학술논문
Use of a Best Practice Alert (BPA) to Increase Diversity Within a US-Based Autism Research Cohort.
Document Type
Article
Author
Source
Subject
*HUMAN research subjects
*MINORITIES
*PATIENT selection
*CLINICAL medicine research
*PRIVATE sector
*PEDIATRICS
*PRIMARY health care
*AUTISM
*HEALTH insurance
*DESCRIPTIVE statistics
*ELECTRONIC health records
*LONGITUDINAL method
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Language
ISSN
0162-3257
Abstract
We evaluated the success of a best practice alert (BPA) in recruiting underrepresented families into an autism spectrum disorder research cohort by comparing BPA-response outcomes (Interested, Declined, Enrolled, Dismissed) in pediatric primary care practices (TCPs) serving diverse communities with those of subspecialty clinics. Compared to subspecialty clinics, TCPs had higher proportions of Interested responses for patients with private insurance (60.9% vs. 46.2%), Dismissed responses for patients with public insurance (30.1% vs. 20.0%), and Interested responses for non-white patients (47.7% vs. 33.3%). A targeted BPA can help researchers access more diverse groups and improve equitable representation. However, select groups more often had their alert dismissed, suggesting possible selection bias among some pediatricians regarding who should receive information about study opportunities. [ABSTRACT FROM AUTHOR]