全球智库信息集成服务系统(G2TT): Defining and Evaluating Patient-Empowered Approaches to Improving Record Matching

G2TT

来源类型	Research Reports
规范类型	报告
DOI	https://doi.org/10.7249/RR2275
来源ID	RR-2275-PCT
	Defining and Evaluating Patient-Empowered Approaches to Improving Record Matching
	Robert S. Rudin; Richard Hillestad; M. Susan Ridgely; Nabeel Shariq Qureshi; John S. Davis II; Shira H. Fischer
发表日期	2018
出版年	2018
页码	110
语种	英语
结论	This report identified ten potential patient-empowered solutions to improve record matching, evaluated them using 11 criteria, and proposed a three-stage solution combining elements of several approaches. Implementing a voluntary universal identifier. Using a public key as an identifier. Expanding the use of existing government-issued identifiers. Adding knowledge-based identity information. Adding biometric data. Having patients verify identity information. Using consumer-directed exchange. Using health record banks. Having patients manually verify record matches. Having patients supply record location information. These potential solutions varied greatly in the level of detail and experience being tested. Application of evaluation criteria found notable strengths and weaknesses with every solution and, on balance, a reasonable argument could be made to further develop most of them. Given high uncertainty as to the extent to which any specific solution can ultimately succeed, further investigation, development, and pilot testing of a range of solutions are warranted.
摘要	A promising approach is to advance a three-stage solution that leverages mobile phones and smartphones and aims to (1) improve the quality of identity information used for record matching, (2) establish new functionalities of smartphone apps to facilitate transfer of this information to providers, and (3) create advanced app functionality to further improve record matching and address other evaluation criteria (e.g., likelihood of adoption, sustainability). Specific recommendations include those that will advance the selected three-stage solution through development and pilot testing by: Developing technical specifications for verified data fields, developing best practices that allow health care providers to verify mobile phone numbers, and iteratively pilot testing and refining the specifications and best practices to maximize feasibility and usability Developing application programming interfaces and best practices for establishing bidirectional communication between a smartphone app and health care provider registration systems at the point of care, and iteratively pilot testing and refining them Developing advanced app functionalities to further improve record matching and increase the value of apps to patients and providers. Two additional recommendations intended to help accelerate efforts to improve record matching are: Establish or designate an organization to oversee national progress in record matching Conduct more rigorous research into the nature and magnitude of record matching errors, and create methods for health care providers to objectively benchmark their record matching performance.
主题	Electronic Medical Records ; Health Information Privacy ; Health Information Technology Interoperability ; Patient-Centered Care
URL	https://www.rand.org/pubs/research_reports/RR2275.html
来源智库	RAND Corporation (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/108820
推荐引用方式 GB/T 7714	Robert S. Rudin,Richard Hillestad,M. Susan Ridgely,et al. Defining and Evaluating Patient-Empowered Approaches to Improving Record Matching. 2018.

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RAND_RR2275.pdf（752KB）	智库出版物		限制开放	CC BY-NC-SA	浏览