (HBV) infection is a major health disparity between Asian Americans, Native Hawaiians, and Pacific Islanders compared with other racial/ethnic groups in the U.S.AIMS:
Our aims were to determine the effectiveness of an electronic health record (EHR) data-driven clinical intervention to improve HBV screening and vaccination rates at a community health center primarily serving Asian American patients.METHODS:
Using a community-engaged approach, we conducted a study to compare the differences in screening and vaccination rates for 6,429 patient encounters before and after implementation of the EHR intervention. A multivariable logistic regression analysis was conducted to estimate the effect of the intervention.RESULTS:
Analyses indicated that patients who visited the clinic after implementing the EHR intervention were more likely to be screened (OR=1.8, p<.001) and vaccinated (OR=2.8, p<.001) for hepatitis B.CONCLUSIONS:
Electronic health record interventions implemented using a community-engaged approach may improve delivery of appropriate care to patients at risk for hepatitis B in a community health setting.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tamizaje Masivo
/
Vacunas contra Hepatitis B
/
Servicios de Salud Comunitaria
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Registros Electrónicos de Salud
/
Hepatitis B
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Adolescent
/
Adult
/
Aged
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Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Health Care Poor Underserved
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2018
Tipo del documento:
Article