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  • 标题:Linking Clinical and Administrative Data to Inform Performance Measures Regarding Access to Specialist Care for Patients with Rheumatoid Arthritis
  • 本地全文:下载
  • 作者:Deborah A Marshall ; Claire Barber ; Sharon Zhang
  • 期刊名称:International Journal of Population Data Science
  • 电子版ISSN:2399-4908
  • 出版年度:2018
  • 卷号:3
  • 期号:4
  • 页码:1-1
  • DOI:10.23889/ijpds.v3i4.1030
  • 出版社:Swansea University
  • 摘要:16 years, at least 1 RA related hospitalization (ICD-10-CA:M05.x-M06.x) or two RA related physician visits ≥ eight weeks apart within two years (ICD-9: 714.x).  The incident case date was date of hospitalization or second physician visit (whichever came first). ResultsThis KPI assessed the proportion of patients seen by a rheumatologist within one year of first RA visit by patients in the RA cohort. 13,914 cases of RA were diagnosed between April 1 2010 and March 31 2016. The percentage of patients with new onset RA with at least one visit to a rheumatologist in the first 365 days since diagnosis increased between fiscal years 2011 and 2015. Of the 2851 incident RA cases in fiscal year 2011, 1490 (53%) met the performance measure compared to 1710 of 2710 (63%) who met the definition in fiscal year 2015. Other KPIs, including wait times, are being evaluated using both clinical and administrative data. Conclusion/ImplicationsBy linking multiple administrative datasets, we are able to measure system performance against a defined KPI and identify opportunities for system improvement. This is the first initiative in Alberta for patients with RA where data from different multi-custodial data repositories have been extracted, linked and analyzed for this purpose.
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