A record linkage protocol for a diabetes registry at ethnically diverse community health centers.

Community health centers serve ethnically diverse populations that may pose challenges for record linkage based on name and date of birth. The objective was to identify an optimal deterministic algorithm to link patient encounters and laboratory results for hemoglobin A1c testing and examine its var...

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Publicado en:Journal of the American Medical Informatics Association Vol. 12; no. 3; pp. 331 - 338
Autores principales: Maizlish NA, Herrera L
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA May/Jun2005
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: A record linkage protocol for a diabetes registry at ethnically diverse community health centers.
      aug:
        au:
          Maizlish NA
          Herrera L
        affil: Community Health Center Network, 1320 Harbor Bay Parkway, Suite 250, Alameda, CA 94502; neilm@chcn-eb.org
      sug:
        subj:
          Medical Record Linkage
          Community Health Centers
          Algorithms
          Registries, Disease
          Diabetes Mellitus
          Ethnic Groups
          Glycated Hemoglobin
          Systems Design
          Sensitivity and Specificity
          Predictive Value of Tests
          Evaluation Research
          Chi Square Test
          Data Analysis Software
          Funding Source
          Human
      ab: Community health centers serve ethnically diverse populations that may pose challenges for record linkage based on name and date of birth. The objective was to identify an optimal deterministic algorithm to link patient encounters and laboratory results for hemoglobin A1c testing and examine its variability by health center site, patient ethnicity, and other variables. Based on data elements of last name, first name, date of birth, gender, and health center site, matches with >/=50% to < 100% of a maximum score were manually reviewed for true matches. Match keys based on combinations of name substrings, date of birth, gender, and health center were used to link encounter and laboratory files. The optimal match key was the first two letters of the last name and date of birth, which had a sensitivity of 92.7% and a positive predictive value of 99.5%. Sensitivity marginally varied by health center, age, gender, but not by ethnicity. An algorithm that was inexpensive, accurate, and easy to implement was found to be well suited for population-based measurement of clinical quality.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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