| Autor: |
Boyd, Andrew D1 (AUTHOR) boyda@uic.edu, Gonzalez-Guarda, Rosa2 (AUTHOR), Lawrence, Katharine3 (AUTHOR), Patil, Crystal L4 (AUTHOR), Ezenwa, Miriam O5 (AUTHOR), O'Brien, Emily C6 (AUTHOR), Paek, Hyung7 (AUTHOR), Braciszewski, Jordan M8 (AUTHOR), Adeyemi, Oluwaseun9 (AUTHOR), Cuthel, Allison M9 (AUTHOR), Darby, Juanita E4 (AUTHOR), Zigler, Christina K10 (AUTHOR), Ho, P Michael11 (AUTHOR), Faurot, Keturah R12 (AUTHOR), Staman, Karen L10 (AUTHOR), Leigh, Jonathan W4 (AUTHOR), Dailey, Dana L13,14 (AUTHOR), Cheville, Andrea15 (AUTHOR), Fiol, Guilherme Del16 (AUTHOR), Knisely, Mitchell R2 (AUTHOR) |
| Předmět: |
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| Zdroj: |
Journal of the American Medical Informatics Association. Sep2023, Vol. 30 Issue 9, p1561-1566. 6p. 1 Chart. |
| Abstrakt: |
Embedded pragmatic clinical trials (ePCTs) play a vital role in addressing current population health problems, and their use of electronic health record (EHR) systems promises efficiencies that will increase the speed and volume of relevant and generalizable research. However, as the number of ePCTs using EHR-derived data grows, so does the risk that research will become more vulnerable to biases due to differences in data capture and access to care for different subsets of the population, thereby propagating inequities in health and the healthcare system. We identify 3 challenges—incomplete and variable capture of data on social determinants of health, lack of representation of vulnerable populations that do not access or receive treatment, and data loss due to variable use of technology—that exacerbate bias when working with EHR data and offer recommendations and examples of ways to actively mitigate bias. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Library, Information Science & Technology Abstracts |
| Externí odkaz: |
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