Electronic Clinical Monitoring for Identifying Care Care
Kodhidhi yehutano yehutano (EHRs), nhoroondo dzekuregererwa kwevarwere , uye mamwe maitiro ehutano hwehutano zvikakosha zvinokosha zvehutano hwehutano hwehuwandu hwevanhu Chinokosha ndechekuongorora dhiyabhorosi yehutano yehutano kune zviratidzo zvekunyevera kuti vaone varwere vanogona kubatsirwa nekuwedzera kuwedzera kubva muboka rehutano hwehutano.
Iyi nyaya yekuongorora ichajekesa muenzaniso chaiwo wehupenyu hwehutano hwehutano, Kaiser Permanente Southern California (KPSC), inoita zvekuongorora kwehutano hwehutano hwehutano kuti uwane mikana yekuvandudza hutano hwehutano hwakanaka ("kuchengetedzwa kwepfungwa") muchipatara setting.
Zvinhu zvakanyanya zveKPSC Outpatient Safety Net Program zvakarondedzerwa naKim Danforth uye vashandi pamwe chete mune imwe nyaya yeGEMS muna 2014 (Kubereka Uchapupu & Nzira dzekuvandudza zvirwere zvevarwere) bhuku.
Kutungamirira Mazano
Mazano mashomanana anotungamirirwa neKPSC Outpatient Safety Net Program inokosha. Kutanga, purogiramu yacho inobva pazvakanakira kuti zvipingamupinyi zvinotarisirwa zviripo pasinei nekuedza kwakanakisisa kupa hutano hwakanaka hweutano. Kana 990 kubva pa1 000 varwere vane maitiro asingagadzirisi emariti anowana zvakakodzera kutevedza, izvo zvichiri kusiya vatori 10 vanozoputsika nekuputika.
Chechipiri, nzira yose ndeyekutarisa magetsi ekuongorora dhigirii kunze kweiyo chaiyo mupiro-murwere. Sezvo zita racho rinoreva, purogiramu inoshanda semutoro wekuchengetedza kuti "kubata" varwere vane matambudziko angave asina kuonekwa munguva yekliniki yakabatikana. KPSC yakashandisa Epic-based EHR kuti ione migumisiro yebazi uye mishonga yemishonga yemavhogi matsvuku.
Chechitatu, chinangwa chepurogiramu ndechokuziva varwere vanoda kunyatsoteerera kana kutevedza kutarisira, pane kuongorora kushanda kwechiremba mumwe nomumwe. "Mhosva-isina, kuchengetedzwa kwezvokuchengetedza" chimiro chepurogiramu inogona kunge yakawedzerwa kugamuchirwa nevarapi vehutano.
Zvikonzero
Utungamiri hwakashandisa zvirevo zvinotevera kuti uone kana chirongwa chekuchengetedza purogiramu chizogadzirwa.
Clinical Impact: Chirongwa chekuchengetedzwa kwemagetsi chakanga chisina kufanirwa kana chakanga chichigadzirisa chirwere chikuru chekuchengetedza chirwere.
Chizivo: Gwaro rekuchengetedza rinofanira kuwanikwa nyore nyore kuburikidza nemashoko akanyorwa muEHR, zvakadai semabhadharo ebasa kana kuti kuongorora zviratidzo. Kunyora data yakarongeka zviri nyore kupfuura kutungamirira mutauro wekunyoreswa kwemutauro wezvinyorwa zvinyorwa zvisingabhadharwi.
Kutevedzera: Vashandi vakakwana uye zvigadziro zvaidiwa kutevera nevarwere. Kana nhamba yakawanda yevarwere ingadai ichibatwa, maitiro akazvigadziriswa aitsvakwa (sekutumai kutumira tsamba yekuyeuchidza kuvarwere)
Mumwe Chete Kudzivirirwa Nayo Zvirongwa
Zvose zvekuchengeteka kwemitambo yenyika dzakarondedzerwa munyaya yacho, uye imwe neimwe inotarisa pane imwe nzvimbo yekuchengetedza. Zvirongwa zvakagadzirirwa kubatsira rubatsiro rwekenza (cervical, colorectal, prostate), chirwere chisingaperi chepfungwa, uye hepatitis C kuburikidza nekuvandudza kuonekwa uye nekutsvaga nguva yakakwana yekuongorora kusinganzwisisiki.
Mamwe mapurogiramu anoongororwa kuti zvive nemigumisiro yakaipa yemishonga. Izvi zvakagadziriswa kuburikidza nekucherechedza maitiro asinganzwisisiki emarongerwo ayo aizoratidza kuti mishonga yemishonga yakanga yakakwirira kwazvo kana ichikuvadzai itsvo, chiropa, kana dzimwe nhengo. Mapurogiramu ekucherechedza mapiritsi akacherechedzawo varwere avo vakanyorerwa vangangodaro zvinokuvadza mishonga yemunhu mumwe nomumwe kana kusanganiswa kwemishonga.
Paiva nezvirongwa zvekuvandudza kutevedza kweimwe mimwe miedzo isingaenzaniswi kana kuziva varwere vaizobatsirwa nemishonga uye mazano ekurapa.
Iyi nyaya yekuongorora yakaongorora muenzaniso wekuti magetsi ezvehutano zvekushandisa matanho angaona sei mikana yekuvandudza hutano hwehuwandu hwevanhu. Kunyange zvazvo mushumo wepakutanga usina kurondedzera zvakakonzerwa nemigumisiro yemigumisiro yehutano hwevarwere, yakarondedzera hurongwa huzhinji hwekushandisa purogiramu yakadaro.
Sources:
Danforth KN et al. Electronic Clinical Monitoring Kuvandudza Utano Hweperi: Zvimwe Zvidimbu Mukati Ihutano Hwakagadzirwa. eGEMs (Kubereka Uchapupu & Nzira dzekuvandudza mitezo yevarwere) 2014; 2 (1).
Yakasvika musi waJuly 1, 2014.