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Federal Data Sources for Child Health Services Research

Federal Data Sources for Child Health Services Research. Overview Pamela Owens, PhD Jane Sisk, PhD Jessica Banthin, PhD June 2006. Objectives. To become familiar with Federal databases available to answer research and policy questions related to children’s health care

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Federal Data Sources for Child Health Services Research

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  1. Federal Data Sources for Child Health Services Research Overview Pamela Owens, PhD Jane Sisk, PhD Jessica Banthin, PhD June 2006

  2. Objectives • To become familiar with Federal databases available to answer research and policy questions related to children’s health care • To be able to identify the most appropriate database to answer your specific research or policy question

  3. Overview of Panel • Choosing the most appropriate database • Factor to consider when choosing a database • Examples • Data from the National Center for Health Statistics (NCHS) • Jane Sisk, PhD • Medical Expenditure Panel Survey (MEPS) • Jessica Banthin, PhD • Healthcare Cost and Utilization Project (HCUP) • Pamela Owens, PhD

  4. Choosing a Database Consider …. • What is your research or policy question? • Can the question be addressed with survey data? With administrative data? • What perspective are you interested in (e.g., patient, provider, facility, setting, visit)? • Unit of analysis • What population are you interested in (e.g., national, regional, state, local)? • Population, sampling frame • What sample size do you need to answer your question? • Total N • Pooling years

  5. Choosing a Database Consider …. • What time frame are you interested in (e.g., specific year, cross-sectional, trends)? • Year(s) of data • What information do you need to answer your question? • Data elements • Do you need to bring together several types of data? • Linkages • How much money and time do you have to answer the question? • Cost • Availability/Accessibility

  6. Children’s Use of Antibiotics • What are the research questions? • Has there been a change in children’s use of antibiotics across a 5-year time period? • What factors are associated with children’s use of antibiotics? • What perspective? • Children as the unit of analysis • What population? • Children across the US (national) • Time: • Trends - 5 consecutive years of data

  7. Children’s Use of Antibiotics • What information is needed to answer the question? • Antibiotic use (medication use) • Respiratory conditions (disease) • Outpatient visit utilization • Insurer • Demographics – income, race/ethnicity • How much money and time should be allocated to the project? What database should you choose?

  8. Quality of Health Care • What are the research questions? • Does quality of outpatient and inpatient care vary by insurance? • How does the answer to this question vary by specific conditions or sub-populations (e.g., SCHCN)? • What perspective? • Children as the unit of analysis • Hospitalizations as the unit of analysis • What population? • Children who use health care across the US, across a state, across a county • Time: • Cross-sectional (one year) • Trends (multi-year)

  9. Quality of Care • What information is needed to answer the question? • Quality of care • How is it going to be measured? • What measures are available? • Insurance/payer • Demographic information on the patient (age, race, income, residence) • Specific conditions • Procedures performed during the visit/hospitalization • Insurer/Payer of the visit/hospitalization • Outcome of the visit/hospitalization • How much money and time should be allocated to the project? What database should you choose?

  10. IOM Releases Report on Emergency Care for Children: Growing Pains • What are the general research questions? • How safe is pediatric emergency care? • How equitable is pediatric emergency care? • How much does pediatric emergency care cost? • What perspective? • Emergency department (ED) visits as the unit of analysis • [Children as the unit of analysis] • What population? • Children who use the EDs across the US, across a state, across a county • Time: • Cross-sectional (one year) • Trends (multi-year)

  11. IOM Releases Report on Emergency Care for Children: Growing Pains • What information is needed to answer the question? • Emergency department use • Demographic information on the patient (age, race, income, geographic location) • Reason for ED visit • Procedures performed during the ED visit • Insurer/Payer of the ED visit • Cost, charges, expenditures associated with the ED visit • Outcome of the ED visit (e.g., hospitalized, discharged home) • How much money and time should be allocated to the project? What database should you choose?

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