Putnam-Hornstein Emily, Ghaly Mark, Wilkening Michael
Emily Putnam-Hornstein ( ehornste@usc. edu ) is director of the Children's Data Network, University of Southern California, in Los Angeles.
Mark Ghaly is secretary of the California Health and Human Services Agency, in Sacramento.
Health Aff (Millwood). 2020 Apr;39(4):655-661. doi: 10.1377/hlthaff.2019.01752.
The value of using administrative records for operational and evaluation purposes has been well established in health and human services. However, these records typically reflect the reach of a single government agency or program and fail to capture the experiences of individuals as they engage with different agencies or programs over time. Thus, the potential for these data to improve everyday operations, coordinate services, develop targeted interventions, and advance the science behind broader social policies has yet to be fully realized. A first step toward realizing that potential is to transition from an agency-centered to a client- or person-centered organization of data. We systematically linked tens of millions of records across California's largest health and human services programs. Our results underscore how the integration of records can help shift discussions from the programs that administer services to the people who are served.
在卫生和公共服务领域，使用行政记录用于运营和评估目的的价值已得到充分确立。然而，这些记录通常反映的是单个政府机构或项目的覆盖范围，无法捕捉个人在一段时间内与不同机构或项目互动的经历。因此，这些数据在改善日常运营、协调服务、制定有针对性的干预措施以及推进更广泛社会政策背后的科学方面的潜力尚未得到充分实现。实现这一潜力的第一步是从以机构为中心的数据组织转变为以客户或个人为中心的数据组织。我们系统地链接了加利福尼亚州最大的卫生和公共服务项目中的数千万条记录。我们的结果强调了记录整合如何有助于将讨论从提供服务的项目转向接受服务的人群。
