دورية أكاديمية
Linkage of routinely collected NHS data to evaluate liaison mental health services: challenges and lessons learned
| العنوان: | Linkage of routinely collected NHS data to evaluate liaison mental health services: challenges and lessons learned |
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| المؤلفون: | Guthrie, Else, House, Allan, Hewison, Jenny, Hulme, Claire, Tubeuf, Sandy |
| المساهمون: | UCL - SSH/LIDAM/IRES - Institut de recherches économiques et sociales, UCL - SSS/IRSS - Institut de recherche santé et société |
| المصدر: | United Kingdom. Department of Health and Social Security. Reports on Public Health and Medical Subjects, no. 1, p. 1-15 (2024) |
| بيانات النشر: | National Institute for Health Research / Health and Social Delivery Resarch |
| سنة النشر: | 2024 |
| المجموعة: | DIAL@UCL (Université catholique de Louvain) |
| الوصف: | Background: Liaison mental health services provide mental health care to patients in acute hospital settings. Evaluation of liaison services is challenging due to their heterogeneous organisation and delivery, high case throughput and varied patient case mix. We aimed to link routinely collected National Health Service data from secondary care settings, chosen for their service characteristics, to data from primary care to evaluate hospital-based liaison mental health services in England. Methods: We planned to compare patients referred to hospital-based liaison services with comparable patients in the same hospital not referred to liaison services and comparable patients in hospitals without any liaison services. We designed and enacted a methodology to link data from: (1) Hospital Episode Statistics, a database controlled by the National Health Service Digital and (2) ResearchOne, a primary care database controlled by The Phoenix Partnership. Results: Obtaining approvals for the steps prespecified in the methodological protocol took 907 days. Enactment following approvals took 385 days. Data supplied from Hospital Episode Statistics contained 181,063 patients from 6 hospitals (mean = 30,177, standard deviation = 28,875.86) who matched the inclusion and exclusion criteria. Data supplied from ResearchOne contained 33,666 (18.6%) of these patients from the 6 hospitals (mean = 5611, standard deviation = 5206.59). Discussion: Time required for approvals and enactment was attributable to slowness of data handling processes within each data holder and to resolution of technical and organisational queries between them. Variation in number of patients for which data was supplied between databases and between hospitals was attributable to coding inconsistencies and to the limited intersection of patient populations between databases and variation in recording practices between hospitals. Conclusion: Although it is technically feasible to link primary and secondary care data, the current system is challenging, ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0072-6117 |
| العلاقة: | boreal:284527; http://hdl.handle.net/2078.1/284527Test; urn:ISSN:0072-6117 |
| DOI: | 10.3310/WCPA5283 |
| الإتاحة: | https://doi.org/10.3310/WCPA5283Test http://hdl.handle.net/2078.1/284527Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.DEFB0D5F |
| قاعدة البيانات: | BASE |
| تدمد: | 00726117 |
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| DOI: | 10.3310/WCPA5283 |