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Methodological issues in monitoring health services and outcomes for stroke survivors: a case study.

机译:监测中风幸存者健康服务和结果的方法学问题:一个案例研究。

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BACKGROUND: Obtaining comprehensive health outcomes and health services utilization data on stroke patients has been difficult. This research grew out of a memorandum of understanding between the NIH and the ISS (its Italian equivalent) to foster collaborative research on rehabilitation. OBJECTIVE: The purpose of this study was to pilot a methodology using administrative data to monitor and improve health outcomes for stroke survivors in Tuscany. METHODS: This study used qualitative and quantitative methods to study health resources available to and utilized by stroke survivors during the first 12 months post-stroke in two Italian health authorities (AUSL10 and 11). Mortality rates were used as an outcome measure. RESULTS: Number of inpatient days, number of prescriptions, and prescription costs were significantly higher for patients in AUSL 10 compared to AUSL 11. There was no significant difference between mortality rates. CONCLUSION: Using administrative data to monitor process and outcomes for chronic stroke has the potential to save money and improve outcomes. However, measures of functional impairment and more sensitive outcome measures than mortality are important. Additional recommendations for enhanced data collection and reporting are discussed.
机译:背景:获得中风患者的全面健康结果和健康服务利用数据非常困难。这项研究源于NIH和ISS(相当于意大利)之间的谅解备忘录,旨在促进有关康复的合作研究。目的:本研究的目的是试行使用行政数据监测和改善托斯卡纳中风幸存者健康状况的方法。方法:本研究使用定性和定量方法研究了两个意大利卫生部门(AUSL10和11)在卒中后前12个月中卒中幸存者可利用的健康资源。死亡率被用作结果指标。结果:与AUSL 11相比,AUSL 10患者的住院天数,处方数量和处方费用明显更高。死亡率之间没有显着差异。结论:使用行政数据监测慢性中风的过程和结果可能节省金钱并改善结果。但是,功能障碍的测量和比死亡率更敏感的结果测量很重要。讨论了有关增强数据收集和报告的其他建议。

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