Evidence for improved patient management through electronic patient records at a Central Australian Aboriginal Health Service

Hoy, Wendy E., Swanson, Cheryl E., Hope, Alex, Smith, Jo and Masters, Chris (2014) Evidence for improved patient management through electronic patient records at a Central Australian Aboriginal Health Service. Australian and New Zealand Journal of Public Health, 38 2: 154-159. doi:10.1111/1753-6405.12195


Author Hoy, Wendy E.
Swanson, Cheryl E.
Hope, Alex
Smith, Jo
Masters, Chris
Title Evidence for improved patient management through electronic patient records at a Central Australian Aboriginal Health Service
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
1753-6405
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/1753-6405.12195
Open Access Status Not yet assessed
Volume 38
Issue 2
Start page 154
End page 159
Total pages 6
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject 2739 Public Health, Environmental and Occupational Health
Abstract Aim: To examine chronic disease (CD)-related clinical activity and outcomes associated with introduction of a more systematic approach to chronic disease care in a remote Aboriginal community, using data from Communicare patient record management system. Methods: We examined CD process measures, outcomes and clinical profiles in adults age 15+ years from Communicare data and compared results for two intervals. Process measures were clinic visits and proportions of eligible patients with recorded CD-related procedures or diagnostic tests. Outcome measures were results of CD care items and CD morbidities. Data in the interval 2007-2009 were compared with data from 2009 to 2011, in which an intensified CD program was conducted in the clinic by its own staff. Results: About one-third of adult visits were related to CD care; CD-cycle of care encounters increased significantly in the second interval, from 3.2% to 9.1%, and proportions of adults having CD-related procedures or tests were also higher. For already commonly performed items, like blood pressure, weight and lipids, proportions of adults tested were 30-50% higher in the second interval, while proportions tested for more recently emphasised items, like waist, HbA1C, urine ACR, rose by more than 200%. Levels of SBP, DBP, HbA1c and HDL-C significantly improved in the second interval. Proportions of adults with clinical values outside normal ranges decreased for at least half of observations. Conclusions: Parameters of CD care activities and outcomes have increased significantly over the last four years in this setting, accompanied by stabilisation of or improvement in outcomes. © 2014 The Authors. ANZJPH
Keyword Chronic disease
Communicare
Electronic patient records
Indigenous health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
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