Health-care data collecting, sharing, and using in Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia.
Health-care data collecting, sharing, and using in Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia.
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DOI：
10.1016/j.jval.2011.11.004
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发表时间：
2012-01
期刊：
影响因子：
--
通讯作者：
Xu L
中科院分区：
文献类型：
--
作者：
Aljunid SM;Srithamrongsawat S;Chen W;Bae SJ;Pwu RF;Ikeda S;Xu L
本文旨在描述亚太区域六个选定经济体的医疗保健数据情况。来自泰国、中国大陆、韩国、台湾、日本和马来西亚的作者分三部分进行了分析。文章的第一部分描述了数据收集过程和数据来源。文章的第二部分介绍了与利益相关者共享数据的政策问题。文章的第三部分也是最后一部分重点关注这些不同经济体在政策改革中使用医疗保健数据的程度。尽管这些经济体的经济结构和人口规模各不相同，但它们在与保健数据有关的问题上有一些相似之处。这些经济体有两个主要机构收集和管理医疗保健数据。在泰国、中国大陆、台湾和马来西亚，卫生部通过其各机构负责收集和管理卫生保健数据。另一方面，在韩国和日本，健康保险是收集和存储医疗数据的主要机构。在所有经济体中，共享和获取数据都是一个问题。限制获取某些数据的原因是隐私保护、保健系统支离破碎、例行收集的数据质量差、获取数据的政策和程序不明确以及对出版自由的控制。在这些经济体中收集保健数据的主要目的是协助政策制定者和研究人员作出政策决定，并提高公众对保健问题的认识。使用数据监测卫生系统的性能仍在开发过程中。最后，就所讨论的区域而言，保健数据收集由卫生部和健康保险机构负责。数据是从主要来自公共部门的保健提供者收集的。国家调查补充了政府收集的数据。在所讨论的大多数经济体中，获取数据是一个主要问题。需要准确的保健数据主要是为了支持政策制定和循证决策。
This article sought to describe the health-care data situation in six selected economies in the Asia-Pacific region. Authors from Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia present their analyses in three parts. The first part of the article describes the data-collection process and the sources of data. The second part of the article presents issues around policies of data sharing with the stakeholders. The third and final part of the article focuses on the extent of health-care data use for policy reform in these different economies. Even though these economies differ in their economic structure and population size, they share some similarities on issues related to health-care data. There are two main institutions that collect and manage the health-care data in these economies. In Thailand, China mainland, Taiwan, and Malaysia, the Ministry of Health is responsible through its various agencies for collecting and managing the health-care data. On the other hand, health insurance is the main institution that collects and stores health-care data in South Korea and Japan. In all economies, sharing of and access to data is an issue. The reasons for limited access to some data are privacy protection, fragmented health-care system, poor quality of routinely collected data, unclear policies and procedures to access the data, and control on the freedom on publication. The primary objective of collecting health-care data in these economies is to aid the policymakers and researchers in policy decision making as well as create an awareness on health-care issues for the general public. The usage of data in monitoring the performance of the heath system is still in the process of development. In conclusion, for the region under discussion, health-care data collection is under the responsibility of the Ministry of Health and health insurance agencies. Data are collected from health-care providers mainly from the public sector. Routinely collected data are supplemented by national surveys. Accessibility to the data is a major issue in most of the economies under discussion. Accurate health-care data are required mainly to support policy making and evidence-based decisions.
影响因子：
4.5
作者：
Garrison, Louis P., Jr.;Neumann, Peter J.;Mullins, Daniel
通讯作者：
Mullins, Daniel
影响因子：
168.9
作者：
Liu, Yuanli;Rao, Keqin;Gakidou, Emmanuela
通讯作者：
Gakidou, Emmanuela