Haggstrom David A, Rosenman Marc, Myers Laura J, Teal Evgenia, Doebbeling Bradley N
VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VAMC, Indianapolis, IN;
AMIA Annu Symp Proc. 2010 Nov 13;2010:266-70.
The goal of this project was to provide empiric evidence about the benefit to US veterans and the VA of capturing data from a citywide clinical informatics network (INPC) to assess care received outside the VA. We identified 468 veterans diagnosed with colorectal cancer from 2000-2007 in the Indianapolis VA cancer registry. Electronic VA healthcare data were linked with electronic health records from the regional health information organization (RHIO) INPC; 341 matches were found. Both the VA and INPC systems were queried regarding receipt of surveillance tests. The proportion with additional data from INPC varied by test: colonoscopy (3%), CT scan/abdomen (13%), CT scan/chest (79%), carcinoembryonic antigen test (8%), and other laboratory tests (25%-53%). An incremental benefit of linking VA and INPC data was present and may increase when expanded beyond patients with a single condition. New, important information about care outside the VA is obtained through RHIO data linkage.
本项目的目标是提供实证依据，以证明从全市临床信息网络（印第安纳波利斯网络病人护理中心，INPC）获取数据对美国退伍军人及退伍军人事务部（VA）的益处，从而评估在VA以外接受的护理情况。我们从印第安纳波利斯VA癌症登记处确定了2000年至2007年期间被诊断患有结直肠癌的468名退伍军人。VA电子医疗数据与来自区域健康信息组织（RHIO）的印第安纳波利斯网络病人护理中心的电子健康记录相链接；共找到341个匹配记录。针对监测检查的接受情况，对VA和印第安纳波利斯网络病人护理中心系统都进行了查询。来自印第安纳波利斯网络病人护理中心的额外数据比例因检查项目而异：结肠镜检查为3%，腹部CT扫描为13%，胸部CT扫描为79%，癌胚抗原检测为8%，其他实验室检查为25% - 53%。VA与印第安纳波利斯网络病人护理中心的数据相链接存在增量益处，并且当扩展到患有单一疾病以外的患者时可能会增加。通过区域健康信息组织的数据链接可获取有关VA以外护理的新的重要信息。
