Core requirements for successful data linkage: an example of a triangulation method
Core requirements for successful data linkage: an example of a triangulation method
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DOI：
10.1136/bmjopen-2016-011879
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发表时间：
2016-01-01
期刊：
影响因子：
2.9
通讯作者：
Bond, C.
中科院分区：
文献类型：
--
作者：
Hopf, Y. M.;Francis, J.;Bond, C.
目的：探讨专业利益相关者和医疗保健专业人员(HCP)对英国国民健康服务(NHS)儿科药物警戒数据联系的看法，并为这一系统提出建议。方法：采用混合方法，包括文献综述、访谈、焦点小组和对苏格兰HHS进行的三轮德尔菲调查，然后使用系统的方案进行三角测量。这项调查采用了行为改变的理论领域框架。对应用基于矩阵的三角测量过程后保留的项目进行主题编码。结果：德尔菲调查中的18篇论文、23名受访者、23名焦点小组参与者和61份完成的问卷的结果对三角测量过程做出了贡献。在三角测量期间，来自所有四项研究的总共25个关键发现被确定。取得了良好的趋同；商定了21项关键结论，并将继续作为建议的参考。这些项目被编码为实用/技术(例如，关于要使用的唯一患者识别符的决定)、强制性(例如，受法规约束)、基本(所有研究都一致地提到，因此需要确保专业支持)或首选。结论：儿科链接数据库的开发得到了苏格兰专业利益相关者和HCP的支持。三角测量确定了一个新的数据链接系统的三套核心要求。额外的第四套“更可取”的要求可能会增加方案的参与度和对新系统的支持。
Objectives: The aim was to explore the views of professional stakeholders and healthcare professionals (HCPs) on the linkage of UK National Health Service (NHS) data for paediatric pharmacovigilance purposes and to make recommendations for such a system.Methods: A mixed methods approach including a literature review, interviews, focus groups and a three-round Delphi survey with HCPs in Scotland was followed by a triangulation process using a systematic protocol. The survey was structured using the Theoretical Domains Framework of behaviour change. Items retained after applying the matrix-based triangulation process were thematically coded. Ethical approval was granted by the North of Scotland Research Ethics Service.Results: Results from 18 papers, 23 interviewees, 23 participants of focus groups and 61 completed questionnaires in the Delphi survey contributed to the triangulation process. A total of 25 key findings from all four studies were identified during triangulation. There was good convergence; 21 key findings were agreed and remained to inform recommendations. The items were coded as practical/technical (eg, decision about the unique patient identifier to use), mandatory (eg, governed by statute), essential (consistently mentioned in all studies and therefore needed to ensure professional support) or preferable.Conclusions: The development of a paediatric linked database has support from professional stakeholders and HCPs in Scotland. The triangulation identified three sets of core requirements for a new system of data linkage. An additional fourth set of 'preferable' requirements might increase engagement of HCPs and their support for the new system.