Logan Judith R, Lieberman David A
Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR 97239, USA.
Gastrointest Endosc Clin N Am. 2010 Oct;20(4):717-34. doi: 10.1016/j.giec.2010.07.007. Epub 2010 Sep 1.
Administrative databases, registries, and clinical databases are designed for different purposes and therefore have different advantages and disadvantages in providing data for enhancing quality. Administrative databases provide the advantages of size, availability, and generalizability, but are subject to constraints inherent in the coding systems used and from data collection methods optimized for billing. Registries are designed for research and quality reporting but require significant investment from participants for secondary data collection and quality control. Electronic health records contain all of the data needed for quality research and measurement, but that data is too often locked in narrative text and unavailable for analysis. National mandates for electronic health record implementation and functionality will likely change this landscape in the near future.
行政数据库、登记处和临床数据库的设计目的各不相同，因此在提供用于提高质量的数据方面具有不同的优缺点。行政数据库具有规模大、可用性高和可推广性强的优点，但受到所用编码系统以及为计费而优化的数据收集方法所固有的限制。登记处是为研究和质量报告而设计的，但需要参与者投入大量资金用于二次数据收集和质量控制。电子健康记录包含质量研究和测量所需的所有数据，但这些数据往往被锁定在叙述性文本中，无法进行分析。国家对电子健康记录实施和功能的要求可能会在不久的将来改变这种局面。
