PDF(Pubmed)
Abstract：
Hypertension disparities persist and remain high among racial and ethnic minority populations in the United States (US). Data-driven approaches based on electronic health records (EHRs) in primary care are seen as a strong opportunity to address this situation. This qualitative study evaluated the development, sustainability, and usability of an EHR-integrated hypertension disparities dashboard for health care professionals in primary care. Ten semi-structured interviews, exploring the approach and sustainability, as well as eight usability interviews, using the think aloud protocol were conducted with quality improvement managers, data analysts, program managers, evaluators, and primary care providers. For the results, dashboard development steps include having clear goals, defining a target audience, compiling data, and building multidisciplinary teams. For sustainability, the dashboard can enhance understanding of the social determinants of health or to inform QI projects. In terms of dashboard usability, positive aspects consisted of the inclusion of summary pages, patient\'s detail pages, and hover-over interface. Important design considerations were refining sorting functions, gender inclusivity, and increasing dashboard visibility. In sum, an EHR-driven dashboard can be a novel tool for addressing hypertension disparities in primary care. It offers a platform where clinicians can identify patients for culturally tailored interventions. Factors such as physician time constraints, data definitions, comprehensive patient demographic information, end-users, and future sustenance, should be considered before implementing a dashboard. Additional research is needed to identify practices for integrating a dashboard into clinical workflow for hypertension.
摘要：
高血压的差异持续存在，并且在美国（US）的种族和少数族裔人群中仍然很高。初级保健中基于电子健康记录（EHR）的数据驱动方法被视为解决这种情况的绝佳机会。这项定性研究评估了发展，可持续性以及针对初级保健中的卫生保健专业人员的EHR综合高血压差异仪表板的可用性。十次半结构化面试,探索方法和可持续性，以及八个可用性访谈，使用与质量改进经理一起进行的大声思考协议，数据分析师,项目经理,评价者,和初级保健提供者。对于结果，仪表板开发步骤包括有明确的目标，定义目标受众，编译数据,建立多学科团队。为了可持续性，仪表板可以增强对健康的社会决定因素的理解或告知QI项目。在仪表板可用性方面，积极的方面包括包括摘要页，患者的详细信息页面，和悬停界面。重要的设计考虑因素是细化分类功能，性别包容性，和增加仪表板的可见性。总之,EHR驱动的仪表板可以成为解决初级保健中高血压差异的新工具.它提供了一个平台，临床医生可以识别患者进行文化定制的干预措施。医生时间限制等因素，数据定义,全面的患者人口统计信息，最终用户，和未来的寄托，在实现仪表板之前应该考虑。需要额外的研究来确定将仪表板集成到高血压临床工作流程中的实践。
