Colorectal Cancer Screening Rates at Community Health Centers that Use Electronic Health Records: A Cross Sectional Study

被引：14

作者：

Baker, David W. ^{[1
]}

Liss, David T. ^{[1
]}

Alperovitz-Bichell, Kari ^{[2
]}

Brown, Tiffany ^{[1
]}

Carroll, Joseph E. ^{[3
]}

Crawford, Phil ^{[4
]}

Harigopal, Padmini ^{[5
]}

Henley, Eric ^{[6
]}

Nelson, Christine A. ^{[7
]}

Rittner, Sarah S. ^{[8
]}

机构：

[1] Northwestern Univ, Feinberg Sch Med, Div Gen Internal Med & Geriatr, Chicago, IL 60611 USA

[2] Chase Brexton Hlth Care, Baltimore, MD USA

[3] Open Door Community Hlth Ctr, Arlington, TX USA

[4] Kaiser Permanente Ctr Hlth Res, Portland, OR USA

[5] Fenway Hlth, Boston, MA USA

[6] North Country Hlth Care, Flagstaff, AZ USA

[7] OCHIN Inc, Portland, OR USA

[8] Alliance Chicago Community Hlth Serv, Chicago, IL USA

来源：

JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED | 2015年 / 26卷 / 02期

基金：

美国医疗保健研究与质量局;

关键词：

Community health centers; preventive medicine; colorectal cancer screening; health care disparities; electronic health records; FECAL-OCCULT-BLOOD; SERVICES TASK-FORCE; UNITED-STATES; PRIMARY-CARE; MORTALITY; DISPARITIES; STRATEGIES; ADHERENCE; AMERICAN; BARRIERS;

D O I：

10.1353/hpu.2015.0030

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background. This study was conducted to validate use of electronic health record (EHR) data for measuring colorectal cancer (CRC) screening rates at community health centers (CHCs). Methods. Electronic health records were queried to assess screening via colonos copy, flexible sigmoidoscopy, or fecal occult blood testing (FOBT) in 2011. Results. Multiple iterations were required to maximize query accuracy. Manual chart reviews, stratified by screening modality, confirmed query results for 112 of 113 (99.1%) reviewed colonoscopies, 110 of 110(100%) reviewed FOBTs, and 111 of 120 (92.5%) unscreened patients. At participating CHCs, CRC screening rates ranged from 9.7% to 67.2% (median, 30.6%). Adherence to annual FOBT ranged from 3.3% to 59.0% (median, 18.6%). Most screening was done by colonoscopy. Conclusions. Colorectal cancer screening varies substantially across CHCs. Electronic health record data can validly measure CRC screening, but repeated assessments of programming accuracy are required. Community health centers may need support to measure quality using EHR data and increase screening.

引用

页码：377 / 390

页数：14

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