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Health services research based on routine data generated by the SHI. Potential uses of health insurance fund data in health services research

机译:基于SHI生成的常规数据的卫生服务研究。健康保险基金数据在健康服务研究中的潜在用途

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摘要

Conducting health services research requires a wealth of real-life health service data. A source of data which is for the most part free of bias is the data collected for administrative purposes by the statutory health insurance fund. These data have been increasingly used over the past few years. Based on these insuree-related and where possible cross-sector data, descriptive and analytic studies can be conducted. The focus of use thus far has primarily been the generation of basic data on morbidity, the utilization of benefits, and costs. As a rule, this information is presented according to sociodemographic variables and where applicable in terms of temporal trends and according to region. A further domain of interest is the evaluation of interventions (health political measures, legislation, programs) and the assessment of health service quality. Initial outcome studies have been published. Despite the growing acceptance and use of these data, a series of methodological and information technical challenges remain to be addressed: To be mentioned are, in addition to validation studies, the methodological requirements of analytic study designs and the possibility of a data linkage with primary data in order to increase the explanatory power of studies and to facilitate links with other databases such as records and survey data.
机译:进行健康服务研究需要大量现实生活中的健康服务数据。法定健康保险基金为行政目的收集的数据在很大程度上没有偏倚。这些数据在过去几年中越来越多地被使用。基于与保险人相关的数据,并在可能的情况下跨部门数据,可以进行描述性和分析性研究。到目前为止,使用的重点主要是发病率,收益利用和成本的基本数据的生成。通常,此信息是根据社会人口统计学变量提供的,并在适用时根据时间趋势和地区提供。另一个感兴趣的领域是干预措施的评估(卫生政治措施,立法,计划)和卫生服务质量的评估。初步结果研究已经发表。尽管越来越多地接受和使用这些数据,但是仍然要解决一系列方法学和信息技术挑战:除了验证研究之外,还要提到分析研究设计的方法学要求以及与主要研究数据链接的可能性数据,以提高研究的解释力,并促进与其他数据库(例如记录和调查数据)的链接。

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