Northam Sally, Polancich Shea, Restrepo Elizabeth
Texas Women's University, PO Box 425498, Denton, TX 76204, USA.
Public Health Nurs. 2003 Jul-Aug;20(4):318-27. doi: 10.1046/j.1525-1446.2003.20409.x.
This study evaluated the methods of data collection of birth certificate information by five high-delivery hospitals in northern Texas. Research purposes were to identify sources and methods of birth certificate data collection and identify the most-reliable methods. This descriptive study involved interviews of each hospital's data collectors and review of 1999 Texas birth certificate data. Medical record clerks, whose training varied, but usually consisted of orientation by another medical record clerk, collected birth certificate data within 24 hours of birth. There was no standard method for training, nor was there a minimum level of education required. In four of the five hospitals studied, a birth certificate clerk collected most of the information with limited input from other medical sources. The information obtained on birth certificates therefore varied according to the collector and the priority placed upon the accuracy of information. Birth certificate data contain questionable reliability, which undermines data use in research, funding, and policy decisions.
本研究评估了得克萨斯州北部五家高分娩量医院收集出生证明信息的数据收集方法。研究目的是确定出生证明数据收集的来源和方法，并确定最可靠的方法。这项描述性研究包括对每家医院的数据收集人员进行访谈，并审查1999年得克萨斯州的出生证明数据。病历文员负责收集出生证明数据，他们的培训各不相同，但通常由另一名病历文员进行入职培训，收集工作在出生后24小时内完成。培训没有标准方法，也没有要求的最低教育水平。在所研究的五家医院中，有四家医院的出生证明文员收集了大部分信息，其他医疗来源的输入有限。因此，出生证明上获得的信息因收集人员以及对信息准确性的重视程度而异。出生证明数据的可靠性存疑，这削弱了其在研究、资金和政策决策中的数据用途。
