意大利医疗行政数据库监测慢性病护理标准遵从性：优势与局限

数据集获取（Figshare）

• 源站标题：Monitoring compliance with standards of care for chronic diseases using healthcare administrative databases in Italy: Strengths and limitations
• DOI：10.1371/journal.pone.0188377
• 发布日期：2017-12-12
• 文件数：4 个
• 文件总体积：236.03 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Monitoring_compliance_with_standards_of_care_for_chronic_diseases_using_healthcare_administrative_databases_in_Italy_Strengths_and_limitations/5693656

命令行下载

curl -L -o "S1 Table.doc" "https://ndownloader.figshare.com/files/9977545"
curl -L -o "S2 Table.doc" "https://ndownloader.figshare.com/files/9977554"
curl -L -o "S3 Table.doc" "https://ndownloader.figshare.com/files/9977560"
curl -L -o "S1 File.xls" "https://ndownloader.figshare.com/files/9977581"

文件清单

• S1 Table.doc（31.23 KB）
• S2 Table.doc（33.28 KB）
• S3 Table.doc（41.98 KB）
• S1 File.xls（129.54 KB）

文件总体积 236.03 KB（源站 API 实测）。

数据说明

Background
A recent comprehensive report on healthcare quality in Italy published by the Organization of Economic Co-operation and Development (OECD) recommended that regular monitoring of quality of primary care by means of compliance with standards of care for chronic diseases is performed. A previous ecological study demonstrated that compliance with standards of care could be reliably estimated on regional level using administrative databases. This study compares estimates based on administrative data with estimates based on GP records for the same persons, to understand whether ecological fallacy played a role in the results of the previous study.
Methods
We compared estimates of compliance with diagnostic and therapeutic standards of care for type 2 diabetes (T2DM), hypertension and ischaemic heart disease (IHD) from administrative data (IAD) with estimates from medical records (MR) for the same persons registered with 24 GP’s in 2012. Data were linked at an individual level.
Results
32,688 persons entered the study, 12,673 having at least one of the three diseases according to at least one data source. Patients not detected by IAD were many, for all three conditions: adding MR increased the number of cases of T2DM, hypertension, and IHD by +40%, +42%, and +104%, respectively. IAD had imperfect sensitivity in detecting population compliance with therapies (adding MR increased the estimate, from +11.5% for statins to +14.7% for antithrombotics), and, more substantially, with diagnostic recommendations (adding MR increased the estimate, from +23.7% in glycated hemoglobin tests, to +50.5% in electrocardiogram). Patients not detected by IAD were less compliant with respect to those that IAD correctly identified (from -4.8 percentage points in proportion of IHD patients compliant with a yearly glycated hemoglobin test, to -40.1 points in the proportion of T2DM patients compliant with the same recommendation). IAD overestimated indicators of compliance with therapeutic standards (significant differences ranged from 3.3. to 3.6 percentage points) and underestimated indicators of compliance with diagnostic standards (significant differences ranged from -2.3 to -14

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0188377（source: https://plos.figshare.com/articles/dataset/Monitoring_compliance_with_standards_of_care_for_chronic_diseases_using_healthcare_administrative_databases_in_Italy_Strengths_and_limitations/5693656）。