자료유형  

 학위논문

Control Number  

0016933276

International Standard Book Number  

9798379908461

Dewey Decimal Classification Number  

614

Main Entry-Personal Name  

Secor, Andrew M.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of Washington., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(90 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 85-01, Section: B.

General Note  

Advisor: Puttkammer, Nancy.

Dissertation Note  

Thesis (Ph.D.)--University of Washington, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Use of electronic medical records (EMRs) and clinical decision support (CDS) tools to support HIV care has been growing in low- and middle-income countries. Data from these systems can inform incidence surveillance, index partner tracing, HIV program evaluation, and individual patient care. However, there are several barriers to the use of this data for decision making, including negative perceptions of the usefulness and trustworthiness of routine data, data quality issues, and limitations of observational data for causal inference in program and policy evaluation. Our objective was to better understand how EMRs and CDS tools could be leveraged to strengthen and support HIV care in Haiti and Ukraine, including understanding barriers and facilitators to tool use, associations between EMR data quality and patient outcomes, and use of quasi-experimental methodology to evaluate public health interventions (here, index testing and partner services). Related to each of these questions, we found that: 1) providers had generally positive views of EMR-informed CDS tools, particularly their potential to improve decision-making and patient outcomes; 2) that EMR data missingness is associated with poorer retention in care, particularly among children living with HIV, suggesting that data quality is a crucial element of clinical case management and quality of care; 3) and that EMR data can enable large-scale analyses of effectiveness of public health interventions, and specifically in this case example, showing evidence of index testing program effectiveness at brining named partners into HIV care and treatment at earlier stages of HIV disease progression.

Subject Added Entry-Topical Term  

Public health.

Subject Added Entry-Topical Term  

Health care management.

Subject Added Entry-Topical Term  

Virology.

Index Term-Uncontrolled  

Electronic medical records

Index Term-Uncontrolled  

Clinical decision support tools

Index Term-Uncontrolled  

Incidence surveillance

Index Term-Uncontrolled  

Decision making

Index Term-Uncontrolled  

HIV disease progression

Added Entry-Corporate Name  

University of Washington Global Health

Host Item Entry  

Dissertations Abstracts International. 85-01B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:643058