The Health Statistics and Health Research Database is Estonian largest set of health-related statistics and survey results administrated by National Institute for Health Development. Use of the database is free of charge.
The database consists of eight main areas divided into sub-areas. The data tables included in the sub-areas are assigned unique codes. The data tables presented in the database can be both viewed in the Internet environment, and downloaded using different file formats (.px, .xlsx, .csv, .json). You can download the detailed database user manual here (.pdf).
The database is constantly updated with new data. Dates of updating the existing data tables and adding new data are provided in the release calendar. The date of the last update to each table is provided after the title of the table in the list of data tables.
A contact person for each sub-area is provided under the "Definitions and Methodology" link of each sub-area, so you can ask additional information about the data published in the database. Contact this person for any further questions and data requests.
Read more about publication of health statistics by National Institute for Health Development in Health Statistics Dissemination Principles.
The Agency for Healthcare Research and Quality (AHRQ) created SyH-DR from eligibility and claims files for Medicare, Medicaid, and commercial insurance plans in calendar year 2016. SyH-DR contains data from a nationally representative sample of insured individuals for the 2016 calendar year. SyH-DR uses synthetic data elements at the claim level to resemble the marginal distribution of the original data elements. SyH-DR person-level data elements are not synthetic, but identifying information is aggregated or masked.
Open Government Licence - Canada 2.0https://open.canada.ca/en/open-government-licence-canada
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The Open Database of Healthcare Facilities (ODHF) is a collection of open data containing the names, types, and locations of health facilities across Canada. It is released under the Open Government License - Canada. The ODHF compiles open, publicly available, and directly-provided data on health facilities across Canada. Data sources include regional health authorities, provincial, territorial and municipal governments, and public health and professional healthcare bodies. This database aims to provide enhanced access to a harmonized listing of health facilities across Canada by making them available as open data. This database is a component of the Linkable Open Data Environment (LODE).
This database is part of the National Medical Information System (NMIS). The National Health Care Practitioner Database (NHCPD) supports Veterans Health Administration Privacy Act requirements by segregating personal information about health care practitioners such as name and social security number from patient information recorded in the National Patient Care Database for Ambulatory Care Reporting and Primary Care Management Module.
The State Inpatient Databases (SID) are part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The SID are a set of hospital databases containing the universe of the inpatient discharge abstracts from participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. The SID can be used to investigate questions and identify trends unique to one state, to compare data from two or more states, and to conduct market area research or small area variation analyses. Data may not be available for all states across all years.
https://www.caliper.com/license/maptitude-license-agreement.htmhttps://www.caliper.com/license/maptitude-license-agreement.htm
Healthcare Data for use with GIS mapping software, databases, and web applications are from Caliper Corporation and contain point geographic files of healthcare organizations, providers, and hospitals and an boundary file of Primary Care Service Areas.
The Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) are a set of hospital databases that contain the universe of hospital inpatient discharge abstracts from data organizations in participating States. The data are translated into a uniform format to facilitate multi-State comparisons and analyses. The SID are based on data from short term, acute care, nonfederal hospitals. Some States include discharges from specialty facilities, such as acute psychiatric hospitals. The SID include all patients, regardless of payer and contain clinical and resource use information included in a typical discharge abstract, with safeguards to protect the privacy of individual patients, physicians, and hospitals (as required by data sources). Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ), HCUP data inform decision making at the national, State, and community levels.
The SID contain clinical and resource-use information that is included in a typical discharge abstract, with safeguards to protect the privacy of individual patients, physicians, and hospitals (as required by data sources). Data elements include but are not limited to: diagnoses, procedures, admission and discharge status, patient demographics (e.g., sex, age), total charges, length of stay, and expected payment source, including but not limited to Medicare, Medicaid, private insurance, self-pay, or those billed as ‘no charge’. In addition to the core set of uniform data elements common to all SID, some include State-specific data elements. The SID exclude data elements that could directly or indirectly identify individuals. For some States, hospital and county identifiers are included that permit linkage to the American Hospital Association Annual Survey File and county-level data from the Bureau of Health Professions' Area Resource File except in States that do not allow the release of hospital identifiers.
Restricted access data files are available with a data use agreement and brief online security training.
Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
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There is a strong and continuously growing interest in using large electronic healthcare databases to study health outcomes and the effects of pharmaceutical products. However, concerns regarding disease misclassification (i.e. classification errors of the disease status) and its impact on the study results are legitimate. Validation is therefore increasingly recognized as an essential component of database research. In this work, we elucidate the interrelations between the true prevalence of a disease in a database population (i.e. prevalence assuming no disease misclassification), the observed prevalence subject to disease misclassification, and the most common validity indices: sensitivity, specificity, positive and negative predictive value. Based on this, we obtained analytical expressions to derive all the validity indices and true prevalence from the observed prevalence and any combination of two other parameters. The analytical expressions can be used for various purposes. Most notably, they can be used to obtain an estimate of the observed prevalence adjusted for outcome misclassification from any combination of two validity indices and to derive validity indices from each other which would otherwise be difficult to obtain. To allow researchers to easily use the analytical expressions, we additionally developed a user-friendly and freely available web-application.
The Database of Hospital beds’ Utilisation is updated on the basis of information provided by inpatient treatment facilities. Inpatient information shall be provided on a monthly basis using form No. 016/u “Patient Movement and Bed Fund Accounting Summary Inpatient”.
Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
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BackgroundIncreasingly, researchers need to demonstrate the impact of their research to their sponsors, funders, and fellow academics. However, the most appropriate way of measuring the impact of healthcare research is subject to debate. We aimed to identify the existing methodological frameworks used to measure healthcare research impact and to summarise the common themes and metrics in an impact matrix.Methods and findingsTwo independent investigators systematically searched the Medical Literature Analysis and Retrieval System Online (MEDLINE), the Excerpta Medica Database (EMBASE), the Cumulative Index to Nursing and Allied Health Literature (CINAHL+), the Health Management Information Consortium, and the Journal of Research Evaluation from inception until May 2017 for publications that presented a methodological framework for research impact. We then summarised the common concepts and themes across methodological frameworks and identified the metrics used to evaluate differing forms of impact. Twenty-four unique methodological frameworks were identified, addressing 5 broad categories of impact: (1) ‘primary research-related impact’, (2) ‘influence on policy making’, (3) ‘health and health systems impact’, (4) ‘health-related and societal impact’, and (5) ‘broader economic impact’. These categories were subdivided into 16 common impact subgroups. Authors of the included publications proposed 80 different metrics aimed at measuring impact in these areas. The main limitation of the study was the potential exclusion of relevant articles, as a consequence of the poor indexing of the databases searched.ConclusionsThe measurement of research impact is an essential exercise to help direct the allocation of limited research resources, to maximise research benefit, and to help minimise research waste. This review provides a collective summary of existing methodological frameworks for research impact, which funders may use to inform the measurement of research impact and researchers may use to inform study design decisions aimed at maximising the short-, medium-, and long-term impact of their research.
ONC uses the SK&A Office-based Provider Database to calculate the counts of medical doctors, doctors of osteopathy, nurse practitioners, and physician assistants at the state and count level from 2011 through 2013. These counts are grouped as a total, as well as segmented by each provider type and separately as counts of primary care providers.
The Healthcare Cost and Utilization Project (HCUP) Nationwide Readmissions Database (NRD) is a unique and powerful database designed to support various types of analyses of national readmission rates for all payers and the uninsured. The NRD includes discharges for patients with and without repeat hospital visits in a year and those who have died in the hospital. Repeat stays may or may not be related. The criteria to determine the relationship between hospital admissions is left to the analyst using the NRD. This database addresses a large gap in health care data - the lack of nationally representative information on hospital readmissions for all ages. Outcomes of interest include national readmission rates, reasons for returning to the hospital for care, and the hospital costs for discharges with and without readmissions. Unweighted, the NRD contains data from approximately 18 million discharges each year. Weighted, it estimates roughly 35 million discharges. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality, HCUP data inform decision making at the national, State, and community levels. The NRD is drawn from HCUP State Inpatient Databases (SID) containing verified patient linkage numbers that can be used to track a person across hospitals within a State, while adhering to strict privacy guidelines. The NRD is not designed to support regional, State-, or hospital-specific readmission analyses. The NRD contains more than 100 clinical and non-clinical data elements provided in a hospital discharge abstract. Data elements include but are not limited to: diagnoses, procedures, patient demographics (e.g., sex, age), expected source of payer, regardless of expected payer, including but not limited to Medicare, Medicaid, private insurance, self-pay, or those billed as ‘no charge, discharge month, quarter, and year, total charges, length of stay, and data elements essential to readmission analyses. The NIS excludes data elements that could directly or indirectly identify individuals. Restricted access data files are available with a data use agreement and brief online security training.
The data package contains NPI related datasets. The NPI number of all the covered health care professionals, the deactivated NPI's and dfferent codes used within the NPI dataset
The HCUP Summary Trend Tables include monthly information on hospital utilization derived from the HCUP State Inpatient Databases (SID) and HCUP State Emergency Department Databases (SEDD). Information on emergency department (ED) utilization is dependent on availability of HCUP data; not all HCUP Partners participate in the SEDD.
The HCUP Summary Trend Tables include downloadable Microsoft® Excel tables with information on the following topics:
Our highly-targeted consumer healthcare database includes:
🗸 Name 🗸 Postal Address, Email Address, Telephone Number 🗸 Age, Gender 🗸 Most likely to ask a Doctor About an Advertised Prescription Medicine 🗸 Most likely looked for Medical Information on the Web 🗸 Most Likely to Prefer Brand Name Medicines 🗸 Most Likely to Buy Prescriptions through the Mail
The dataset is available for purchase by US region: 🗸 New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) 🗸 Middle Atlantic (New Jersey, New York, and Pennsylvania) 🗸 East North Central (Illinois, Indiana, Michigan, Ohio, and Wisconsin) 🗸 West North Central (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota) 🗸 South Atlantic (Delaware; Florida; Georgia; Maryland; North Carolina; South Carolina; Virginia; Washington, D.C. and West Virginia) 🗸 East South Central (Alabama, Kentucky, Mississippi, and Tennessee) 🗸 West South Central (Arkansas, Louisiana, Oklahoma, and Texas) 🗸 Mountain (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, and Wyoming) 🗸 Pacific (Alaska, California, Hawaii, Oregon, and Washington)
The Healthcare Cost and Utilization Project (HCUP) Nationwide Emergency Department Sample (NEDS) is the largest all-payer emergency department (ED) database in the United States. yielding national estimates of hospital-owned ED visits. Unweighted, it contains data from over 30 million ED visits each year. Weighted, it estimates roughly 145 million ED visits nationally. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality, HCUP data inform decision making at the national, State, and community levels. Sampled from the HCUP State Inpatient Databases (SID) and State Emergency Department Databases (SEDD), the HCUP NEDS can be used to create national and regional estimates of ED care. The SID contain information on patients initially seen in the ED and subsequently admitted to the same hospital. The SEDD capture information on ED visits that do not result in an admission (i.e., treat-and-release visits and transfers to another hospital). Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality, HCUP data inform decision making at the national, State, and community levels. The NEDS contain information about geographic characteristics, hospital characteristics, patient characteristics, and the nature of visits (e.g., common reasons for ED visits, including injuries). The NEDS contains clinical and resource use information included in a typical discharge abstract, with safeguards to protect the privacy of individual patients, physicians, and hospitals (as required by data sources). It includes ED charge information for over 85% of patients, regardless of expected payer, including but not limited to Medicare, Medicaid, private insurance, self-pay, or those billed as ‘no charge’. The NEDS excludes data elements that could directly or indirectly identify individuals, hospitals, or states.Restricted access data files are available with a data use agreement and brief online security training.
The Healthcare Cost and Utilization Project (HCUP) State Emergency Department Databases (SEDD) contain the universe of emergency department visits in participating States. The data are translated into a uniform format to facilitate multi-State comparisons and analyses. The SEDD consist of data from hospital-based emergency department visits that do not result in an admission. The SEDD include all patients, regardless of the expected payer including but not limited to Medicare, Medicaid, private insurance, self-pay, or those billed as ‘no charge’. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ), HCUP data inform decision making at the national, State, and community levels. The SEDD contain clinical and resource use information included in a typical discharge abstract, with safeguards to protect the privacy of individual patients, physicians, and facilities (as required by data sources). Data elements include but are not limited to: diagnoses, procedures, admission and discharge status, patient demographics (e.g., sex, age, race), total charges, length of stay, and expected payment source, including but not limited to Medicare, Medicaid, private insurance, self-pay, or those billed as ‘no charge’. In addition to the core set of uniform data elements common to all SEDD, some include State-specific data elements. The SEDD exclude data elements that could directly or indirectly identify individuals. For some States, hospital and county identifiers are included that permit linkage to the American Hospital Association Annual Survey File and the Bureau of Health Professions' Area Resource File except in States that do not allow the release of hospital identifiers. Restricted access data files are available with a data use agreement and brief online security training.
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The databases resulting from articles that created the database and released it are not mentioned here because they will be mentioned later. All Latin America means Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, El Salvador, Guatemala, Guyana, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, Suriname, Uruguay, Venezuela.
The largest all-payer ambulatory surgery database in the United States, the Healthcare Cost and Utilization Project (HCUP) Nationwide Ambulatory Surgery Sample (NASS) produces national estimates of major ambulatory surgery encounters in hospital-owned facilities. Major ambulatory surgeries are defined as selected major therapeutic procedures that require the use of an operating room, penetrate or break the skin, and involve regional anesthesia, general anesthesia, or sedation to control pain (i.e., surgeries flagged as "narrow" in the HCUP Surgery Flag Software). Unweighted, the NASS contains approximately 9.0 million ambulatory surgery encounters each year and approximately 11.8 million ambulatory surgery procedures. Weighted, it estimates approximately 11.9 million ambulatory surgery encounters and 15.7 million ambulatory surgery procedures. Sampled from the HCUP State Ambulatory Surgery and Services Databases (SASD) and State Emergency Department Databases (SEDD) in order to capture both planned and emergent major ambulatory surgeries, the NASS can be used to examine selected ambulatory surgery utilization patterns. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality, HCUP data inform decision making at the national, State, and community levels. The NASS contains clinical and resource-use information that is included in a typical hospital-owned facility record, including patient characteristics, clinical diagnostic and surgical procedure codes, disposition of patients, total charges, facility characteristics, and expected source of payment, regardless of payer, including patients covered by Medicaid, private insurance, and the uninsured. The NASS excludes data elements that could directly or indirectly identify individuals, hospitals, or states. The NASS is limited to encounters with at least one in-scope major ambulatory surgery on the record, performed at hospital-owned facilities. Procedures intended primarily for diagnostic purposes are not considered in-scope. Restricted access data files are available with a data use agreement and brief online security training.
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Background: In Brazil, studies that map electronic healthcare databases in order to assess their suitability for use in pharmacoepidemiologic research are lacking. We aimed to identify, catalogue, and characterize Brazilian data sources for Drug Utilization Research (DUR).Methods: The present study is part of the project entitled, “Publicly Available Data Sources for Drug Utilization Research in Latin American (LatAm) Countries.” A network of Brazilian health experts was assembled to map secondary administrative data from healthcare organizations that might provide information related to medication use. A multi-phase approach including internet search of institutional government websites, traditional bibliographic databases, and experts’ input was used for mapping the data sources. The reviewers searched, screened and selected the data sources independently; disagreements were resolved by consensus. Data sources were grouped into the following categories: 1) automated databases; 2) Electronic Medical Records (EMR); 3) national surveys or datasets; 4) adverse event reporting systems; and 5) others. Each data source was characterized by accessibility, geographic granularity, setting, type of data (aggregate or individual-level), and years of coverage. We also searched for publications related to each data source.Results: A total of 62 data sources were identified and screened; 38 met the eligibility criteria for inclusion and were fully characterized. We grouped 23 (60%) as automated databases, four (11%) as adverse event reporting systems, four (11%) as EMRs, three (8%) as national surveys or datasets, and four (11%) as other types. Eighteen (47%) were classified as publicly and conveniently accessible online; providing information at national level. Most of them offered more than 5 years of comprehensive data coverage, and presented data at both the individual and aggregated levels. No information about population coverage was found. Drug coding is not uniform; each data source has its own coding system, depending on the purpose of the data. At least one scientific publication was found for each publicly available data source.Conclusions: There are several types of data sources for DUR in Brazil, but a uniform system for drug classification and data quality evaluation does not exist. The extent of population covered by year is unknown. Our comprehensive and structured inventory reveals a need for full characterization of these data sources.
The Health Statistics and Health Research Database is Estonian largest set of health-related statistics and survey results administrated by National Institute for Health Development. Use of the database is free of charge.
The database consists of eight main areas divided into sub-areas. The data tables included in the sub-areas are assigned unique codes. The data tables presented in the database can be both viewed in the Internet environment, and downloaded using different file formats (.px, .xlsx, .csv, .json). You can download the detailed database user manual here (.pdf).
The database is constantly updated with new data. Dates of updating the existing data tables and adding new data are provided in the release calendar. The date of the last update to each table is provided after the title of the table in the list of data tables.
A contact person for each sub-area is provided under the "Definitions and Methodology" link of each sub-area, so you can ask additional information about the data published in the database. Contact this person for any further questions and data requests.
Read more about publication of health statistics by National Institute for Health Development in Health Statistics Dissemination Principles.