Abstract
Randomized controlled trials face cost, logistic, and generalizability limitations, including difficulty engaging racial/ethnic minorities. Real-world data (RWD) from pragmatic trials, including electronic health record (EHR) data, may produce intervention evaluation findings generalizable to diverse populations. This case study of Project IMPACT describes unique barriers and facilitators of optimizing RWD to improve health outcomes and advance health equity in small immigrant-serving community-based practices. Project IMPACT tested the effect of an EHR-based health information technology intervention on hypertension control among small urban practices serving South Asian patients. Challenges in acquiring accurate RWD included EHR field availability and registry capabilities, cross-sector communication, and financial, personnel, and space resources. Although using RWD from community-based practices can inform health equity initiatives, it requires multidisciplinary collaborations, clinic support, procedures for data input (including social determinants), and standardized field logic/rules across EHR platforms.
Original language | English (US) |
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Pages (from-to) | 847-854 |
Number of pages | 8 |
Journal | Journal of the American Medical Informatics Association |
Volume | 26 |
Issue number | 8-9 |
DOIs | |
State | Published - Apr 17 2019 |
Keywords
- Data quality
- Health equity
- Health information technology
- Immigrants
- Pragmatic trials
- Real world data
ASJC Scopus subject areas
- Health Informatics