Potthoff Peter, Heinemann Lothar A J, Güther Bernd
TNS Healthcare, Munich, Germany.
Ger Med Sci. 2004 Jul 16;2:Doc05.
Random sample surveys of the population are time consuming and expensive, particularly if international sampling is planned.
The Healthcare Access Panel was developed as an alternative to face to face or telephone health survey interviews to estimate prevalence or even incidence rates of health-relevant variables in the population. It is the objective of this paper to demonstrate the validity of health-related data obtained with the Healthcare Access Panel compared with results from other, population-based data sources. The example is Germany, where the Panel consists of more than 78,000 individuals aged between 0 and 79 years.
The Healthcare Access Panel reflects the population concerning age, sex, and regional structure with a good correlation. The hospitalisation rate obtained with the Panel matches the official National Hospital Discharge Statistics. Annual consultations with major medical disciplines were found to be almost identical in the Healthcare Access Panel as compared with the German National Health Survey (GNHS). The Healthcare Access Panel data matched the GNHS prevalence results of self-reported medical conditions/diseases. Advantages and disadvantages of the Healthcare Access Panel compared with specially designed population field surveys are discussed.
It is worthwhile to consider the Healthcare Access Panel approach as a cost-effective alternative to other population-based data collection methods under many circumstances, i.e. considering the specific methodological pros and cons as necessary for any other method.
对人群进行随机抽样调查既耗时又昂贵,尤其是在计划进行国际抽样时。
医疗保健获取小组被开发出来,作为面对面或电话健康调查访谈的替代方式,以估计人群中与健康相关变量的患病率甚至发病率。本文的目的是证明通过医疗保健获取小组获得的与健康相关的数据与其他基于人群的数据源的结果相比的有效性。以德国为例,该小组由78000多名年龄在0至79岁之间的个体组成。
医疗保健获取小组在年龄、性别和区域结构方面与总体人群具有良好的相关性。通过该小组获得的住院率与官方的全国医院出院统计数据相符。与德国国民健康调查(GNHS)相比,医疗保健获取小组中主要医学学科的年度会诊次数几乎相同。医疗保健获取小组的数据与GNHS中自我报告的医疗状况/疾病的患病率结果相符。讨论了医疗保健获取小组与专门设计的人群现场调查相比的优缺点。
在许多情况下,考虑将医疗保健获取小组方法作为一种具有成本效益的替代方法来替代其他基于人群的数据收集方法是值得的,即在必要时考虑任何其他方法的具体方法优缺点。