Department of Pediatrics, Children's Mercy Kansas City, University of Missouri Kansas City, Kansas City, Missouri.
Department of Pediatrics, The University of Kansas, Kansas City, Kansas.
Hosp Pediatr. 2022 Sep 1;12(9):e319-e325. doi: 10.1542/hpeds.2022-006691.
Provider- and claims-focused administrative databases are powerful tools for conducting health services research, and these studies often have good generalizability owing to diversity of hospitals from which samples are derived. In this research methods article, we describe administrative data and how available provider- and claims-focused administrative databases can be used to conduct health services research. We describe common observational study designs using administrative data and provide real-world examples. We highlight the strengths and weaknesses of studies conducted using administrative data and describe methodological considerations to reduce bias and improve the rigor of observational studies using administrative data. Finally, we provide guidance on the types of study questions suitable for observational study designs using administrative data.
提供方和索赔为重点的管理数据库是进行医疗服务研究的有力工具,由于这些研究的样本来源于不同的医院,因此通常具有很好的通用性。在本研究方法文章中,我们将描述管理数据以及如何使用以提供方和索赔为重点的管理数据库来进行医疗服务研究。我们描述了使用管理数据进行的常见观察性研究设计,并提供了实际示例。我们强调了使用管理数据进行的研究的优缺点,并描述了减少偏倚和提高使用管理数据进行观察性研究严谨性的方法学考虑因素。最后,我们就适合使用管理数据进行观察性研究设计的研究问题类型提供了指导。