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Policy analysis in an information-rich environment

Author

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  • Roos, Leslie L.
  • Menec, Verena
  • Currie, R. J.

Abstract

Population-based insurance systems using longitudinal administrative data and record linkage techniques have helped create "information-rich" environments in several sites around the world. The output of five research groups using administrative data (Oxford, Western Australia, and three Canadian centres: Manitoba, Ontario and British Columbia) was analysed from contacts with the research groups and through use of the National Library of Medicine's PubMed and Medical Subject Headings (MeSH) categories. MeSH words "utilization", "economics", "physicians", and "physician practice patterns" more frequently characterized the research by the three Canadian centres than that of the other sites. With core funding for deliverables negotiated with the provincial health ministries, Canadian researchers have been more likely to use linked databases for policy analyses. Manitoba examples highlight the capabilities associated with these information-rich environments. They include the ability to analyse interventions longitudinally; to compare regions, areas and hospitals in defined populations; to combine information on patients and physicians; to add up expenditures for different services within the Canadian health-care system; and to examine population health issues in areas such as education and family services. Well-organized data and the capability for rapid response have been critical for timely policy analysis in Manitoba. A number of successes are mentioned; less successful efforts to influence practice patterns and to modify the internal workings of hospitals are noted. Investments in filling gaps in data collection and in enriching existing data would facilitate additional research. Planning and managing health care for an entire population has benefited greatly from the development of an information-rich environment.

Suggested Citation

  • Roos, Leslie L. & Menec, Verena & Currie, R. J., 2004. "Policy analysis in an information-rich environment," Social Science & Medicine, Elsevier, vol. 58(11), pages 2231-2241, June.
  • Handle: RePEc:eee:socmed:v:58:y:2004:i:11:p:2231-2241
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    Citations

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    Cited by:

    1. Struck, Shannon & Enns, Jennifer E. & Sanguins, Julianne & Chartier, Mariette & Nickel, Nathan C. & Chateau, Dan & Sarkar, Joykrishna & Burland, Elaine & Hinds, Aynslie & Katz, Alan & Santos, Rob & Ch, 2021. "An unconditional prenatal cash benefit is associated with improved birth and early childhood outcomes for Metis families in Manitoba, Canada," Children and Youth Services Review, Elsevier, vol. 121(C).
    2. Leslie Roos & Brett Hiebert & Phongsack Manivong & Jason Edgerton & Randy Walld & Leonard MacWilliam & Janelle Rocquigny, 2013. "What is Most Important: Social Factors, Health Selection, and Adolescent Educational Achievement," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 110(1), pages 385-414, January.
    3. Roos, Leslie L. & Brownell, Marni & Lix, Lisa & Roos, Noralou P. & Walld, Randy & MacWilliam, Leonard, 2008. "From health research to social research: Privacy, methods, approaches," Social Science & Medicine, Elsevier, vol. 66(1), pages 117-129, January.
    4. Krzysztof Świtała, 2018. "The Healthcare Information System in the Context of Planning and Evaluating Healthcare Policies in Poland," Collegium of Economic Analysis Annals, Warsaw School of Economics, Collegium of Economic Analysis, issue 52, pages 103-120.
    5. Chartier, Mariette & Enns, Jennifer E & Nickel, Nathan C & Campbell, Rhonda & Phillips-Beck, Wanda & Sarkar, Joykrishna & Lee, Janelle Boram & Burland, Elaine & Chateau, Dan & Katz, Alan & Santos, Rob, 2020. "The association of a paraprofessional home visiting intervention with lower child maltreatment rates in First Nation families in Canada: A population-based retrospective cohort study," Children and Youth Services Review, Elsevier, vol. 108(C).
    6. Kiivet, Raul & Sund, Reijo & Linna, Miika & Silverman, Barbara & Pisarev, Heti & Friedman, Nurit, 2013. "Methodological challenges in international performance measurement using patient-level administrative data," Health Policy, Elsevier, vol. 112(1), pages 110-121.

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