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Evidence Farming: Implications for Open Architecture

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  • 2. I%19+*5#&-(N>4%5(#3(G4+HOP (Complexes of) Outcome Exposures strength of association? Increased Text4Baby individual breastfeeding population
  • 3. @:++%&3(811+4*'9%5/(I@A Asthma App ER visits at 1 year 50 people 100 people Usual Care ER visits at 1 year 50 people population Q A%535(1+%51%'#R%$(#&3%+"%&3#4&5(*&$(4:3'4,%5 Q A4('4&R+,(*(9C1439%5#5(*3(39%(141:2*3#4&(2%"%2 Q ;3+4&-(#&3%+&*2("*2#$#3C Q ?+4M2%,5/(524S(34(5%3T:1<(%U1%&5#"%<(594+3T3%+,<(2*'H +%2%"*&'%(34(39%(+%*2(S4+2$
  • 4. @:++%&3(811+4*'9%5/(>*3*(=#&#&- EHR Exposures Outcomes ? Apps population Q !U145:+%5(*&$(4:3'4,%5(6+4,('*+%(1+4'%55(5C53%,5 Q A4(-%&%+*3%(9C1439%5%5(*3(39%(141:2*3#4&(2%"%2 Q ?+4M2%,5/(2#,#3%$(34($*3*('422%'3%$<(S%*H(#&3%+&*2 "*2#$#3C(V$*3*(&43('4,12%3%(4+(5C53%,*3#'W
  • 5. @:++%&3(811+4*'9%5/ LT46T.(;3:$#%5 Asthma app Usual Care Asthma app peak flow peak flow Usual Care Asthma app Usual Care individual Q G#39#&T5:MX%'3(,:23#12%('+4554"%+ Q 7&2C(64+,*2(,%394$(64+($%3%+,#&#&-(#&$#"#$:*2 3+%*3,%&3(%Y%'3#"%&%55 Q ?+4M2%,5/('4,12#'*3%$(34(5%3(:1<(*&*2C5#5(#5 $#Z':23<(2#332%(H&4S&<(&43(S#$%2C(:5%$
  • 6. !"#$%&'%(!U3+*'3#4& Q !"#$%&'%(#5(54,%39#&-(34(M%(%U3+*'3%$ 6+4,(39%('*+%(1+4'%55 [ ,#&#&-(#3(6+4,(39%($*3* [ $#+%'32C(,*&#1:2*3#&-(39%('*+%(1+4'%55(S#39 +#-#$(*&$(1+%T$%R&%$(1+434'425
  • 8. !"#$%&'%()*+,#&- Hay, et al. J Eval Clin Prac 14(2008):707-713.
  • 10. 0&$:53+#*2(!"#$%&'%()*+,#&- Asthma App ER visits at 1 year 50 people 100 people Usual Care ER visits at 1 year 50 people population
  • 11. ?%+54&*2(!"#$%&'%(*+$%&5 Asthma app Usual Care Asthma app peak flow peak flow Usual Care Asthma app Usual Care individual
  • 12. ?%+54&*2(!"#$%&'%(*+$%&5 Flovent Flovent PRN Flovent dancing dancing Flovent PRN Flovent Flovent PRN individual
  • 13. @+4S$54:+'#&-(G9*3(=*33%+5 Q V@4,12%U%5(46W(!U145:+%5 [ $4%5('94'42*3%(3+#--%+(V,CW(*539,*O [ 3%53#&-('4,,4&(+%-#,%&5(V8@!0<(53*3#&<(MTM24'H%+W< '4,12%,%&3*+C(,%$#'#&%5 Q V@4,12%U%5(46W(7:3'4,%5 [ S9*3(4:3'4,%5($4(1*3#%&35('*+%(*M4:3O
  • 14. !"#$%&'%(=*'+45C53%, Rooting for Industrial Evidence Personal Evidence Evidence Farming Gardens
  • 16. ;34"%1#1%$ ,]%*239 Q ]%*239(*115(M:#23 #&$%1%&$%&32C [ 2#332%($*3*(59*+#&-(*&$ #&3%+41%+*M#2#3C Q ^#,#35(%Z'#%&'C(*&$ #,1*'3(46(_:*2#3C ,]%*239
  • 17. 0&3%+&%3(]4:+-2*55(=4$%2 Q ;3*&$*+$#K%(*&$ ,*H%(41%&(39% N&*++4S(S*#53P Q I%$:'%5($:12#'*3#4&< 51:+5('4,,:&#3C #&&4"*3#4&<(5:114+35 '4,,%+'#*2(*&$(&4&T 1+4R3(:5%5
  • 18. 71%&,]%*239`4+- Estrin DE, Sim I. Science; 330: 759-60. 2010.
  • 19. 71%&,]%*239`4+- Q A9%(S*#53(594:2$(5:114+3 39%(%"#$%&'%(,*'+45C53%,
  • 20. 71%&(8+'9#3%'3:+%(64+(*& !"#$%&'%(=*'+45C53%, Q =4$:2%5(64+(:5*-%(*&*2C3#'5 [ a(46(3%U3(,%55*-%5<(a(46(5%55#4&5<(%3'` Q I443#&-(64+(V-24'*2W(%"#$%&'% [ $*3*(59*+#&-(S#39(59*+%$(5C&3*U(*&$(5%,*&3#'5 Q 0&$:53+#*2(6*+,#&-<(%`-`<(S#39(I@A5 [ ,4$:2%5(64+(#&64+,%$('4&5%&3<(+*&$4,#K*3#4&<(*$*13#"% 3+%*3,%&3(53+*3%-C<(,#U%$(,%394$5<(%3'` Q ?%+54&*2(%"#$%&'%(-*+$%&#&-<(%`-`<(LT46T. [ ,4$:2%5(64+(5'+#13#&-(*&$(*&*2CK#&-(#&$#"#$:*2#K%$(LT46T .(1+434'425<(%3'`
  • 21. 71%&(8+'9#3%'3:+%(64+(*& !"#$%&'%(=*'+45C53%, Q ;4'#*2(,%$#*(64+($#5'4"%+C(46(%U145:+%5(*&$ 4:3'4,%5(39*3(,*33%+ Q ;9*+%$(2#M+*+#%5(46("*2#$*3%$(,%*5:+%5(*&$ #&53+:,%&35(V%`-`<(?I7=0;W [ ,%*5:+%5(39*3(-%3(*3(R&%+T-+*#&%$(,%'9*&#5,5(M*5%$ 4&(39%4+%3#'*2(,4$%25(46('9*&-%<(%3'`
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