Working More Productively: Tools for Administrative Data

Roos, Leslie L.; Soodeen, Ruth-Ann; Bond, Ruth; Burchill, Charles

doi:10.1111/1475-6773.00180

Cited by 32 publications

(17 citation statements)

References 55 publications

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“…Longitudinal or linked data are typically put together as needed for each study. Each substantive file can be checked against the registry for accuracy of the identifiers and particular information, for example, date of in-hospital death (Roos et al 2003).…”

Section: Data and Samplementioning

confidence: 99%

Is It Worthwhile to Invest in Home Care?

Lavoie

Forget²,

Martens³

et al. 2011

hcpol

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The objective of this study was to estimate the impact of the first Nations and Inuit Home and Community Care Program (fNIHCCP) on the rates of hospitalization for ambulatory care sensitive conditions (ACsCs) in the province of manitoba. A population-based time trend analysis was conducted using the de-identified administrative data housed at the manitoba Centre for Health Policy, including data from 1984/85 to 2004/05. findings show a significant decline in the rates of hospitalization (all conditions) following the introduction of the [36] HEALTHCARE POLICY Vol.6 No.4, 2011 Josée G. Lavoie et al. fNIHCCP in communities served by health offices (p<0.0001), health centres (p<0.0001) and nursing stations (p=0.0022). Communities served by health offices or health centres also experienced a significant reduction in rates of hospitalization for chronic conditions (p<0.0001).The results of this study suggest that investment in home care resulted in a significant decline in rates of avoidable hospitalization, especially in communities that otherwise had limited access to primary healthcare. RésuméCette étude visait à estimer l'impact du Programme de soins à domicile et en milieu communautaire des Premières nations et des Inuits (PsdmCPNI) sur les taux d'hospitalisations liées à des conditions propices au traitement ambulatoire dans la province du manitoba. Nous avons procédé à une analyse évolutive des tendances, fondée sur la population, à partir de données administratives anonymes recueillies par le Centre des politiques de santé du manitoba, notamment celles de la période entre 1984-1985 et 2004-2005. Les résultats indiquent un déclin significatif des taux d'hospitalisations (pour tous les états de santé) suite à la mise en place du PsdmCPNI dans les communautés desservies par les offices de la santé (p<0,0001), les centres de santé (p<0,0001) et les postes infirmiers (p=0,0022). Les communautés desservies par les offices ou les centres de santé ont également connu une réduction substantielle des taux d'hospitalisations pour les états chroniques (p<0,0001).Les résultats de cette étude indiquent que l'investissement dans les soins à domicile a mené à un déclin significatif des taux d'hospitalisations évitables, particulièrement dans les communautés qui ont un accès limité aux soins de santé primaires.

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Section: Data and Samplementioning

confidence: 99%

Is It Worthwhile to Invest in Home Care?

Lavoie

Forget²,

Martens³

et al. 2011

hcpol

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“…Administrative databases are a rich source of data that can be used to investigate what services were utilized, how these services were used and the broader impact of these services on society. However, answering the questions that researchers and/ or policymakers pose often requires that data from two or more databases be combined, given that the data required are often not available from a single source 3,4 .…”

Section: Discussionmentioning

confidence: 99%

Using administrative databases in oncological population health research: a Canadian experience

MacDonald¹,

Alaghehbandan²,

Knight³

et al. 2013

OA Cancer

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Introduction In oncology research, there are important administrative data sources that could be used, different uses once the system is developed and generally opportunities and challenges associated with the use of administrative data for oncology research. Experiences gained through the development and implementation of a linked cancer surveillance database for studying cervical cancer are presented. Methods The database, referred to as the Cervical Cancer Surveillance System, contains linked cervical cancer case records, cervical cytology records, hospital discharge abstracts, physician claims and mortality records. The data linkage process was conducted in four separate but interconnected steps using the province unique health insurance number (MCP number) as the linking variable. The final database was a relational database with multiple interconnected tables that included patient, results and cervical cancer tables. Discussion There is limited literature on the challenges and opportunities of using administrative databases in oncological research; yet, the growing use of administrative data has increased the capacity of researchers to provide evidence to inform programmes and policies, including oncology care. However, linking data from various sources raises technical, ethical and privacy issues, and the time and resources needed to gain approval from data custodians and a research ethics board to access the data should not be underestimated. A multidisciplinary research team with considerable experience in using administrative data developed an information system to study cervical cancer. The Cervical Cancer Surveillance System is a modular, multi-component system designed to accommodate different types of data from a variety of sources at the population level. Conclusion The Cervical Cancer Surveillance System supports the secondary use of administrative oncology data in the areas of surveillance, prevention, management, education, promotion and research.

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“…The MBMDD is a large registry‐based database of clinical dual energy X‐ray absorptiometry (DXA) results that has been used in a series of studies published over the last two decades . The MBMDD has been successfully linked at the individual level, using a unique anonymized personal health identification number, to population‐based administrative health data for Manitoba's universal publicly funded healthcare system . The administrative health data capture virtually all contacts with the provincial healthcare system, including hospitalizations, physician visits and prescription drug dispensation records, and has been validated for the identification of multiple health conditions .…”

Section: Methodsmentioning

confidence: 99%