连接常规收集的NHS数据来评估联络精神卫生服务:挑战和经验教训
Elspeth Guthrie1, Allan House1, Chris Smith2
1Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Health and social care delivery research
|May 9, 2024
概括
连接初级和中等保健数据以评估联络精神卫生服务是可行的,但面临着重大的官僚和技术挑战. 这些障碍使研究复杂化,并限制了宝贵的健康数据的使用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务评估 心理健康服务评估
- 数据链接方法论数据链接方法论
背景情况:
- 联络精神卫生服务在急性医院环境中运作,由于组织多样化,患者流动高,病例混合多样化,因此存在评估挑战.
- 评估这些服务是复杂的,需要强大的数据链接策略来克服固有的异质性.
研究的目的:
- 评估英格兰的医院联络精神卫生服务,将从二级护理中定期收集的国家卫生服务 (NHS) 数据与初级护理数据联系起来.
- 建立一种方法来比较被转介到联络服务的患者与可比的对照组.
主要方法:
- 开发了一种方法来链接来自医院病例统计 (HES) 和ResearchOne初级保健数据库的数据.
- 这项研究涉及将被转介到联络服务的患者与同一医院内未被转介的患者,以及在没有联络服务的医院的患者进行比较.
主要成果:
- 数据链接通过HES涉及来自六家医院的181,063名患者,其中33,666人 (18.6%) 从ResearchOne数据库成功链接.
- 数据批准 (907天) 和颁布 (385天) 需要相当长的时间,突出了过程效率低下.
结论:
- 连接初级和中等保健数据在技术上是可能的,但目前面临着重大的官僚,技术和耗时的挑战.
- 与当前数据链接系统相关的复杂性和成本限制了利用这些丰富的健康数据源进行研究的潜力.
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