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[Linking claims data and beneficiary survey information to report on the quality of health care: potential, pitfalls, and perspectives].

作者信息

Bitzer E M

机构信息

Public Health & Health Education, Pädagogische Hochschule Freiburg, Freiburg.

出版信息

Gesundheitswesen. 2015 Feb;77(2):e26-31. doi: 10.1055/s-0034-1395650. Epub 2015 Jan 26.

DOI:10.1055/s-0034-1395650
PMID:25622208
Abstract

Reports on the quality of care aim at health and patient-reported outcomes in routine clinical care. To achieve meaningful information the study designs must be robust against bias through highly selected patient populations or health care providers but also allow for adequate control of confounding. The article describes the potential and pitfalls of administrative claims data and surveys of beneficiaries. The large potential of using both sources is illustrated in the primary inpatient treatment for prostate cancer. However, linking claims data and patient survey data still leaves some problems to be addressed in the final section. Linking claims data and beneficiary survey information on patient reported outcomes overcomes sectoral barriers and allows for an integrated evaluation of pathways of care in the short-, mid- and long-term. It is economical and well suited for a variety, but not all health care problems. Future efforts might be directed towards more collaboration among sickness funds.

摘要

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