At the nurses' station, improving data collection and care.
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OBJECTIVE: This paper identifies specific data items for use by state and local agencies in a maternal and child oral health needs assessment model. METHODS: A modified Delphi approach was used to develop consensus on items for inclusion in the data set and their relative importance. Initially, 31 data items were chosen from several national sources. All state dental directors, along with other selected administrators and advisory committee members for this process, were asked to categorize each of the data items as core (essential), important but optional, or of lesser importance. Short comments about each data item were accepted, as were additions to the list of data items. Two rounds of comments were held. RESULTS: Eleven data items/types of information were selected as core items to be included in all needs assessments. All but one of these items were determined by the scores of the respondents. The advisory committee strongly recommended that at least one core item relate to the public's perception of oral health. Some differences in perceived importance of several items existed among the state dental directors, local dental directors, and the advisory committee. Twenty-one items were identified as being important, but optional, and seven were considered less than important and not included in the model data set. CONCLUSIONS: A modified Delphi approach facilitated the development of core and optional data items for a model oral health needs assessment. This model has potential for a common reporting mechanism so that states and local dental programs can share data.
The framework of cooperation and collaboration enabled a unique voluntary organization of health care providers and consumers to develop and publish a position paper regarding the utilization of cardiac catheterization laboratories in the state of Colorado. The collection and analysis of valid, consistent, and comparable administrative health data provided the basis for recommendations regarding current utilization of cardiac catheterization laboratories, assessment of need by geographic area, and development of criteria for the establishment of additional laboratories. The article describes the methodology used to collect and analyze health data on a statewide basis, the issues of data reliability and validity that resulted, and the process of public release of such data.
It frequently happens that following a patient consultation similar data are recorded in a number of ways in a number of places. This paper describes a method which has been used in one busy clinic to capture this data only once, effecting a saving in consultant's time, avoiding delay in data capture and ensuring consistency of databases. The implementation, using a mixture of custom programs and commercial database software, is discussed. Examples of the sort of data input and user interfaces and some future directions for extension are given. Limitations of commercial packages encountered are mentioned.
In recent years a strong case has been made in support of a viral aetiology for at least some primary hepatocellular carcinoma (PHC) in areas of low incidence. By pooling routinely collected cancer registration and infection data, study of the relationship between hepatitis B virus (HBV) infection and the incidence of PHC in Scotland over the period 1972-1985 has confirmed this view. Over this period the incidence of PHC in men increased, there was a relationship between the incidence of notification of HBV infection and that of hepatocellular carcinoma in different parts of the country, and an increased risk attached to those chronically infected with the virus. Given the recent introduction of lower cost yeast derived vaccines, there may now be more scope for prevention both of primary liver cancer and of other liver disease.
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