Relevant bibliographies by topics / Health administrative database

Journal articles
Dissertations / Theses
Books
Book chapters
Conference papers
Reports

Academic literature on the topic 'Health administrative database'

Author: Grafiati

Published: 4 June 2021

Last updated: 10 February 2022

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Health administrative database.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Journal articles on the topic "Health administrative database"

Dodds, L., A. Spencer, S. Shea, D. Fell, B. A. Armson, A. C. Allen, and S. Bryson. "Validity of autism diagnoses using administrative health data." Chronic Diseases in Canada 29, no. 3 (May 2009): 102–7. http://dx.doi.org/10.24095/hpcdp.29.3.02.

Full text

Abstract:

It is necessary to monitor autism prevalence in order to plan education support and health services for affected children. This study was conducted to assess the accuracy of administrative health databases for autism diagnoses. Three administrative health databases from the province of Nova Scotia were used to identify diagnoses of autism spectrum disorders (ASD): the Hospital Discharge Abstract Database, the Medical Services Insurance Physician Billings Database and the Mental Health Outpatient Information System database. Seven algorithms were derived from combinations of requirements for single or multiple ASD claims from one or more of the three administrative databases. Diagnoses made by the Autism Team of the IWK Health Centre, using state-of-the-art autism diagnostic schedules, were compared with each algorithm, and the sensitivity, specificity and C-statistic (i.e. a measure of the discrimination ability of the model) were calculated. The algorithm with the best test characteristics was based on one ASD code in any of the three databases (sensitivity=69.3%). Sensitivity based on an ASD code in either the hospital or the physician billing databases was 62.5%. Administrative health databases are potentially a cost efficient source for conducting autism surveillance, especially when compared to methods involving the collection of new data. However, additional data sources are needed to improve the sensitivity and accuracy of identifying autism in Canada.

APA, Harvard, Vancouver, ISO, and other styles

Cohen, Seth M. "Use of Administrative and National Survey Databases in Health Services Research." Perspectives on Voice and Voice Disorders 24, no. 1 (March 2014): 32–36. http://dx.doi.org/10.1044/vvd24.1.32.

Full text

Abstract:

Administrative and national survey databases have an important role in the field of health services research. In this article, the concept of health services research will be presented. The types of research questions that can be answered with administrative and national survey databases are discussed, and examples from the literature are provided. The MarketScan ® databases and experience using this administrative claims database are described. Precautions and limitations involved in using administrative and national survey databases are presented.

APA, Harvard, Vancouver, ISO, and other styles

Chen, Yu-Chun, Hsiao-Yun Yeh, Jau-Ching Wu, Ingo Haschler, Tzeng-Ji Chen, and Thomas Wetter. "Taiwan’s National Health Insurance Research Database: administrative health care database as study object in bibliometrics." Scientometrics 86, no. 2 (September 9, 2010): 365–80. http://dx.doi.org/10.1007/s11192-010-0289-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Kennedy, Sherry, Wendy Young, Michael J. Schull, and Winston Isaac. "The need for a national emergency health services database." CJEM 10, no. 02 (March 2008): 120–24. http://dx.doi.org/10.1017/s1481803500009829.

Full text

Abstract:

ABSTRACTObjective:In February 2007, the Health Council of Canada, in its third annual report, emphasized the need for pan-Canadian data on our health care system. To date, no studies have examined the strengths and weaknesses of emergency health services (EHS) administrative databases, as perceived by researchers. We undertook a qualitative study to determine, from a researcher's perspective, the strengths and weaknesses of EHS administrative databases. The study also elicited researchers' suggestions to improve these databases.Methods:We conducted taped interviews with 4 Canadian health services researchers. The transcriptions were subsequently examined for common concepts, which were finalized after discussion with all the investigators.Results:Five common themes emerged from the interviews: clinical detail, data quality, data linkage, data use and population coverage. Data use and data linkages were considered strengths. Clinical detail, data quality and population coverage were considered weaknesses.Conclusion:The 5 themes that emerged from this study all serve to reinforce the call from the Health Council of Canada for national data on emergency services, which could be readily captured through a national EHS administrative database. We feel that key stakeholders involved in emergency services across Canada should work together to develop a strategy to implement an accurate, clinically detailed, integrated and comprehensive national EHS database.

APA, Harvard, Vancouver, ISO, and other styles

Smith, Robert C., and Joseph C. Gardiner. "Administrative Database Screening to Identify Somatizing Patients." Medical Care 44, no. 9 (September 2006): 799–802. http://dx.doi.org/10.1097/01.mlr.0000236690.09692.af.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Wilkinson, Joanne, Emily Lauer, Nechama W. Greenwood, Karen M. Freund, and Amy K. Rosen. "Evaluating Representativeness and Cancer Screening Outcomes in a State Department of Developmental Services Database." Intellectual and Developmental Disabilities 52, no. 2 (April 1, 2014): 136–46. http://dx.doi.org/10.1352/1934-9556-52.2.136.

Full text

Abstract:

Abstract Though it is widely recognized that people with intellectual and developmental disabilities (IDD) face significant health disparities, the comprehensive data sets needed for population-level health surveillance of people with IDD are lacking. This paucity of data makes it difficult to track and accurately describe health differences, improvements, and changes in access. Many states maintain administrative health databases that, to date, have not been widely used for research purposes. In order to evaluate the feasibility of using administrative databases for research purposes, the authors attempted to validate Massachusetts' administrative health database by comparing it to a large safety net hospital system's patient data regarding cancer screening, and to the state's service enrollment tables. The authors found variable representativeness overall; the sub-population of adults who live in 24-hr supported residences were better represented than adults who live independently or with family members. They also found a fairly low false negative rate for cancer screening data as compared with the “gold standard” of hospital records. Despite some limitations, these results suggest that state-level administrative databases may represent an exciting new avenue for health research. These results should lend context to efforts to study cancer and health screening variables using administrative databases. The present study methods may also have utility to researchers in other states for critically evaluating other state IDD service databases. This type of evaluation can assist researchers in contextualizing their data, and in tailoring their research questions to the abilities and limitations of this kind of database.

APA, Harvard, Vancouver, ISO, and other styles

Lee, Douglas S., Audra Stitt, Xuesong Wang, Jeffery S. Yu, Yana Gurevich, Kori J. Kingsbury, Peter C. Austin, and Jack V. Tu. "Administrative Hospitalization Database Validation of Cardiac Procedure Codes." Medical Care 51, no. 4 (April 2013): e22-e26. http://dx.doi.org/10.1097/mlr.0b013e3182329778.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Slim, Zeinab F., Cristiano Soares de Moura, Sasha Bernatsky, and Elham Rahme. "Identifying Rheumatoid Arthritis Cases within the Quebec Health Administrative Database." Journal of Rheumatology 46, no. 12 (March 15, 2019): 1570–76. http://dx.doi.org/10.3899/jrheum.181121.

Full text

Abstract:

Objective.Our objective was to calculate rheumatoid arthritis (RA) point prevalence estimates in the CARTaGENE cohort, as well as to estimate the sensitivity and specificity of our ascertainment approach, using physician billing data. We investigated the effects of using varying observation windows in the Régie de l’assurance maladie du Québec (RAMQ) health services administrative databases, alone or in combination with self-reported diagnoses and drugs.Methods.We studied subjects enrolled in the CARTaGENE cohort, which recruited 19,995 participants from 4 metropolitan regions in Québec from August 2009 to October 2010. A series of Bayesian latent class models were developed to assess the effects of 3 factors: the number of years of billing data, the addition of self-reported information on RA diagnoses and drugs, and the adjustment for misclassification error.Results.The 3-year 2010 point prevalence estimate among cohort members aged 40–69 years, using physician billing plus self-report, adjusting for misclassification error in each source, was 0.9% [95% credible interval (CrI) 0.7–1.2] with RAMQ sensitivity of 84.0% (95% CrI 74.0–93.7) and a specificity of 99.8% (95% CrI 99.6–100.0). Our results show variations in the prevalence point estimates related to all 3 factors investigated.Conclusion.Our study illustrates that multiple data sources identify more RA cases and thus a higher prevalence estimate. RA point prevalence estimates using billing data are lower if fewer years of data are used.

APA, Harvard, Vancouver, ISO, and other styles

Looten, V., G. Chatellier, R. Jantzen, B. Fiquet, A. Chedid, L. Amar, G. Bobrie, et al. "FEASIBILITY OF ESTIMATING FIBROMUSCULAR DYSPLASIA PREVALENCE USING HEALTH ADMINISTRATIVE DATABASE." Journal of Hypertension 36, Supplement 1 (June 2018): e39. http://dx.doi.org/10.1097/01.hjh.0000539063.37077.9b.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Loh, P. K., Jenny Stevens, and Mark Donaldson. "Developing a linked administrative database of health service utilisation by the aging population of Metropolitan Perth." Australian Health Review 26, no. 2 (2003): 106. http://dx.doi.org/10.1071/ah030106a.

Full text

Abstract:

The increasing use of health services by the older population has placed significant stresses on the health system ofWestern Australia. This is a report of the development of a linked administrative database of health resource utilisationby the aged population of metropolitan Perth. Hospital administrative databases linked to clinical or administrativedatabases of other health providers are reviewed. Length of stay data is linked to aged care assessments, referrals tonursing homes and community services. The linked databases approach allows the study of resource allocation and canpinpoint systemic stress in aged care. It is a tool for reducing the duplication of services, the pressure on beds in healthinstitutions, and cost by improving efficiencies.

APA, Harvard, Vancouver, ISO, and other styles

More sources

Dissertations / Theses on the topic "Health administrative database"

Ladouceur, Martin. "Bayesian estimation of the prevalence of osteoarthritis in the Québec elderly population from an administrative database." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=81351.

Full text

Abstract:

Osteoarthritis (OA) is the most prevalent form of arthritis. It is a disabling condition that mostly affects the elderly with huge costs to society. Estimating the prevalence of OA is important for planning health services, for creating programs aimed to prevent OA disability and for assisting patients living with these disabilities. Several authors have attempted to estimate the prevalence of OA using data obtained from self-report questionnaires or administrative databases. Self-report questionnaires are prone to recall bias and estimates from administrative databases have relied solely on diagnostic codes, that can sometimes be inaccurate. If data from three presumed conditionally independent tests are used to estimate the prevalence, then the problem is identifiable, meaning that all parameters can be estimated without imposing constraints on the parameter space. When data from the three conditionally independent diagnostic tests were considered, the estimated prevalence of OA was 14.8% (95% CI: 14.5-15.1). A moderate degree of variation in this prevalence estimate was found across different models carrying different assumptions. The Bayesian latent class methodology used is advantageous in accounting for the different estimates that may arise from different sets of modelling assumptions. As the validity of the results rely on various assumptions, all of which are difficult to verify, final conclusions depend on which assumptions are thought most likely to be true, and the degree of robustness of estimates across different models.

APA, Harvard, Vancouver, ISO, and other styles

Potvin, Kenneth A. "Use of an administrative database to develop and test a model to predict the allocation of clinical pharmacy human resources." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0021/MQ57158.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Walden, Judith Gail. "Using Administrative Healthcare Records to Identify Determinants of Amputee Residuum Outcomes." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3264.

Full text

Abstract:

In the United States, the number of major limb amputees is predicted to exceed several million in the coming decades. For those amputees using a prosthesis, their quality of life (QoL) is often modulated by residuum limb problems resultant from its use. Multiple factors preclude quality evidence-based medicine (EBM) research in the field of prosthetics, leading to greater health risk from prosthetic prescription ambiguity. Positive social change is integral to good QoL; studies support administrative healthcare (AHc) as useful to support such, especially in the absence of EBM. This study utilized Veterans Healthcare Administration (VHA) AHc data to discriminate determinants of residual limb skin problem severity (RLSPS), relative to the artificial limb configuration (ALC) used through a retrospective, longitudinal study of a cohort of U.S.Veteran dysvascular amputees. The dataset was derived from multiple archival VHA AHc databases from which 279 Cohort members were identified who underwent amputation surgery during the fiscal year (FY) 2007 were dispensed a prosthesis, and had clinical records through FY 2011. ICD-9-CM and HCPCS codes were used to identify categories of RLSPS and ALC, respectively, with generalized estimating equations modeling to identify likelihood associations of parameters. Derivation of the study cohort dataset was encumbered by data integrity issues and coding system limitations; significant associations were detected for RLSPS with chronic obstructive pulmonary disease, substance use disorder, and major depressive disorder, regardless of the ALC dispensed. The findings support the utility of an amputee-prosthesis AHc database to drive product, policy, and medical decisions toward an improved QoL for this vulnerable population.

APA, Harvard, Vancouver, ISO, and other styles

Hasselback, Paul. "Native mortality in Canada: An epidemiological study using computerized record linkage of native administrative files with the Canada mortality database and two sources of routinely collected mortality statistics." Thesis, University of Ottawa (Canada), 1990. http://hdl.handle.net/10393/5619.

Full text

Abstract:

Natives in Canada suffer from high rates of morbidity and mortality in comparison to the Canadian population. Investigation of this inequity has been hampered by a lack of valid health statistics on native populations. This thesis assesses native mortality through a study of three potential sources of native mortality statistics using routinely collected data. Objectives were to: (1) Measure mortality indicators using a computerized record linkage of government Indian administrative records with the Canada Mortality Database. (2) Compare native mortality indicators based on the linked files, on-reserve deaths, and Medical Services Branch native client files. (3) Relate mortality amongst natives with respect to the Canadian population. (4) Determine if there is a contribution of "rural" living to native mortality. The record linkage includes deaths recorded with DIAND as occurring in 1981. The average annual mortality rate for the two other native files and comparison populations are derived from 1979-1983 records. (Abstract shortened by UMI.)

APA, Harvard, Vancouver, ISO, and other styles

Scheer, Darren. "Respiratory Infections and Risk for Development of Narcolepsy: Analysis of the Truven Health MarketScan Database (2008 to 2010) with Additional Assessment of Incidence and Prevalence." Scholar Commons, 2019. https://scholarcommons.usf.edu/etd/7927.

Full text

Abstract:

Background and Significance: Narcolepsy is a chronic neurological disorder. These patients experience various psychiatric and physical comorbid diseases and mortality at an increased rate compared to the general population. Additionally, patients with narcolepsy experience approximately a doubling of various annual healthcare related facility visits, transactions, and costs comparatively. Narcolepsy with cataplexy is generally believed to be more prevalent than narcolepsy without cataplexy. However, incidence and prevalence estimates of narcolepsy (with or without cataplexy) vary widely with few large epidemiological studies conducted worldwide and none in the U.S evaluating these proportions in both children and adults utilizing a large health care claims database. One of the main mechanisms underlying narcolepsy, the destruction of hypocretin neurons, is not clear. Two of the more noted hypotheses for this pathology are autoimmune and infection based triggers in allele carrier patients. These have been highlighted since narcolepsy diagnoses increased following the late 2000s influenza vaccinations, especially across Europe. Specific influenza and streptococcal infections have also been considered. Large U.S. healthcare claims database investigations of the association between specific infections and development of narcolepsy were not found in the published scientific literature. Our goals were to enhance the knowledge regarding the epidemiology and possible infection triggers of narcolepsy. The information gained may aid in the overall understanding of the condition, the possible vulnerable populations, and lead to hypotheses regarding which subpopulations research should be focused upon and those triggers that may be avoided or reduced in exposure. Methods: The Truven Health MarketScan Commercial Dissertation Database (THMCDD) was used to estimate prevalence and incidence of narcolepsy, with and without cataplexy, by age groups, gender, and region among patients under age 66 with continuous enrollment for years 2008-2010. THMCDD contains health claims information for over 18 million people. Prevalence was expressed as cases/100,000 persons. Average annual incidence (using varying criteria for latency between the diagnostic tests, polysomnograph coupled with MSLT, and the diagnosis) was expressed as new cases/100,000 persons/year. Subsequently, we conducted a case-control study to assess the differences in respiratory infections between patients with incident narcolepsy diagnosis and controls. Continuously enrolled patients under age 66 were included. Cases of narcolepsy occurring from July 1, 2009 through December 31, 2010 were included based on two diagnosis criteria (using varying criteria for latency between diagnosis and the diagnostic tests). Non-narcolepsy controls were frequency matched on look-back time by assigning an index date equal to a case diagnosis date. Occurrence of prior respiratory infections was compared between cases and controls based on narcolepsy criteria and four different time periods pre-index date. Infections were grouped into 9 types based on pathogen and clinical manifestation. Results: From 2008 through 2010, there were 8,444,517 continuously enrolled patients and 6,703 diagnosed with narcolepsy (prevalence overall:79.4/100,000; without cataplexy:65.4/100,000; with cataplexy: 14.0/100,000). Based on the 3 definitions of incidence, overall average annual incidence was 7.67, 7.13, and 4.87/100,000 persons/year. Incidence for narcolepsy without cataplexy was generally several times higher than narcolepsy with cataplexy. Prevalence and incidence were approximately 50% greater for females compared to males across most age groups. Prevalence was highest among the 21-30 age group, with incidence highest among enrollees in their early 20s and late teens. Regionally, the North Central U.S. had the highest prevalence and incidence, while the West was the lowest. For the case-control study, Adjusted odds ratio (aOR) increases were statistically significant for Group 5 (acute respiratory infections), Group 8 (other pneumonias, bronchopneumonia, etc.) and Group 9 (influenzas) across various time periods pre-index date and for both narcolepsy criteria. Overall, the most significant aORs were for acute respiratory infections during the 3 to 15 months pre-index date for both narcolepsy diagnosis criteria (aOR=1.73, 95% 1.52 to 1.98 and aOR=1.83, 95% CI 1.57 to 2.19). The aORs for acute respiratory infections were approximately 50% greater among females than males. Conclusion: We observed higher prevalence and incidence of narcolepsy compared to most previous studies. Females were associated with approximately 50% increased proportions compared to males. We also found that the greatest prevalence and incidence of narcolepsy occurred in patients in their early 20s, and those residing in the North Central region of the U.S. Perhaps most striking was the observation of much greater proportions of narcolepsy without cataplexy compared to narcolepsy with cataplexy. In the case-control assessment, we found increased occurrences of acute respiratory infections, pneumonias, and influenza prior to incident narcolepsy diagnosis, compared to controls. Generally, these rates appeared higher for females than males and occurred for both narcolepsy diagnosis criteria. Additionally, these associations were observed in the infection assessment periods 3 to 15 months and 6 to 18 months prior to incident narcolepsy diagnosis. Increased awareness and early notification among healthcare providers for signs and symptoms of narcolepsy is critical in helping this population of patients manage this burdensome condition. Also, the identification of potential narcolepsy triggers by certain infections may aid in the understanding of the disease. These findings may have implications in the understanding of mechanisms and causation of other acute onset neurological disorders. Our observations of consistently increased risk of incident narcolepsy related to recent previous viral respiratory infections and the inconsistent results for bacterial infections require additional study to confirm these findings.

APA, Harvard, Vancouver, ISO, and other styles

Macdonald, Kristian I. "Development and Validation of an Administrative Data Algorithm to Identify Adults who have Endoscopic Sinus Surgery for Chronic Rhinosinusitis." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/35148.

Full text

Abstract:

Objective: 1) Systematic review on the accuracy of Chronic Rhinosinusitis (CRS) identification in administrative databases; 2) Develop an administrative data algorithm to identify CRS patients who have endoscopic sinus surgery (ESS). Methods: A chart review was performed for all ESS surgical encounters at The Ottawa Hospital from 2011-12. Cases were defined as encounters in which ESS for performed for Otolaryngologist-diagnosed CRS. An algorithm to identify patients who underwent ESS for CRS was developed using diagnostic and procedural codes within health administrative data. This algorithm was internally validated. Results: Only three studies meeting inclusion criteria were identified in the systematic review and showed inaccurate CRS identification. The final algorithm using administrative and chart review data found that encounters having at least one CRS diagnostic code and one ESS procedural code had excellent accuracy for identifying ESS: sensitivity 96.0% sensitivity, specificity 100%, and positive predictive value 95.4%. Internal validation showed similar accuracy. Conclusion: Most published AD studies examining CRS do not consider the accuracy of case identification. We identified a simple algorithm based on administrative database codes accurately identified ESS-CRS encounters.

APA, Harvard, Vancouver, ISO, and other styles

Blomqvist, Paul. "On the use of administrative databases in health care analyses /." Stockholm, 1998. http://diss.kib.ki.se/1998/91-628-2855-X.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Kudjawu, Yao Cyril. "Délais d’accès au traitement des patients atteints de cancers en France et impact des inégalités sociales de santé : étude à partir des bases de données médico-administratives." Thesis, Université Paris-Saclay (ComUE), 2017. http://www.theses.fr/2017SACLS023/document.

Full text

Abstract:

Contexte : Le délai d’accès au traitement pour cancer est un aspect important de la qualité des soins. Compte tenu de l’augmentation du nombre de cancers, les établissements de soins seront amenés à traiter un nombre élevé de patients atteints de cancers. Notre objectif était d’étudier le délai d’accès au traitement après le diagnostic de cancer chez les patients atteints de cancers du côlon (CC), du rectum-anus (RC) ou du poumon (CP) ainsi que les facteurs associés et l’impact des inégalités sociales.Méthode : A l’aide de codes diagnostiques de la classification internationale des maladies et de codes de la classification commune des actes médicaux, nous avons sélectionné dans la base du programme de médicalisation des systèmes d’information de nouveaux patients diagnostiqués pour CC, RC et CP en 2009-2010 et traités. Les informations sur ces patients ont été croisées avec celles des bénéficiaires d’affection longue durée pour ces cancers et avec celles de l’indice de désavantage social.Résultats : Nous avons inclus 15 694, 6 623 et 14 596 patients atteints et traités respectivement pour CC, CR et CP. Les délais médians entre l’endoscopie et l’accès à : 1) la chirurgie chez les patients avec un parcours chirurgical pour CC, CR et CP étaient respectivement de 22 (Q25 = 14; Q75 = 34), 97 (Q25 = 34; Q75 = 141), et 44 (Q25 = 26; Q75 = 82) jours ; 2) la chimiothérapie chez les patients avec un parcours non-chirurgical pour CC, CR et CP étaient respectivement de 36 (Q25 = 21; Q75 = 59), 40 (Q25 = 27; Q75 = 59) et 33 (Q25 = 22; Q75 = 49) jours; 3) la radiothérapie chez les patients avec un parcours non-chirurgical chez les patients avec CR et CP étaient respectivement de 53 (Q25 = 39; Q75 = 78) et 88 (Q25 = 46; Q75 = 162) jours; 4) au premier traitement, quel que soit le parcours, était de 23 (Q25 = 14; Q75 = 35), 43 (Q25 = 27; Q75 = 74) et 34 (Q25 = 22; Q75 = 50) jours respectivement pour CC, CR et CP. Le délai d’accès au premier traitement variait selon les régions. Il était long dans la plupart des régions du nord et dans les départements d’Outre-mer, court dans les régions d’Île-de-France, du sud, de l’est et parfois de l’ouest pour les trois cancers. En analyse multiniveau, l’âge et le statut de l’établissement du premier traitement étaient significativement associés au délai d’accès au premier traitement pour CC. Ces facteurs, y compris l’indice de désavantage social étaient significativement associés au délai d’accès au premier traitement pour le CR et le CP. Le délai d’accès au premier traitement augmentait avec l’âge. Il était plus élevé dans les hôpitaux publics comparés aux hôpitaux privés et faible chez les patients des communes les moins défavorisées comparés aux patients des communes les plus défavorisées. Conclusion : A notre connaissance, cette étude est la première à décrire les délais d’accès au traitement après endoscopie chez les patients atteints de cancer à partir des bases médico-administratives en France. Les résultats, qui compléteront ceux issus des données registres de cancers et des réseaux régionaux de cancérologie, pourront être utiles aux décideurs politiques dans la mise en place de recommandations de prise en charge des cancers
Background: timeliness of cancer treatment is an important aspect of health quality. Care centers are expected to treat a growing number of patients with cancer. Our objectives were to examine treatment times from diagnosis to first-course therapy for patients with colon (CC), rectum-anus (RC), and lung (LC) cancers and assess factors associated with time to-treatment and the impact of deprivation index.Methods: using the international classification of diseases and medical procedures codes, from national hospital discharge database which has been crossed with long term illness data and French deprivation Index information, we selected patients newly diagnosed for CC, RC or LC in 2009-2010 who had undergone treatment.Results: We included 15,694, 6,623 and 14,596 patients diagnosed and treated for CC, RC and LC respectively. Median times from endoscopy to: 1) surgery in patients with a surgical treatment pathway for CC, RC, and LC were 22 (Q25 = 14; Q75 = 34), 97 (Q25 = 34; Q75 = 141), and 44 (Q25 = 26; Q75 = 82) days, respectively; 2) to chemotherapy for patients with a non-surgical treatment pathway, for CC, RC, and LC were 36 (Q25 = 21; Q75 = 59), 40 (Q25 = 27; Q75 = 59), and 33 (Q25 = 22; Q75 = 49) days respectively; 3) to radiotherapy in RC and LC patients were 53 (Q25 = 39; Q75 = 78) and 88 (Q25 = 46; Q75 = 162) days respectively; 4) to first treatment, irrespective of pathway and treatment combination for CC, RC and LC were 23 (Q25 = 14; Q75 = 35), 43 (Q25 = 27; Q75 = 74), and 34 (Q25 = 22; Q75 = 50) days respectively.Time to first treatment vary across regions. It was longer in most northern regions and in overseas districts and shorter in Île-de-France, southern, eastern and sometimes in western regions for the three cancers. In multilevel analysis, Age and status of the first care center were significantly associated to time to first treatment in CC patients. Similar factors, including Deprivation index, were significantly associated to time to first treatment in RC and LC patients. The time to first treatment increased with age. It was higher in public hospitals compared to private hospitals and low in patients with low deprivation index compared to patients with high deprivation index. Conclusion: To our knowledge, this is the first study based on medico-administrative database describing time to first treatment after endoscopy in patients suffering from cancers in France. The results, which will complement those from cancer registry data and regional networks of cancerology, could inform decision-making policies on the implementation of guidelines on timeframes for cancer treatment access

APA, Harvard, Vancouver, ISO, and other styles

Ng, Ryan. "Assessment of systemic lupus erythematosus diagnoses within Quebec's health administrative databases." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=107884.

Full text

Abstract:

Background: Systemic lupus erythematosus (SLE) is a chronic, relatively uncommon autoimmune disease that has a relapsing-remitting course, with clinical manifestations in various organ systems (cutaneous, renal, and other). To control disease, immunosuppressive drugs are often required. Health administrative databases are useful for studying SLE because of their wide population coverage, and could potentially be used to study SLE incidence, prevalence, clinical manifestations, and medication use. However, because the diagnoses in these administrative databases are not necessarily clinically confirmed, SLE case ascertainment is a methodological challenge. First, some of the methodological issues were examined in this thesis. Second, clinical manifestations and the association between early antimalarial drug use and future renal manifestations were examined in a cohort of SLE patients. Methods: The initial SLE case definition was a previously-used algorithm that identified subjects as having SLE if they met one of the following criteria: one SLE hospital discharge code, one rheumatologist SLE claim and/or two SLE non-rheumatologist claims at least eight weeks apart but within two years. Alternative algorithms were formed by modifying one or more of the initial algorithm's parameters. Incidence and prevalence estimates were determined using each alternative algorithm and compared to the initial estimates. The effect of using different data period lengths for detecting patients was also examined. Kaplan-Meier (K-M) analyses were performed to assess documentation of clinical SLE manifestations and use of selected immunosuppressant medications, within an incident SLE cohort identified by the initial algorithm (described above). The observation interval began four years prior to SLE diagnosis and continued up to eight years after SLE diagnosis. Cox proportional hazards regression analyses were used to examine the association between early antimalarial drug use and renal manifestations. Results: With the initial algorithm, the 1998 yearly incidence was 6.0 cases per 100,000 (95% confidence interval (CI), 5.5–6.6). When parameters from the initial algorithm were changed, the 1998 incidence varied to between 4.4 and 7.4/100,000. The prevalence also changed from 65.5/100,000 (95% CI: 63.7–67.4) with the initial algorithm, to between 47.8–79.1/100,000 with the alternate algorithms. When the length of the data period changed from fifteen years to five years, the 2001 yearly incidence was overestimated by 38.3% (5.7/100,000 initially and 7.9/100,000 with only five years of data) and the prevalence was underestimated by 29.9% (the new estimate being 46.0/100,000, 95% CI: 44.4–47.5).Over-all, 66.2% (95%CI: 63.4–68.9%) of incident patients (within the SLE cohort assembled using the initial algorithm) had evidence of at least one SLE manifestation within the period under examination. The most common manifestation was cutaneous involvement, present in 30.0%. Within the sub-cohort of incident SLE patients covered by RAMQ drug insurance, 87.2% (95% CI: 84.2–90.3%) had received at least one of the medications under study, by the end of the study interval. No association was found between early antimalarial drug use and subsequent renal manifestations.Conclusion: Varying the case definition and data period can change incidence and prevalence estimates considerably, so all features, including the time period in which the data spans, should be selected carefully and explicitly stated. The majority of incident SLE patients had evidence of SLE manifestations or used medications which would provide possible confirmation of SLE case status. This additional information can be used in future health services administrative database research to understand SLE, and help compensate for the databases' lack of clinical confirming data.
Contexte : Le lupus érythémateux disséminé (LED) est une maladie auto-immune chronique relativement peu commune. L'évolution de cette maladie est décrite en phases de poussées et de rémissions et ses manifestations cliniques touchent plusieurs organes. L'utilisation de médicaments immunosuppresseurs est souvent nécessaire pour contrôler le LED. Les banques de données administratives du domaine de la santé s'avèrent utiles pour étudier le LED, car elles pourraient être utilisées pour étudier l'incidence, la prévalence et les manifestations cliniques. Toutefois, comme les diagnostics présents dans ces bases de données administratives n'ont pas nécessairement de confirmation clinique, la détermination des cas de LED représente un défi d'ordre méthodologique et certains de ces problèmes méthodologiques font l'objet de la présente thèse.Méthodologie : L'algorithme initial de définition de cas de LED a déjà été utilisé pour identifier des sujets atteints de LED s'ils répondaient aux critères suivants : un code de congé d'hôpital de LED, une réclamation d'un rhumatologue pour le LED et/ou deux réclamations par un médecin autre qu'un rhumatologue pour le LED séparées d'au moins huit semaines, mais dans un intervalle de deux ans. D'autres algorithmes ont été créés en modifiant un paramètre ou plus de l'algorithme initial. Des estimations d'incidence et de prévalence ont été obtenues grâce à chaque algorithme créé et ces valeurs ont été comparées aux estimations initiales. L'effet de l'utilisation de périodes de données de différentes longueurs sur la détection des patients a également été examiné. Des analyses Kaplan-Meier (K-M) ont été faites pour évaluer la documentation des manifestations cliniques du LED et l'utilisation de médicaments immunosuppresseurs spécifiques au sein d'une cohorte incidente de patients atteints de LED identifiés par l'algorithme initial (décrit plus haut). L'intervalle d'observation a débuté quatre ans avant le diagnostic de LED et s'est poursuivi jusqu'à huit ans après le diagnostic. Des analyses utilisant le modèle de régression à risques proportionnels de Cox ont servi à examiner l'association entre l'utilisation précoce d'antipaludiques et les manifestations rénales. Résultats : Avec l'algorithme initial, l'incidence annuelle de LED en 1998 était de 6,0 cas pour 100 000 habitants (95 % d'intervalle de confiance (CI), 5,5-6,6). En changeant les paramètres de l'algorithme initial, l'incidence en 1998 a varié entre 4,4 et 7,4 pour 100 000. La prévalence a passé de 65,5 pour 100 000 (95 % CI : 63,7–67,4) avec l'algorithme initial à entre 47,8–79,1 pour 100 000 avec les autres algorithmes. En modifiant la longueur des périodes de données de quinze à cinq ans, l'incidence annuelle en 2001 était surestimée par 38,3 %.Dans l'ensemble, 66,2 % (95 % CI : 63,4–68,9 %) des patients incidents au sein de la cohorte de patients atteints de LED assemblée grâce à l'algorithme initial montraient au moins une manifestation de LED au cours de la période évaluée. Au sein d'une sous-cohorte de patients incidents atteints de LED couverts par la RAMQ, 87,2 % (95 % CI : 84,2–90,3 %) ont reçu au moins un médicament à l'étude avant la fin de l'intervalle étudié. Aucune association n'a été trouvée entre l'utilisation précoce d'antipaludiques et les manifestations rénales subséquentes. Conclusion : La variation de la définition de cas et de la période de données peut modifier considérablement les estimations d'incidence et de prévalence. Ainsi, tous les paramètres, y compris la période de temps pour laquelle les données sont recueillies, devraient être choisis avec précaution. La majorité des patients incidents atteints de LED montrent des manifestations de LED qui pourraient offrir une confirmation potentielle des cas de LED. Ces informations supplémentaires pourront être utilisées pour des études futures sur les bases de données des services de soins de santé afin de mieux comprendre le LED.

APA, Harvard, Vancouver, ISO, and other styles

Cohen, Sarah. "Apport et utilisation des bases de données médico-administratives dans l’étude des problématiques émergentes chez les patients adultes atteints de cardiopathie congénitale Administrative health databases for addressing emerging issues in adults with CHD: a systematic review Accuracy of claim data in the identification and classification of adults with congenital heart diseases in electronic medical records Exposure to low-dose ionizing radiation from cardiac procedures and malignancy risk in adults with congenital heart disease." Thesis, Sorbonne Paris Cité, 2018. http://www.theses.fr/2018USPCB228.

Full text

Abstract:

Les cardiopathies congénitales (CC) sont les plus fréquentes des malformations congénitales et concernent près de 1% des naissances. Grâce aux progrès considérables de la cardiologie pédiatrique et de la chirurgie cardiaque, 90% des enfants nés avec une CC atteignent désormais l'âge adulte. Mais ces « survivants » ne sont pas guéris. Un certain nombre de complications, cardiaques et extracardiaques, attendues ou non, et de problématiques spécifiques émergent, justifiant une consommation de soins grandissante. Le besoin d’études en population a motivé l’analyse secondaire de données médico-administratives dans diverses régions du globe. L’objectif de cette thèse était d’étudier les conditions d’utilisation des bases de données médico-administratives (BDMA) et leurs applications possibles pour mieux comprendre les enjeux émergents de cette population nouvelle d’adultes avec CC (ACC). La première partie de ce travail a été de décrire de manière systématique toutes les études ayant utilisé des BDMA pour explorer spécifiquement les problématiques des patients ACC. Cette revue a montré l’intérêt de ces bases de données dans le domaine des ACC, les effectifs importants permettant d’étudier des maladies relativement rares et la disponibilité de données exhaustives sur de longues périodes d’observation autorisant l’étude de certaines complications cardiaques ou extracardiaques de survenue parfois différée chez ces patients. En France, les bases de données administratives de remboursement utilisent la Classification internationale des Maladies, dixième révision (CIM-10) dont la fiabilité pour repérer les ACC et les pathologies qui leur sont associées est inconnue dans ce contexte. La deuxième partie de ce travail avait donc pour objectif d’étudier la performance de la CIM-10 pour identifier et classer des patients ACC au sein de l’entrepôt de données de l’hôpital Européen Georges Pompidou disposant d'une unité dédiée aux ACC. La troisième partie de cette thèse rapporte un exemple concret de l’utilisation des BDMA. A partir des données de la Québec Congenital Heart Disease Database issue des BDMA du Québec, notre objectif était d’évaluer l’association entre l’exposition aux rayonnements ionisants provenant de procédures cardiaques et la survenue de cancer chez les ACC. En effet, l’amélioration de l’espérance de vie des patients avec CC et l’augmentation du recours aux modalités d’imagerie cardiaque irradiante, font craindre un effet carcinogène potentiel à long terme. Bien qu’elles n’aient pas été conçues à des fins de recherche, ce travail de thèse montre que les BDMA sont un outil particulièrement pertinent pour générer de nouvelles connaissances sur les patients ACC de par l’exhaustivité des informations disponibles, la possibilité de produire de grands échantillons et de permettre un suivi longitudinal sur de longues périodes d'observation. L’exploitation des dossiers médicaux électroniques par des méthodes de fouilles de texte pourrait alors permettre de développer et valider des algorithmes pour identifier les cas de CC dans les BDMA. En France, bien que des efforts aient été déployés pour créer un programme de collaboration multicentrique efficace, il n’existe à l’heure actuelle aucune donnée épidémiologique d’envergure concernant l’ensemble des ACC. L’analyse secondaire de ressources existantes, telles que le Système National des Données de Santé, permettrait d’établir la cohorte nationale d’ACC et d’analyser leur parcours de soins afin d’orienter au mieux l’allocation des ressources
Congenital heart diseases (CHD) are the most common types of birth defects and affect approximately 1% of births. Ninety percent of children born with CHD reach now adulthood thanks to improvements of pediatric cardiology and cardiac surgery. These "survivors" are not definitively cured. They are prone to cardiac or extra cardiac complications and specific issues that justify an increase in consumption of healthcare. The need for population-based studies worldwide has led to secondary analyses of administrative medical databases (AMD). The objective of this thesis was to study the conditions of use of the AMD and their possible applications, specifically to understand the emerging issues of this new adult population with CHD (ACHD). The first part of this work was to systematically describe all the studies that had used AMD to specifically explore the issues of ACHD patients. This review showed the value of these databases in the field of ACHD: the large numbers of patients allows studying relatively rare diseases and the availability of comprehensive data over long periods of follow-up enables to study cardiac and extra cardiac complications even when the occurrence is delayed. In France, claim databases use the International Classification of Diseases, 10th revision (ICD-10), the reliability of which is still largely unknown in this context. The second part of this work was therefore to study the performances of ICD-10 to identify and classify ACHD patients in the data warehouse of the Georges Pompidou European Hospital which has a dedicated specialized ACHD Unit. The third part of this thesis reported a concrete example of the use of AMD. Based on the Quebec Congenital Heart Disease Database derived from Quebec’s AMD, our goal was to evaluate the association between exposure to ionizing radiation from cardiac procedures and the risk of cancer in ACHD. Indeed, the improvement in the life expectancy of patients with CHD and the increasing use of cardiac imaging modalities using ionizing radiations may have a carcinogenic effect in the long term. Although not designed for research purposes, this thesis showed that AMD are a particularly relevant tool for generating new knowledge about ACHD patients through the comprehensiveness of information, the possibility of extracting large samples of patients with a longitudinal follow-up over long periods of observation. The exploitation of electronic medical records through text mining methods could then be used to develop and validate algorithms to identify CHD patients in AMD. In France, although efforts have been made to create an effective multi-center collaborative program, there is currently no significant epidemiological data for all ACHDs. Secondary analysis of existing resources, such as the National Health Data System, would establish the national ACHD cohort and analyze their care pathway in order to guide healthcare resources allocation

APA, Harvard, Vancouver, ISO, and other styles

More sources

Books on the topic "Health administrative database"

Kiger, Anne Fox. Allocating health resources: January 1978 through August 1986, 354 citations from the health planning and administration database plus appendix. [Bethesda, Md: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health], 1986.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

Graham, Jan. Financing health care for the elderly: January 1983 through August 1985, 257 citations from the Health Planning and Administration database. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

Fifty, June A. Indigent care: January 1975 through May 1985 : 291 citations from the Health planning and administration database. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

United States. Agency for Health Care Policy and Research. The feasibility of linking research-related data bases to federal and non-federal medical administrative data bases: Report to Congress. Rockville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1991.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

Marshall, Susan Bolda. Freestanding ambulatory care centers, January 1975 through December 1984, 296 citations from the Health Planning and Administration database. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

Kenton, Charlotte. Peer review organization (PRO): January 1980 through June 1985, 267 citations from the Medline and Health Planning and Administration databases. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

The electronic health record for the physician's office with Medtrak systems. St. Louis, Mo: Elsevier/ Saunders, 2012.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

United States. Agency for Health Care Policy and Research. The feasibility of linking research-related data bases to federal and non-federal medical administrative data bases: Report to Congress. Rockville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1991.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

The feasibility of linking research-related data bases to federal and non-federal medical administrative data bases: Report to Congress. Rockville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1991.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

Takeda, Hiroshi. E-Health: First IMIA/IFIP Joint Symposium, E-Health 2010, Held as Part of WCC 2010, Brisbane, Australia, September 20-23, 2010. Proceedings. Berlin, Heidelberg: IFIP International Federation for Information Processing, 2010.

Find full text

APA, Harvard, Vancouver, ISO, and other styles

More sources

Book chapters on the topic "Health administrative database"

Hudson, Marie, and Samy Suissa. "Methodological Issues Relevant to Observational Studies, Registries, and Administrative Health Databases in Rheumatology." In Understanding Evidence-Based Rheumatology, 209–28. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-08374-2_9.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Jin, Huidong, Jie Chen, Chris Kelman, Hongxing He, Damien McAullay, and Christine M. O’Keefe. "Mining Unexpected Associations for Signalling Potential Adverse Drug Reactions from Administrative Health Databases." In Advances in Knowledge Discovery and Data Mining, 867–76. Berlin, Heidelberg: Springer Berlin Heidelberg, 2006. http://dx.doi.org/10.1007/11731139_101.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Chowdhury, Tanvir Turin, and Brenda Hemmelgarn. "Evidence-Based Decision-Making 6: Utilization of Administrative Databases for Health Services Research." In Methods in Molecular Biology, 469–84. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-2428-8_28.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Mazzali, Cristina, Mauro Maistriello, Francesca Ieva, and Pietro Barbieri. "Methodological Issues in the Use of Administrative Databases to Study Heart Failure." In Contributions to Statistics, 149–60. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-11149-0_10.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Ieva, Francesca, Anna Maria Paganoni, and Piercesare Secchi. "Mining Administrative Health Databases for Epidemiological Purposes: A Case Study on Acute Myocardial Infarctions Diagnoses." In Advances in Theoretical and Applied Statistics, 417–26. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-35588-2_38.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Chowdhury, Tanvir Turin, and Brenda R. Hemmelgarn. "Evidence-Based Decision Making 6: Administrative Databases as Secondary Data Source for Epidemiologic and Health Service Research." In Methods in Molecular Biology, 483–99. New York, NY: Springer US, 2021. http://dx.doi.org/10.1007/978-1-0716-1138-8_26.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Payen, Anaïs, Claire Godard-Sebillotte, Julien Soula, David Verloop, Marie-Marguerite Defebvre, Delphine Dambre, and Jean-Baptiste Beuscart. "Accuracy of the French Administrative Database to Describe Patients’ Medication and Primary Care Visits: A Validation Study." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210180.

Full text

Abstract:

Objective: To evaluate the accuracy of the French health administrative database to describe patients’ medication and primary care visits, in the context of a transitional care intervention including an in-hospital medication reconciliation followed by a structured community follow-up by the patient’s general practitioner and pharmacist. Design: A retrospective cohort study of older persons enrolled in the transitional care intervention between January 1st, 2015 and December 31st, 2018. Results: Only 46.1% of the community follow-up were timely billed, in the 3 months after the patient discharge. The sensitivity of the health administrative database to identify medications was 90.0%. Its positive predictive value was 50.1%. Conclusion: This study reveals that the French health administrative database was poorly reliable to identify both community follow-up and chronic medications.

APA, Harvard, Vancouver, ISO, and other styles

Botsis, Taxiarchis, and Konstantinos Syrigos. "Implementation of a Computerized System in an Oncology Unit." In Database Technologies, 1385–92. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-058-5.ch082.

Full text

Abstract:

Information management is essential for health professionals in order to maintain a level of productivity for health care services management. This is significant when treating cancer patients. The main target of this study was to employ computers to enhance the daily practice of Oncology Unit (Sotiria Hospital, Athens, Greece). Accordingly, a computerized system was developed consisting of three modules: the EPR, the Image Archive, and the Lab Module. The EPR Module is a database application that stores clinical results, physician orders, and several administrative data. The Image Archive Module is used mainly for the reduction of images volume and the Lab Module stores information about the patient blood samples. These two modules interoperate through EPR Module under strict data security policies. Key physicians, biologists, and secretary personnel are involved in data entry and information management, while the system administrator is responsible for the system functioning. Improved health care, user satisfaction, and cost savings were the most important benefits gained with this system. The need of similar systems in oncology is crucial and could involve additional applications, such as quality of life (QoL) systems.

APA, Harvard, Vancouver, ISO, and other styles

Duncan, George T., and Stephen F. Roehrig. "Reconciling Information Privacy and Information Access in a Globalized Technology Society." In Database Technologies, 1823–43. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-058-5.ch110.

Full text

Abstract:

Government agencies collect and disseminate data that bear on the most important issues of public interest. Advances in information technology, particularly the Internet, have created a globalized technology society and multiplied the tension between demands for ever more comprehensive databases and demands for the shelter of privacy. In reconciling information privacy and information access, agencies must address a host of difficult problems. These include providing access to information while protecting confidentiality, coping with health information databases, and ensuring consistency with international standards. The policies of agencies are determined by what is right for them to do, what works for them, and what they are required to do by law. They must interpret and respect the ethical imperatives of democratic accountability, constitutional empowerment, individual autonomy, and information justice. In managing confidentiality and data-access functions, agencies have two basic tools: techniques for disclosure limitation through restricted data and administrative procedures through restricted access.

APA, Harvard, Vancouver, ISO, and other styles

Pinaire, Jessica, Etienne Chabert, Jérôme Azé, Sandra Bringay, Pascal Poncelet, and Paul Landais. "Prediction of In-Hospital Mortality from Administrative Data: A Sequential Pattern Mining Approach." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210167.

Full text

Abstract:

Study of trajectory of care is attractive for predicting medical outcome. Models based on machine learning (ML) techniques have proven their efficiency for sequence prediction modeling compared to other models. Introducing pattern mining techniques contributed to reduce model complexity. In this respect, we explored methods for medical events’ prediction based on the extraction of sets of relevant event sequences of a national hospital discharge database. It is illustrated to predict the risk of in-hospital mortality in acute coronary syndrome (ACS). We mined sequential patterns from the French Hospital Discharge Database. We compared several predictive models using a text string distance to measure the similarity between patients’ patterns of care. We computed combinations of similarity measurements and ML models commonly used. A Support Vector Machine model coupled with edit-based distance appeared as the most effective model. Indeed discrimination ranged from 0.71 to 0.99, together with a good overall accuracy. Thus, sequential patterns mining appear motivating for event prediction in medical settings as described here for ACS.

APA, Harvard, Vancouver, ISO, and other styles

Conference papers on the topic "Health administrative database"

Dalal, Anand A., Manan Shah, and Anna O. D’Souza. "Economic Burden Of Health Care Admissions Related To Chronic Obstructive Pulmonary Disease Exacerbations: Data From Inpatient Administrative Database." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a1492.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Potts, T. Todd, James M. Hylko, and Terrence A. Douglas. "An Interactive Database Tool for Applying Integrated Safety Management in a Streamlined and Consistent Manner." In ASME 2003 9th International Conference on Radioactive Waste Management and Environmental Remediation. ASMEDC, 2003. http://dx.doi.org/10.1115/icem2003-4653.

Full text

Abstract:

WESKEM, LLC’s Environmental, Safety and Health (ES&H) Department had previously assessed that a lack of consistency, poor communication and use of antiquated communication tools could result in varying operating practices, as well as a failure to capture and disseminate appropriate Integrated Safety Management (ISM) information. To address these issues, the ES&H Department established an Activity Hazard Review (AHR)/Activity Hazard Analysis (AHA) process for systematically identifying, assessing, and controlling hazards associated with project work activities during work planning and execution. Depending on the scope of a project, information from field walkdowns and table-top meetings are collected on an AHR form. The AHA then documents the potential failure and consequence scenarios for a particular hazard. Also, the AHA recommends whether the type of mitigation appears appropriate or whether additional controls should be implemented. Since the application is web based, the information is captured into a single system and organized according to the ≥200 work activities already recorded in the database. Using the streamlined AHA method improved cycle time from over four hours to an average of one hour, allowing more time to analyze unique hazards and develop appropriate controls. Also, the enhanced configuration control created a readily available AHA library to research and utilize along with standardizing hazard analysis and control selection across four separate work sites located in Kentucky and Tennessee. The AHR/AHA system provides an applied example of how the ISM concept evolved into a standardized field-deployed tool yieling considerable efficiency gains in project planning and resource utilization. Employee safety is preserved through detailed planning that now requires only a portion of the time previously necessary. The available resources can then be applied to implementing appropriate engineering, administrative and personal protective equipment controls in the field.

APA, Harvard, Vancouver, ISO, and other styles

Gershon, Andrea S., Teresa To, Matthew Stanbrook, J. Charles Victor, and Kenneth R. Chapman. "Identifying COPD In Ontario Health Administrative Databases; A Validation Study." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a1743.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Ozalp, Nesrin. "Utilization of Heat, Power and Recovered Waste Heat for Industrial Processes in the US Chemical Industry." In ASME 2008 2nd International Conference on Energy Sustainability collocated with the Heat Transfer, Fluids Engineering, and 3rd Energy Nanotechnology Conferences. ASMEDC, 2008. http://dx.doi.org/10.1115/es2008-54120.

Full text

Abstract:

This paper presents energy end-use model of the U.S. Chemical Industry. The model allocates combustible fuel and renewable energy inputs among generic end-uses including intermediate conversions through onsite power and steam generation. Results of this model provide the basis to scale energy process-step models. Two federal databases used to construct energy end-use models are Manufacturing Energy Consumption Survey of the U.S. Energy Information Administration, and the Energy Information Administration’s “EIA-860B: Annual Electric Generator Report”. These databases provide information on energy consumption for each end-use, electricity generation, and recovered waste heat at the prime mover level of detail for each industry on a national scale. Results of the model show that the majority of the fuel input is used directly for the end-uses. Although the rest of the fuel is used to generate steam and power, most of this energy contributes to the end-uses as steam. Therefore, the purpose of fuel consumption at non-utility plants is to run their end-uses. During the course of this study, the most recent U.S. federal energy database available was for the year 1998. Currently, the most recent available U.S. federal energy database is given for the year 2002 based on the data collected from 15,500 establishments.

APA, Harvard, Vancouver, ISO, and other styles

MacLeod, ill, Chris McLeod, Alice Peter, and Paul Demers. "O33-5 Developing an occupational disease surveillance system: detecting work-related risks through linkage of administrative databases." In Occupational Health: Think Globally, Act Locally, EPICOH 2016, September 4–7, 2016, Barcelona, Spain. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/oemed-2016-103951.168.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Matsumoto, Masato, and Kyle Ruske. "Bridge Health Monitoring by Infrared Thermography." In IABSE Congress, New York, New York 2019: The Evolving Metropolis. Zurich, Switzerland: International Association for Bridge and Structural Engineering (IABSE), 2019. http://dx.doi.org/10.2749/newyork.2019.2444.

Full text

Abstract:

<p>Condition ratings of bridge components in the Federal Highway Administration (FHWA)’s Structural Inventory and Appraisal database are determined by bridge inspectors in the field, often by visual confirmation or direct- contact sounding techniques. However, the determination of bridge condition ratings is generally subjective depending on individual inspectors’ knowledge and experience, as well as varying field conditions. There are also limitations to access, unsafe working conditions, and negative impacts of lane closures to account for. This paper describes an alternative method to obtaining informative and diagnostic inspection data for concrete bridge decks: mobile nondestructive bridge deck evaluation technology. The technology uses high- definition infrared and visual imaging to monitor bridge conditions over long-term (or desired) intervals. This combination of instruments benefits from rapid and large-scale data acquisition capabilities. Through its implementation in Japan over the course of two decades, the technology is opening new possibilities in a field with much untapped potential. Findings and lessons learned from our experience in the states of Virginia and Pennsylvania are described as examples of highway-speed mobile nondestructive evaluation in action. To validate the accuracy of delamination detection by the visual and infrared scanning, findings were proofed by physical sounding of the target deck structures.</p>

APA, Harvard, Vancouver, ISO, and other styles

Noviarini, Diena, and Eko Arif Syaefudin. "Design application models in the field of health in the Indonesian health ministry using COBIT database administration for standardization based on Indonesian national standard." In THE 2ND SCIENCE AND MATHEMATICS INTERNATIONAL CONFERENCE (SMIC 2020): Transforming Research and Education of Science and Mathematics in the Digital Age. AIP Publishing, 2021. http://dx.doi.org/10.1063/5.0041697.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Kurniati, Nurul. "Analysis of Factors and Management of Hepatitis B Virus Screening in Mothers and Infants: A Scoping Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.67.

Full text

Abstract:

ABSTRACT Background: The importance of screening for HBV infection is to identify the risk of perinatal transmission from infected mothers. People infected with HBV during infancy or childhood are more likely to suffer chronic infection to cirrhosis of the liver and liver cancer. Early detection and prompt treatment are essential for HBV infection. This study aimed to review the factors and management of hepatitis B virus screening in mothers and infants. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, ScienceDirect, Wiley Online Library, and Scopus databases. The inclusion criteria were English/ Indonesian-language and full-text articles (scoping review, meta-analysis, systematic review)/ documents/ reports/ policy brief/ guidelines from WHO/ other organizations published between 2009 and 2019. The data were selected by the PRISMA flow chart. Results: The searched database obtained a total of 27.862 articles. After screening, 27.325 articles were excluded because of unmet the inclusion criteria. After conducting critical appraisal for the remaining 537 articles, only 11 articles were eligible for further review. The selected articles obtained from developing countries (China, South Africa, and Tanzania) and developed countries (Netherlands, Japan, Denmark, Northern Europe, and Canada) with quantitative studies design (cross-sectional, case series, and cohort) met the inclusion criteria. The findings emphasized on four main topics around hepatitis B virus screening in mothers and infants, namely demographic factors, risk factors, post-screening benefit, and challenges in screening uptake. Conclusion: Early detection of HBV infection with prenatal screening reduce the HBV prenatal transmission, especially from infected pregnancy. Screening plays an important role in the administration of universal infant HBV vaccination and postexposure prophylaxis with hepatitis B immune globulin (HBIG) at birth. Keywords: pregnant women, hepatitis B virus, perinatal transmission, screening Correspondence: Setianingsih. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ringroad Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: nsetia580@gmail.com. Mobile: 082242081295. DOI: https://doi.org/10.26911/the7thicph.03.67

APA, Harvard, Vancouver, ISO, and other styles

Saputri, Nurul Aini Suria, Tri Nugraha Susilawati, and Vitri Widyaningsih. "Relative Efficacy of Probiotics Compared with Standard Therapy for Diarrhea Treatment in Children Under Five Years of Age: A Meta-Analysis Evidence from Developing Countries." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.95.

Full text

Abstract:

ABSTRACT Background: Probiotics have been widely studied in a variety of gastrointestinal diseases. There is high-quality evidence that probiotics are effective for acute infectious diarrhea. This study aimed to examine the relative efficacy of probiotics compared with standard therapy for diarrhea treatment in children under five using meta-analysis. Subjects and Method: A meta-analysis was carried out using systematic PRISMA guidelines. The review process begins with searching for articles published between 2009 and 2019 from PubMed, Clinical Key, ScienceDirect, and Scopus databases. This study obtained four articles that meet the criteria of the randomized controlled trial (RCT), the study subjects were toddlers and conducted in developing countries. A sample of 995 children was divided into two groups, 518 children received probiotics (intervention) and 477 children received standard therapy (control). The data were analyzed by Review Manager (RevMan) software 5.3 to assess Standardized Mean Difference (SMD). Results: Probiotics administration reduced duration of acute diarrhea in children under five than standard therapy, with pooled estimate= 0.30 (SMD= -0.30; 95% CI= – 0.56 to -0.03). Conclusion: Probiotics administration combined with standard therapy is effective to reduce the duration of acute diarrhea in children under five in developing countries. Keywords: acute diarrhea, probiotic, children under five Correspondence:Nurul Aini Suria Saputri. Midwifery Department, School of Health Polytechnics, Tanjungpinang/ Masters Program in Public Health, Universitas Sebelas Maret. Jl. Arief Rahman Hakim No.1, Tanjungpinang, Riau Islands. Email: ainisuriasaputri@gmail.com. Mobile: +6285743401971. DOI: https://doi.org/10.26911/the7thicph.03.95

APA, Harvard, Vancouver, ISO, and other styles

Maugard, C., D. Bosson-Rieutort, O. François, and V. Bonneterre. "1154 Big data and occupational health surveillance: use of french medico-administrative databases for hypothesis generation regarding occupational risks in agriculture." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.344.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Reports on the topic "Health administrative database"

Ama Pokuaa, Fenny, Aba Obrumah Crentsil, Christian Kwaku Osei, and Felix Ankomah Asante. Fiscal and Public Health Impact of a Change in Tobacco Excise Taxes in Ghana. Institute of Development Studies (IDS), November 2020. http://dx.doi.org/10.19088/ictd.2020.003.

Full text

Abstract:

This working paper predicts the fiscal and public health outcomes from a change in the excise tax structure for cigarettes in Ghana. More than 5,000 people are killed by diseases caused by tobacco every year in Ghana (Tobacco Atlas 2018). Currently the country has a unitary tax administration approach, with a uniform ad valorem tax structure on all excisable products, including tobacco. However, the ECOWAS directive on tobacco control, in line with the WHO Framework Convention on Tobacco Control (WHO 2003), recommends a simple tax structure – using a mixed excise system with a minimum specific tax floor to overcome the limitations of an ad valorem system on tobacco products, especially cigarettes. The study therefore simulates mixed tax policy interventions, and assesses their effect on government revenue and public health relative to the current ad valorem tax system. Primary data collection of tobacco prices in three geographical zones of the country was conducted in February 2020, across both rural and urban localities. This was supported with secondary data from national and international databases. Based on the assumption that Ghana adopts a mixed tax structure, the simulation shows that, if the government imposes a specific excise tax of GH₵4.00 (US$0.80) per pack in addition to the current ad valorem rate of 175 per cent of the CIF value, the average retail price of a cigarette pack would increase by 128 per cent, cigarette consumption decrease by 27 per cent, tobacco excise tax revenue increase by 627 per cent, and overall tobacco-related government tax revenue increase by 201 per cent.1 Additionally, there would be significant declines in smoking prevalence (3.3%), smoking intensity (1,448 cigarettes per year), and 3,526 premature smoking-related deaths would be avoided. The paper advocates for a strong tax administration and technical capacity, with continuous commitment by the government to adjust the tax rate in line with the rate of inflation and per capita income growth.

APA, Harvard, Vancouver, ISO, and other styles

Treadwell, Jonathan R., James T. Reston, Benjamin Rouse, Joann Fontanarosa, Neha Patel, and Nikhil K. Mull. Automated-Entry Patient-Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes. Agency for Healthcare Research and Quality (AHRQ), March 2021. http://dx.doi.org/10.23970/ahrqepctb38.

Full text

Abstract:

Background. Automated-entry consumer devices that collect and transmit patient-generated health data (PGHD) are being evaluated as potential tools to aid in the management of chronic diseases. The need exists to evaluate the evidence regarding consumer PGHD technologies, particularly for devices that have not gone through Food and Drug Administration evaluation. Purpose. To summarize the research related to automated-entry consumer health technologies that provide PGHD for the prevention or management of 11 chronic diseases. Methods. The project scope was determined through discussions with Key Informants. We searched MEDLINE and EMBASE (via EMBASE.com), In-Process MEDLINE and PubMed unique content (via PubMed.gov), and the Cochrane Database of Systematic Reviews for systematic reviews or controlled trials. We also searched ClinicalTrials.gov for ongoing studies. We assessed risk of bias and extracted data on health outcomes, surrogate outcomes, usability, sustainability, cost-effectiveness outcomes (quantifying the tradeoffs between health effects and cost), process outcomes, and other characteristics related to PGHD technologies. For isolated effects on health outcomes, we classified the results in one of four categories: (1) likely no effect, (2) unclear, (3) possible positive effect, or (4) likely positive effect. When we categorized the data as “unclear” based solely on health outcomes, we then examined and classified surrogate outcomes for that particular clinical condition. Findings. We identified 114 unique studies that met inclusion criteria. The largest number of studies addressed patients with hypertension (51 studies) and obesity (43 studies). Eighty-four trials used a single PGHD device, 23 used 2 PGHD devices, and the other 7 used 3 or more PGHD devices. Pedometers, blood pressure (BP) monitors, and scales were commonly used in the same studies. Overall, we found a “possible positive effect” of PGHD interventions on health outcomes for coronary artery disease, heart failure, and asthma. For obesity, we rated the health outcomes as unclear, and the surrogate outcomes (body mass index/weight) as likely no effect. For hypertension, we rated the health outcomes as unclear, and the surrogate outcomes (systolic BP/diastolic BP) as possible positive effect. For cardiac arrhythmias or conduction abnormalities we rated the health outcomes as unclear and the surrogate outcome (time to arrhythmia detection) as likely positive effect. The findings were “unclear” regarding PGHD interventions for diabetes prevention, sleep apnea, stroke, Parkinson’s disease, and chronic obstructive pulmonary disease. Most studies did not report harms related to PGHD interventions; the relatively few harms reported were minor and transient, with event rates usually comparable to harms in the control groups. Few studies reported cost-effectiveness analyses, and only for PGHD interventions for hypertension, coronary artery disease, and chronic obstructive pulmonary disease; the findings were variable across different chronic conditions and devices. Patient adherence to PGHD interventions was highly variable across studies, but patient acceptance/satisfaction and usability was generally fair to good. However, device engineers independently evaluated consumer wearable and handheld BP monitors and considered the user experience to be poor, while their assessment of smartphone-based electrocardiogram monitors found the user experience to be good. Student volunteers involved in device usability testing of the Weight Watchers Online app found it well-designed and relatively easy to use. Implications. Multiple randomized controlled trials (RCTs) have evaluated some PGHD technologies (e.g., pedometers, scales, BP monitors), particularly for obesity and hypertension, but health outcomes were generally underreported. We found evidence suggesting a possible positive effect of PGHD interventions on health outcomes for four chronic conditions. Lack of reporting of health outcomes and insufficient statistical power to assess these outcomes were the main reasons for “unclear” ratings. The majority of studies on PGHD technologies still focus on non-health-related outcomes. Future RCTs should focus on measurement of health outcomes. Furthermore, future RCTs should be designed to isolate the effect of the PGHD intervention from other components in a multicomponent intervention.

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

Contents

Academic literature on the topic 'Health administrative database'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Journal articles on the topic "Health administrative database"

Dissertations / Theses on the topic "Health administrative database"

Books on the topic "Health administrative database"

Book chapters on the topic "Health administrative database"

Conference papers on the topic "Health administrative database"

Reports on the topic "Health administrative database"