Epidemiologic research in an integrated regional medical care system: The Marshfield Epidemiologic Study Area
Epidemiologic research in an integrated regional medical care system: The Marshfield Epidemiologic Study Area
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DOI：
10.1016/0895-4356(96)00008-x
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发表时间：
1996-06-01
影响因子：
7.2
通讯作者：
Layde, PM
中科院分区：
文献类型：
--
作者：
DeStefano, F;Eaker, ED;Layde, PM
为了利用马什菲尔德诊所在人口健康研究方面的优势，我们开发了马什菲尔德流行病学研究区（MESA）。马什菲尔德诊所是一个由大型多专科诊所和23个附属诊所组成的综合系统。诊所医生为该地区居民提供几乎所有的住院和门诊医疗服务。MESA由14个邮政编码组成，其中超过95%的50,000名居民和最重要的健康事件被记录在Marshfield Clinic的数据库中，包括所有死亡、94%的医院出院和92%的门诊就诊。MESA体现了综合医疗保健系统的研究潜力和实现这一潜力所需的努力，因为它代表了一个确定的人群，并提供了一个未选择的患者样本，MESA非常适合于流行病学研究和阐明疾病的临床谱和自然历史以及治疗效果的研究。
To capitalize on Marshfield Clinic's advantages for population-based health research, we developed the Marshfield Epidemiologic Study Area (MESA). Marshfield Clinic is an integrated system consisting of a large multispecialty clinic and 23 affiliated clinics. Clinic physicians provide virtually all of the medical care, both inpatient and outpatient, for residents of the area. MESA consists of 14 ZIP codes in which over 95% of the 50,000 residents and most significant health events are captured in Marshfield Clinic databases, including all deaths, 94% of hospital discharges, and 92% of medical outpatient visits. MESA exemplifies the research potential of integrated medical care systems and the efforts required to realize that potential, Because it is representative of a defined population and provides an unselected sample of patients, MESA is well suited for epidemiologic research and research elucidating the clinical spectrum and natural history of diseases and the effectiveness of treatment.