Fonteneau L, Le Meur N, Cohen-Akenine A, Pessel C, Brouard C, Delon F, Desjeux G, Durand J, Kirchgesner J, Lapidus N, Lemaitre M, Tala S, Thiébaut A, Watier L, Rudant J, Guillon-Grammatico L
REDSIAM, groupe de travail infectieux, France; Santé publique France, direction des maladies infectieuses, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France.
EHESP, 35043 Rennes, France.
Rev Epidemiol Sante Publique. 2017 Oct;65 Suppl 4:S174-S182. doi: 10.1016/j.respe.2017.03.131. Epub 2017 Jun 16.
The public health burden resulting from infectious diseases requires efforts in surveillance and evaluation of health care. The use of administrative health databases (AHD) and in particular the French national health insurance database (SNIIRAM) is an opportunity to improve knowledge in this field. The SNIIRAM data network (REDSIAM) workshop dedicated to infectious diseases conducted a narrative literature review of studies using French AHD. From the results, benefits and limits of these new tools in the field of infectious diseases are presented.
Publications identified by the members of the workgroup were collected using an analytical framework that documented the pathology of interest, the aim of the study, the goal of the developed algorithm, the kind of data, the study period, and the presence of an evaluation or a discussion of the performance of the performed algorithm.
Fifty-five articles were identified. A majority focused on the field of vaccination coverage and joint infections. Excluding vaccine coverage field, the aim of 28 studies was epidemiological surveillance. Twenty-six studies used hospital databases exclusively, 18 used ambulatory databases exclusively and 4 used both. Validation or discussion of the performed algorithm was present in 18 studies.
The literature review confirmed the interest of the French AHD in the infectious diseases field. The AHD are additional tools of the existing surveillance systems and their use will probably be more frequent in the coming years given their advantage and reliability. However, incoming users need to be assisted. Thus, the workgroup will contribute to a reasonable use of AHD and support future developments.
传染病造成的公共卫生负担需要在医疗保健监测和评估方面做出努力。使用行政卫生数据库（AHD），特别是法国国家健康保险数据库（SNIIRAM），为增进该领域的知识提供了契机。致力于传染病研究的SNIIRAM数据网络（REDSIAM）研讨会对使用法国AHD的研究进行了叙述性文献综述。根据研究结果，介绍了这些新工具在传染病领域的益处和局限性。
使用一个分析框架收集工作组成员确定的出版物，该框架记录了感兴趣的病理学、研究目的、所开发算法的目标、数据类型、研究时期以及是否对所执行算法的性能进行了评估或讨论。
共识别出55篇文章。大多数文章聚焦于疫苗接种覆盖率和关节感染领域。排除疫苗接种覆盖率领域，28项研究的目的是进行流行病学监测。26项研究仅使用医院数据库，18项仅使用门诊数据库，4项同时使用两者。18项研究中有对所执行算法的验证或讨论。
文献综述证实了法国AHD在传染病领域的价值。AHD是现有监测系统的补充工具，鉴于其优势和可靠性，未来几年其使用可能会更加频繁。然而，新用户需要得到协助。因此，工作组将致力于AHD的合理使用并支持未来的发展。
