Expósito J, Johnson A P
Departamento de Radiología y Medicina Física, Universidad de Granada, Granada, España.
Rev Calid Asist. 2012 Sep-Oct;27(5):288-94. doi: 10.1016/j.cali.2012.01.002. Epub 2012 Mar 3.
In order to support decisions and analyze outcomes, the Spanish Health System has shown a great interest in developing data bases and high quality information systems. Nevertheless the use of these data bases are limited, not very systematized and, some times, their accessibility may be difficult.
We describe in this review the experience in using the Institute for Clinical Evaluative Science (ICES, Ontario, Canada) as an efficient model to improve the usefulness of these data bases.
Under restrictive conditions of confidentiality and privacy, the ICES has the legal capacity to use several population based data bases, for research projects and reports. ICES's functional structure (with an administrative and scientific level) is an interesting framework since it guarantees its independent and economic assessment.
To date, its scientific production has been high in many areas of knowledge and open to those interested, with points of view of many health care professionals (including management), for whom the quality of research is of the ultimate importance, to be able to access these resources.
为了辅助决策并分析结果,西班牙医疗系统对开发数据库和高质量信息系统表现出了浓厚兴趣。然而,这些数据库的使用受到限制,缺乏系统性,有时获取数据也存在困难。
在本综述中,我们描述了将加拿大安大略省临床评估科学研究所(ICES)作为提高这些数据库实用性的有效模型的经验。
在严格的保密和隐私条件下,ICES有法律能力使用多个基于人群的数据库进行研究项目和报告。ICES的功能结构(包括行政和科学层面)是一个有趣的框架,因为它保证了其独立和经济的评估。
迄今为止,它在许多知识领域的科研成果颇丰,并向感兴趣的各方开放,许多医疗保健专业人员(包括管理人员)认为研究质量至关重要,能够获取这些资源。