ArticleHealth services research and managerial epidemiology
Electronic Health Records as Valuable Data Sources in the Health Care Quality Improvement Process.
Article in Health services research and managerial epidemiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Mental Health Conditions and Nonpersistence of Direct Oral Anticoagulant Use in Patients With Incident Atrial Fibrillation: A Nationwide Cohort Study.Journal of the American Heart Association · 2022Trial
- The nationwide Finnish anticoagulation in atrial fibrillation (FinACAF): study rationale, design, and patient characteristics.European journal of epidemiology · 2022Article
- LDL-cholesterol trajectories and statin treatment in Finnish type 2 diabetes patients: a growth mixture model.Scientific reports · 2021Article
- Type 2 Diabetes-Related Health Economic Impact Associated with Increased Whole Grains Consumption among Adults in Finland.Nutrients · 2021Article
- Pharmacy-based screening to detect persons at elevated risk of type 2 diabetes: a cost-utility analysis.BMC health services research · 2021Article
- Digital Health Europe (DHE) Twinning on severe asthma-kick-off meeting report.Journal of thoracic disease · 2021Article
- The effect of the integration of health services on health care usage among patients with type 2 diabetes in North Karelia, Finland.BMC health services research · 2021Article
- Trends in the process and outcome indicators of type 2 diabetes care: a cohort study from Eastern Finland, 2012-2017.BMC family practice · 2020Article
- Impact of co-payment level increase of antidiabetic medications on glycaemic control: an interrupted time-series study among Finnish patients with type 2 diabetes.BMC health services research · 2020Article
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6 authors.
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Abstract
backgroundIn North Karelia, Finland, the regional electronic health records (EHRs) enable flexible data retrieval and area-level analyses. The aim of this study was to assess the early detection of type 2 diabetes (T2D) in the region and to evaluate the performed activities in order to improve the processes between the years 2012 and 2017.
methodsPatients with T2D were identified from the EHRs using the
resultsIn 2012, the age-adjusted prevalence of T2D in North Karelia varied considerably between municipalities (5.5%-8.6%). These differences indicate variation in the processes of early diagnosis. The findings were discussed in the regional network of health professionals treating patients with T2D, resulting in sharing experiences and best practices. In 2017, the differences had notably diminished, and in most municipalities, the prevalence exceeded 8%. The regional differences in the prevalence and their downward trend were observed both in the EHRs and in the medication reimbursement rights register.
conclusionClear differences in the prevalence of T2D were detected between municipalities. After visualizing these differences and providing information for the professionals, the early detection of T2D improved and the regional differences decreased. The EHRs are a valuable data source for knowledge-based management and quality improvement.
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