Thiessen Kellie, Nickel Nathan, Prior Heather J, Morris Margaret, Robinson Kristine
Director, Midwifery Program (University of Manitoba/McMaster University), Assistant Professor, College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB.
Assistant Professor, Manitoba Centre for Health Policy, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB.
Healthc Policy. 2018 Nov;14(2):22-30. doi: 10.12927/hcpol.2018.25689.
The concept, "most responsible provider" has a specific definition in the Canadian National Discharge Abstract Database (DAD). Variation exists in how care providers are defined in administrative data.
We compared chart data with administrative data to understand how "most responsible provider" was identified in these two data sources.
We found a 3% discrepancy between data sources. Differences between data sources were attributable to transfers in care that occurred at birth.
"Most responsible provider" should consider the full trajectory of care when assigning outcomes in order to understand how to best support optimal health among low-risk births.
“最主要责任提供者”这一概念在加拿大国家出院摘要数据库（DAD）中有特定定义。行政数据中护理提供者的定义存在差异。
我们将病历数据与行政数据进行比较，以了解在这两个数据源中如何确定“最主要责任提供者”。
我们发现数据源之间存在3%的差异。数据源之间的差异可归因于出生时发生的护理转移。
“最主要责任提供者”在分配结果时应考虑护理的全过程，以便了解如何最好地支持低风险分娩中的最佳健康状况。
