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A Case for Using Electronic Health Record Data in the Evaluation of Produce Prescription Programs.
Ridberg, Ronit A; Yaroch, Amy L; Nugent, Nadine Budd; Byker Shanks, Carmen; Seligman, Hilary.
Afiliación
  • Ridberg RA; University of California, Davis School of Medicine, Sacramento, CA, USA.
  • Yaroch AL; Gretchen Swanson Center for Nutrition, Omaha, NE, USA.
  • Nugent NB; Gretchen Swanson Center for Nutrition, Omaha, NE, USA.
  • Byker Shanks C; Gretchen Swanson Center for Nutrition, Omaha, NE, USA.
  • Seligman H; University of California San Francisco, San Francisco, CA, USA.
J Prim Care Community Health ; 13: 21501319221101849, 2022.
Article en En | MEDLINE | ID: mdl-35603984
Produce prescription programs within clinical care settings can address food insecurity by offering financial incentives through "prescriptions" for fruits and vegetables to eligible patients. The electronic health record (EHR) holds potential as a strategy to examine the relationship between these projects and participant outcomes, but no studies address EHR extraction for programmatic evaluations. We interviewed representatives of 9 grantees of the U.S. Department of Agriculture's Gus Schumacher Nutrition Incentive Grant Program's Produce Prescription Projects (GusNIP PPR) to understand their experiences with and capacity for utilizing EHR for evaluation. Five grantees planned to use EHR data, with 3 main strategies: reporting aggregate data from health clinics, contracting with external/third party evaluators, and accessing individual-level data. However, utilizing EHRs was prohibitive for others due to insufficient knowledge, training and/or staff capacity; lack of familiarity with the Institutional Review Board process; or was inappropriate for select target populations. Policy support for produce prescription programs requires a robust evidence base, deep knowledge of best practices, and an understanding of expected health outcomes. These insights can be most efficiently and meaningfully achieved with EHR data, which will require increased financial support and technical assistance for project operators.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Verduras / Registros Electrónicos de Salud Tipo de estudio: Evaluation_studies / Guideline Límite: Humans Idioma: En Revista: J Prim Care Community Health Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Verduras / Registros Electrónicos de Salud Tipo de estudio: Evaluation_studies / Guideline Límite: Humans Idioma: En Revista: J Prim Care Community Health Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos