【医学英文精品课件】healthcare cost and utilization project (hcup)

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1、HealthcareCostandUtilizationProject(HCUP)BackgroundFamilyofhealthcaredatabasesandrelatedsoftwaretoolsDevelopedthroughaFederal-State-IndustrypartnershipFamilyofdatabasesStateInpatientDatabases(SID)StateAmbulatorySurgeryDatabases(SASD)StateEmergencyDepartmentDatabases(SEDD)NationwideInpatientSam

2、ple(NIS)NationwideEmergencyDepartmentSample(NEDS)Kids’InpatientSample(KID)HCUPdatabasesContainacoresetofclinicalandnon-clinicalinformationfoundinatypicaldischargeabstractPatientdemographicsDiagnosiscodesProcedurecodesDischargestatusChargesforALLPAYERSMedicare,Medicaid,privateinsurance,theunins

3、uredHCUPdatabases,cont’dInformationfromdischargeabstractsaretranslatedintoauniformformatfacilitatemulti-Stateandnational-StatecomparisonsandanalysesStateInpatientDatabases(SID)Filesareavailablebeginningwithdatayear1990Containstheuniverseofinpatientdischargeabstracts(~100%)44statesparticipatei

4、ntheSID,encompassing95%ofallU.S.communityhospitaldischargesVariationsacrosstheSIDshttp://www.hcup-us.ahrq.gov/db/state/siddist/siddistvarnote2009.jspNationalInpatientSample(NIS)Filesdatebackto1988.ThelargestALLPAYERinpatientcaredatabaseintheU.S.~8millionhospitalstays~1,000hospitals20%stratifie

5、dsampleofU.S.communityhospitalsKids’InpatientSample(KID)Datayears:1997,2000,2003,2006ThenumberofparticipatingstatesvariesbyyearTheonlyALLPAYERinpatientcaredatabaseforchildrenintheU.S.(age<20years)The2006KIDcontainsasampleof~3millionhospitalstays~3,500U.S.communityhospitalsStateEmergencyDepartm

6、entDatabases(SEDD)Filesareavailablebeginningwithdatayear1999.TheSEDDcontainsdatafromhospital-affiliatedemergencydepartment(ED)abstractsforvisitsthatdonotresultinhospitalization.Currently,29statesparticipateintheSEDDNationalEmergencyDepartmentSample(NEDS)Filesareavailablebeginningwithdatayear20

7、06.LargesALLPAYEREDdatabaseintheU.S.ConstructedfromboththeSEDDandtheSIDtocapturedatabothonEDvisitsthatresultinanadmission,andEDvisitsthatdonotresultinanadmission.NationalEmergencyDepartmentSample(NEDS),cont’dTheNEDScontainsmorethan25mil