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

用于卫生服务研究的二级健康数据链接：可避免的急诊科使用的患病率和决定因素

基本信息

批准号：
388962813
负责人：
Professorin Dr. Anna Slagman
金额：
--
依托单位：
Centre for Molecular Therapeutics
依托单位国家：
德国
项目类别：
Research Fellowships
财政年份：
2017
资助国家：
德国
起止时间：
2016-12-31 至 2018-12-31
项目状态：
已结题

来源：
https://gepris.dfg.de/gepris/projekt/388962813?language=en
关键词：
Secondary Health Data Linkage Services

项目摘要

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.

目前，急诊和急性医学领域正在德国发展成为一门医学专业学科。 2015 年在柏林建立了临床专业之上的亚专业。同时，研究结构正在不断发展并且至关重要。德国的常规数据记录不够标准化，并且没有关于德国急诊科 (ED) 使用情况以及急诊科就诊前后护理途径的可靠数据。与德国相反，二级卫生保健数据的报告和链接是英美国家的常见做法。澳大利亚特别实施了全国性的急诊科信息系统 (EDIS)，并且与其他数据源的数据链接已经建立。在这个研究项目中，将在澳大利亚对涉及 ED 数据的二级卫生保健数据进行分析，重点是估计患病率并评估可避免的 ED 就诊的决定因素，以便制定循证干预措施来减轻 ED 的负担。该研究项目的另一个重要重点是确定成功实施急诊科的阻碍和促进因素。急诊科信息和数据链接系统，以确定可以转移到德国不断发展的链接系统的解决方案。访问研究人员将因此收集有关急诊和急性医学领域的链接医疗保健数据的标准化、分析和报告领域的具体专业知识。所获得的熟练程度将有助于在整个德国系统中及时、成功地实施这一重要的方法，特别是在德国柏林夏里特大学医院急诊和急症医学系的当前研究小组中。