Heller Günther, Szecsenyi Joachim, Willms Gerald, Broge Björn
AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH Göttingen, Deutschland.
AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH Göttingen, Deutschland; Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2014;108(8-9):465-9. doi: 10.1016/j.zefq.2014.09.010. Epub 2014 Oct 25.
For several years, the use of administrative data in mandatory quality measurement has been requested by several stakeholders in Germany. Main advantages of using administrative data include the reduction of documentary expenditures and the possibility to perform longitudinal quality analyses across different healthcare units. After a short introduction, a brief overview of the current use of administrative data for mandatory quality assurance as well as current developments is given, which will then be further exemplified by decubital ulcer prophylaxis. By using administrative data coding expenditures in this clinical area could be reduced by nine million data fields. At the same time the population analysed was expanded resulting in a more than tenfold increase in potentially quality-relevant events. Finally, perspectives, further developments, possibilities as well as limits of quality measurement with administrative data are discussed.
几年来，德国的多个利益相关方一直要求在强制性质量评估中使用行政数据。使用行政数据的主要优点包括减少文件支出，以及能够跨不同医疗保健单位进行纵向质量分析。在简短介绍之后，给出了行政数据在强制性质量保证中的当前使用情况以及当前发展的简要概述，随后将以防褥疮为例进行进一步说明。通过使用行政数据，该临床领域的编码支出可减少900万个数据字段。同时，分析的人群范围扩大，导致潜在的质量相关事件增加了十多倍。最后，讨论了使用行政数据进行质量评估的前景、进一步发展、可能性以及局限性。
