Secondary Health Data Linkage for Health Services Research: Prevalence and determinants of avoidable emergency department utilization

急诊和急性医学领域目前正在成长为德国的医学专业学科。柏林于2015年建立了临床专业化之上的亚专业化。 与此同时，研究结构也在不断演变，而且至关重要。德国的常规数据文件没有很好的标准化，没有可靠的数据可用于急诊室（艾德）的利用和护理途径之前和之后的急诊室访问在德国。与德国，报告和二级医疗保健数据的联系是英美国家的常见做法。澳大利亚特别实施了一个全国性的急诊信息系统（EDIS），并与其他数据源建立了良好的数据链接。在本研究项目中，将分析澳大利亚涉及艾德数据的二级卫生保健数据，重点是估计患病率，并评估可避免的艾德就诊的决定因素，以建立证据-研究项目的另一个重点是确定成功实施急诊科信息和数据链接系统的阻碍和促进因素，以确定可以转移到急诊科的解决方案。在德国不断发展的联系系统。因此，访问研究员将收集有关急诊和急性医学领域的相关医疗保健数据的标准化，分析和报告领域的具体专业知识。所获得的教授将有助于在德国系统中及时和成功地实施这一重要的方法论方法，特别是在德国柏林Charité大学医院急诊和急性医学部目前的研究小组中。

The field of Emergency and Acute Medicine is currently growing into a medical specialty discipline in Germany. A subspecialization on top of a clinical specialization has been established in Berlin 2015. Concurrently research structures are evolving and are of utmost importance. The documentation of routine data in Germany is not well standardized and no reliable data are available on Emergency Department (ED) utilization and pathways of care before and after an Emergency Department visit in Germany.As opposed to Germany, reporting and linkage of secondary health care data is common practice in Anglo-American countries. Australia especially implemented a nationwide Emergency Department Information System (EDIS) and data linkage to other data sources is well-established.In this research project linked secondary health care data involving ED data will be analyzed in Australia with the focus to estimate the prevalence and to assess determinants of avoidable ED visits in order to develop evidence-based interventions to disburden EDs.Another important focus of the research project will be to identify impeding and facilitating factors for a successful implementation of an Emergency Department information and data linkage system to identify solutions that can be transferred to an evolving linkage system in Germany.The visiting researcher will thus gather specific expertise in the field of standardization, analysis and reporting of linked health care data concerning the field of Emergency and Acute Medicine. The acquired proficiencies will facilitate the timely and successful implementation of this important methodological approach in the German system in general, and specifically in the current research group at the Department of Emergency and Acute Medicine at the Charité University Hospital in Berlin, Germany.