Roos Noralou P, Roos Leslie L, Freemantle Jane
Senior Research Scientist, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB.
Distinguished Professor, Senior Research Scientist, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB.
Healthc Policy. 2011 Jan;6(Spec Issue):16-28.
The authors review their 30 years' experience in determining the best research applications for routinely collected data from ministries of health, education and social services. They describe the rich research opportunities afforded by 40 years of data on health - i.e., every patient contact with hospitals, physicians, drugs and more - from the problems encountered in convincing an academic journal that meaningful findings could be culled from information collected on paying bills and tracking patients, through studies on education (enrolment, grades, standardized tests for grades 1 to 12), family characteristics (residential moves, marital formation and breakdown, number and timing of births) and social services (welfare recipients, children taken into care, protection services offered children in the family). They also detail how and why the Manitoba Centre for Health Policy was founded, and how it has continued through multiple ministerial, deputy and government changes.
作者回顾了他们30年来在确定从卫生、教育和社会服务部门常规收集的数据的最佳研究应用方面的经验。他们描述了40年健康数据所提供的丰富研究机会，即每一次患者与医院、医生、药物等的接触，从说服学术期刊相信可以从支付账单和跟踪患者所收集的信息中筛选出有意义的发现所遇到的问题，到关于教育（入学、成绩、1至12年级标准化考试）、家庭特征（居住迁移、婚姻形成和破裂、生育数量和时间）以及社会服务（福利领取者、被照顾儿童、为家庭中的儿童提供的保护服务）的研究。他们还详细说明了马尼托巴卫生政策中心是如何以及为何成立的，以及它如何在多位部长、副部长和政府更迭中持续运作。
