监测卒中幸存者的卫生服务和结局的方法学问题：案例研究。
Methodological issues in monitoring health services and outcomes for stroke survivors: a case study.
机构信息
Health Administration and Policy Program, University of Maryland, Baltimore County, Baltimore, Maryland, USA.
出版信息
Disabil Health J. 2010 Oct;3(4):271-81. doi: 10.1016/j.dhjo.2009.11.003.
BACKGROUND
Obtaining comprehensive health outcomes and health services utilization data on stroke patients has been difficult. This research grew out of a memorandum of understanding between the NIH and the ISS (its Italian equivalent) to foster collaborative research on rehabilitation.
OBJECTIVE
The purpose of this study was to pilot a methodology using administrative data to monitor and improve health outcomes for stroke survivors in Tuscany.
METHODS
This study used qualitative and quantitative methods to study health resources available to and utilized by stroke survivors during the first 12 months post-stroke in two Italian health authorities (AUSL10 and 11). Mortality rates were used as an outcome measure.
RESULTS
Number of inpatient days, number of prescriptions, and prescription costs were significantly higher for patients in AUSL 10 compared to AUSL 11. There was no significant difference between mortality rates.
CONCLUSION
Using administrative data to monitor process and outcomes for chronic stroke has the potential to save money and improve outcomes. However, measures of functional impairment and more sensitive outcome measures than mortality are important. Additional recommendations for enhanced data collection and reporting are discussed.
背景
获取全面的健康结果和脑卒中患者的卫生服务利用数据一直存在困难。本研究源于 NIH 与意大利卒中学会（ISS）之间的谅解备忘录，旨在促进康复方面的合作研究。
目的
本研究旨在通过使用行政数据，为托斯卡纳的脑卒中幸存者监测和改善健康结果提供试点方法。
方法
本研究使用定性和定量方法研究了两家意大利卫生当局（AUSL10 和 11）的脑卒中幸存者在卒中后 12 个月内可利用和利用的卫生资源。死亡率作为结果衡量标准。
结果
与 AUSL 11 相比，AUSL 10 的住院天数、处方数量和处方费用明显更高。死亡率没有显著差异。
结论
使用行政数据监测慢性脑卒中的过程和结果具有节省成本和改善结果的潜力。然而，功能障碍的衡量标准和比死亡率更敏感的结果衡量标准很重要。讨论了加强数据收集和报告的其他建议。
Zotero 插件