French national health insurance information system and the permanent beneficiaries sample
French national health insurance information system and the permanent beneficiaries sample
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DOI：
10.1016/j.respe.2010.04.005
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发表时间：
2010-08-01
影响因子：
0.9
通讯作者：
Merliere, Y.
中科院分区：
文献类型：
--
作者：
Tuppin, P.;de Roquefeuil, L.;Merliere, Y.
在法国，在21世纪初，立法者下令国家健康保险制度开发一个制度间信息系统(SNIIR-AM)，旨在更好地了解和评估受益人的医疗消费和相关支出。2009年，它包含了覆盖86%的法国人口的普通医疗保险制度的数据；大约5300万人。数据只提供两年加本年度的数据。此外，从SNIIR-AM数据库中创建了健康保险受益人的永久样本(EGB)。这是国家健康保险覆盖的人口中具有代表性的永久性横断面样本，自2004年以来，国家健康保险在20年内监测受益人的医疗消费情况。它包含匿名的社会人口学和医学特征以及卫生保健报销记录。它是使用系统抽样方法(1197)对受益人的国民身份证号码的两位数控制关键字进行创建的，既包括当年的报销接受者，也包括非接受者。2009年，它将国家受薪工人健康保险基金覆盖的近500 000名受益人聚集在一起；77%的法国人口居住在法国，不包括公共服务雇员和学生。EGB用于进行纵向研究，因为它允许追溯患者在医院和办公室护理环境中的护理路径和护理使用情况，并计算个人支出。它还允许研究某些相对常见的疾病，其特点是某些慢性病的报销率为100%，以及示踪药物的报销。最终，SNIIR-AM将包括法国所有不同医疗保险制度覆盖的受益人。(C)2010年，由爱思唯尔·马森公司出版。
In France, in the early 2000s, legislators ordered that the National Health Insurance regime develop an inter-regime information system (SNIIR-AM) aimed at better understanding and evaluating beneficiaries' health care consumption and associated expenditures. In 2009, it contained data from the general health insurance regime that covers 86% of the French population; approximately 53 million people. Data are only available for a period of two years plus the current year. In addition, a permanent sample of health insurance beneficiaries (EGB) was created from the SNIIR-AM database. This is a permanent, representative cross-sectional sample of the population covered by National Health Insurance which, since 2004, monitors beneficiaries' health care consumption over a period of 20 years. It contains anonymous sociodemographic and medical characteristics and records of health care reimbursements. It was created using a systematic sampling method (1197) on the two-digit control key of beneficiaries' national identification number and includes both current year reimbursement recipients and non-recipients. In 2009, it grouped together almost 500,000 beneficiaries covered by the National Health Insurance Fund for Salaried Workers; 77% of the population residing in France excluding public service employees and students. The EGB is used to conduct longitudinal studies as it permits tracing back patients' care paths and use of care in both hospital and office-based care environments and to calculate individual expenditures. It also permits the study of certain relatively frequent diseases characterised by a 100% reimbursement rate for certain chronic diseases and the reimbursement of tracer drugs. Eventually, the SNIIR-AM will include beneficiaries covered by all the different Health Insurance regimes in France. (C) 2010 Published by Elsevier Masson SAS.