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Multi-province epidemiological research using linked administrative data: a case study from Canada

BACKGROUND: Canada has a publicly-funded universal healthcare system with information systems managed by 13 different provinces and territories. This context creates inconsistencies in data collection and challenges for research or surveillance conducted at the national or multi-jurisdictional level...

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Autores principales: Butler, Amanda Leanne, Smith, Mark, Jones, Wayne, Adair, Carol E, Vigod, Simone N, Lesage, Alain, Kurdyak, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Swansea University 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299461/
https://www.ncbi.nlm.nih.gov/pubmed/32935019
http://dx.doi.org/10.23889/ijpds.v3i3.443
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author Butler, Amanda Leanne
Smith, Mark
Jones, Wayne
Adair, Carol E
Vigod, Simone N
Lesage, Alain
Kurdyak, Paul
author_facet Butler, Amanda Leanne
Smith, Mark
Jones, Wayne
Adair, Carol E
Vigod, Simone N
Lesage, Alain
Kurdyak, Paul
author_sort Butler, Amanda Leanne
collection PubMed
description BACKGROUND: Canada has a publicly-funded universal healthcare system with information systems managed by 13 different provinces and territories. This context creates inconsistencies in data collection and challenges for research or surveillance conducted at the national or multi-jurisdictional level. OBJECTIVE: Using a recent Canadian research project as a case study, we document the strengths and challenges of using administrative health data in a multi-jurisdictional context. We discuss the implications of using different health information systems and the solutions we adopted to deal with variations. Our goal is to contribute to better understanding of these challenges and the development of a more integrated and harmonized approach to conducting multi-jurisdictional research using administrative data. CONTEXT AND MODEL: Using data from five separate provincial healthcare data systems, we sought to create and report on a set of provincially-comparable mental health and addiction services performance indicators. In this paper, we document the research process, challenges, and solutions. Finally, we conclude by making recommendations for investment in national infrastructure that could help cut costs, broaden scope, and increase use of administrative health data that exists in Canada. CONCLUSIONS: Canada has an incredible wealth of administrative data that resides in 13 territorial and provincial government systems. Navigating access and improving comparability across these systems has been an ongoing challenge for the past 20 years, but progress is being made. We believe that with some investment, a more harmonized and integrated information network could be developed that supports a broad range of surveillance and research activities with strong policy and program implications.
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spelling pubmed-72994612020-09-14 Multi-province epidemiological research using linked administrative data: a case study from Canada Butler, Amanda Leanne Smith, Mark Jones, Wayne Adair, Carol E Vigod, Simone N Lesage, Alain Kurdyak, Paul Int J Popul Data Sci Population Data Science BACKGROUND: Canada has a publicly-funded universal healthcare system with information systems managed by 13 different provinces and territories. This context creates inconsistencies in data collection and challenges for research or surveillance conducted at the national or multi-jurisdictional level. OBJECTIVE: Using a recent Canadian research project as a case study, we document the strengths and challenges of using administrative health data in a multi-jurisdictional context. We discuss the implications of using different health information systems and the solutions we adopted to deal with variations. Our goal is to contribute to better understanding of these challenges and the development of a more integrated and harmonized approach to conducting multi-jurisdictional research using administrative data. CONTEXT AND MODEL: Using data from five separate provincial healthcare data systems, we sought to create and report on a set of provincially-comparable mental health and addiction services performance indicators. In this paper, we document the research process, challenges, and solutions. Finally, we conclude by making recommendations for investment in national infrastructure that could help cut costs, broaden scope, and increase use of administrative health data that exists in Canada. CONCLUSIONS: Canada has an incredible wealth of administrative data that resides in 13 territorial and provincial government systems. Navigating access and improving comparability across these systems has been an ongoing challenge for the past 20 years, but progress is being made. We believe that with some investment, a more harmonized and integrated information network could be developed that supports a broad range of surveillance and research activities with strong policy and program implications. Swansea University 2018-09-21 /pmc/articles/PMC7299461/ /pubmed/32935019 http://dx.doi.org/10.23889/ijpds.v3i3.443 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
spellingShingle Population Data Science
Butler, Amanda Leanne
Smith, Mark
Jones, Wayne
Adair, Carol E
Vigod, Simone N
Lesage, Alain
Kurdyak, Paul
Multi-province epidemiological research using linked administrative data: a case study from Canada
title Multi-province epidemiological research using linked administrative data: a case study from Canada
title_full Multi-province epidemiological research using linked administrative data: a case study from Canada
title_fullStr Multi-province epidemiological research using linked administrative data: a case study from Canada
title_full_unstemmed Multi-province epidemiological research using linked administrative data: a case study from Canada
title_short Multi-province epidemiological research using linked administrative data: a case study from Canada
title_sort multi-province epidemiological research using linked administrative data: a case study from canada
topic Population Data Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299461/
https://www.ncbi.nlm.nih.gov/pubmed/32935019
http://dx.doi.org/10.23889/ijpds.v3i3.443
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