Using health information technology to improve hypertension management

被引:0
作者
Mary K. Goldstein
机构
[1] Geriatrics Research Education and Clinical Center 182B,VA Palo Alto Health Care System
来源
Current Hypertension Reports | 2008年 / 10卷
关键词
Veteran Health Administration; Clinical Reminder; Clinical Decision Support; Clinical Decision Support System; Health Information Technology;
D O I
暂无
中图分类号
学科分类号
摘要
High-quality medical care requires implementing evidence-based best practices, with continued monitoring to improve performance. Implementation science is beginning to identify approaches to developing, implementing, and evaluating quality improvement strategies across health care systems that lead to good outcomes for patients. Health information technology has much to contribute to quality improvement for hypertension, particularly as part of multidimensional strategies for improved care. Clinical reminders closely aligned with organizational commitment to quality improvement may be one component of a successful strategy for improving blood pressure control. The ATHENA-Hypertension (Assessment and Treatment of Hypertension: Evidence-based Automation) system is an example of more complex clinical decision support. It is feasible to implement and deploy innovative health information technologies for clinical decision support with features such as clinical data visualizations and evidence to support specific recommendations. Further study is needed to determine the optimal contexts for such systems and their impact on patient outcomes.
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页码:201 / 207
页数:6
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  • [1] Hajjar I.(2003)Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988–2000 JAMA 290 199-206
  • [2] Kotchen T.A.(2007)Public health. Implementation science Science 318 1728-1729
  • [3] Madon T.(2006)Quality improvement strategies for hypertension management: a systematic review Med Care 44 646-657
  • [4] Hofman K.J.(2001)Clinical inertia Ann Intern Med 135 825-834
  • [5] Kupfer L.(1998)Inadequate management of blood pressure in a hypertensive population N Engl J Med 339 1957-1963
  • [6] Glass R.I.(2007)Association of antihypertensive therapy and diastolic hypotension in chronic kidney disease Hypertension 50 474-480
  • [7] Walsh J.M.E.(2004)Clinician awareness of adherence to hypertension guidelines Am J Med 117 747-754
  • [8] McDonald K.(2008)The accuracy of clinician perceptions of “usual” blood pressure control J Gen Intern Med 23 180-183
  • [9] Shojania K.G.(2004)The Veterans Health Administration: quality, value, accountability, and information as transforming strategies for patient-centered care Am J Manag Care 10 828-836
  • [10] Phillips L.S.(2004)Adherence to computerized clinical reminders in a large healthcare delivery network Medinfo 11 111-114