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  1. Discordance of databases designed for clamis payment versus clinical information systems : implications for outcomes research.

    Article - En anglais

    Objective

    To determine the suitability of insurance claims information for use in clinical outcomes research in ischemic heart disease.

    Design

    Concordance study of two databases.

    Setting

    Tertiary care referral center.

    Patients

    A total of 12 937 consecutive patients hospitalized for cardiac catheterization for suspected ischemic heart disease between July 1985 and May 1990.

    Interventions

    Two-by-two tables were used to compute overall and kappa measures of agreement comparing clinical versus claims data for 12 important predictors of prognosis in patients with ischemic heart disease.

    Measurements

    Kappa statistics (agreement adjusted for chance agreement) were used to quantify agreement rates.

    Mots-clés Pascal : Pronostic, Dossier médical, Système information, Cardiopathie coronaire, Base donnée, Réclamation, Assurance maladie, Etude comparative, Etats Unis, Collecte donnée, Information biomédicale, Validité, Amérique du Nord, Amérique, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Prognosis, Medical record, Information system, Coronary heart disease, Database, Protest, Health insurance, Comparative study, United States, Data gathering, Biomedical information, Validity, North America, America, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0023224

    Code Inist : 002B30A01A1. Création : 199406.