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爱尔兰国家智力残疾数据库审计。

An audit of the Irish National Intellectual Disability Database.

机构信息

Saint Michael's House Services & Department of Psychiatry, Trinity College Dublin, Ireland.

出版信息

Res Dev Disabil. 2010 Mar-Apr;31(2):446-51. doi: 10.1016/j.ridd.2009.10.011. Epub 2009 Nov 24.

Abstract

This study describes a national data audit of the National Intellectual Disability Database (NIDD). The NIDD is a national information system for intellectual disability (ID) for Ireland. The purpose of this audit was to assess the overall accuracy of information contained on the NIDD, as well as collecting qualitative information to support the improvement in the quality of data contained on the NIDD. A nationally representative sample was generated from the NIDD. Twenty-five auditors were recruited from senior staff within statutory and voluntary intellectual disability services and trained by the authors. They carried out 250 clinical interviews with individuals with ID, their families and/or paid carers, using structured questionnaires. The data collected were analysed using frequency analyses and compared with the existing NIDD data set to assess accuracy. Qualitative information was also collected. Overall, the results from the audit indicate that almost three quarters (72.2%) of all the data recorded on the NIDD are accurate, with 19.3% inaccurate, and 8.5% of the sought audit data not returned. The audit found that the NIDD significantly overestimated the need for enhanced residential care services. The study highlights the need for clinician and service user involvement in specialist service data collection, in order to both conduct valid research and to best plan for ID service development.

摘要

本研究描述了对国家智力残疾数据库(NIDD)的全国性数据审核。NIDD 是爱尔兰全国性的智力残疾信息系统。本次审核的目的是评估 NIDD 中所包含信息的整体准确性,并收集定性信息以支持改善 NIDD 中所包含数据的质量。从 NIDD 中生成了一个具有全国代表性的样本。从法定和志愿智力残疾服务机构的高级工作人员中招募了 25 名审核员,并由作者对他们进行了培训。他们使用结构化问卷对 250 名智力残疾人士、其家人和/或付费照顾者进行了临床访谈。使用频率分析对收集到的数据进行分析,并与现有的 NIDD 数据集进行比较,以评估准确性。还收集了定性信息。总体而言,审核结果表明,NIDD 上记录的所有数据中,近四分之三(72.2%)是准确的,19.3%不准确,而寻求审核的数据有 8.5%未返回。审核发现,NIDD 大大高估了对强化住宿护理服务的需求。该研究强调了临床医生和服务用户参与专业服务数据收集的必要性,以便进行有效的研究并为 ID 服务发展做出最佳规划。

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