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Availability of Real-World Data in Italy: A Tool to Navigate Regional Healthcare Utilization Databases

Author

Listed:
  • Edlira Skrami

    (Centre of Epidemiology, Biostatistics and Information Technology, Università Politecnica delle Marche, 60126 Ancona (AN), Italy)

  • Flavia Carle

    (Centre of Epidemiology, Biostatistics and Information Technology, Università Politecnica delle Marche, 60126 Ancona (AN), Italy)

  • Simona Villani

    (Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia (PV), Italy)

  • Paola Borrelli

    (Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia (PV), Italy)

  • Antonella Zambon

    (Department of Statistics and Quantitative Methods, University of Milano-Bicocca, 20126 Milano (MI), Italy)

  • Giovanni Corrao

    (Department of Statistics and Quantitative Methods, University of Milano-Bicocca, 20126 Milano (MI), Italy)

  • Paolo Trerotoli

    (Department of Biomedical Sciences and Human Oncology, University of Bari, 70121 Bari (BA), Italy)

  • Vincenzo Guardabasso

    (Teaching Hospital “Policlinico-Vittorio Emanuele”, University of Catania, 95123 Catania (CT), Italy)

  • Rosaria Gesuita

    (Centre of Epidemiology, Biostatistics and Information Technology, Università Politecnica delle Marche, 60126 Ancona (AN), Italy)

Abstract

The purpose of the study was to map and describe the healthcare utilization databases (HUDs) available in Italy’s 19 regions and two autonomous provinces and develop a tool to navigate through them. A census of the HUDs covering the population of a single region/province and recording local-level data was conducted between January 2014 and October 2016. The characteristics of each HUD regarding the start year, data type and completeness, data management system (DMS), data protection procedures, and data quality control adopted were collected through interviews with the database managers using a standard questionnaire or directly from the website of the regional body managing them. Overall, 352 HUDs met the study criteria. The DMSs, anonymization procedures of personal identification data, and frequency of data quality control were fairly homogeneous within regions, whereas the number of HUDs, data availability, type of identification code, and anonymization procedures were considerably heterogeneous across regions. The study provides an updated inventory of the available regional HUDs in Italy and highlights the need for greater homogeneity across regions to improve comparability of health data from secondary sources. It could represent a reference model for other countries to provide information on the available HUDs and their features, enhancing epidemiological studies across countries.

Suggested Citation

  • Edlira Skrami & Flavia Carle & Simona Villani & Paola Borrelli & Antonella Zambon & Giovanni Corrao & Paolo Trerotoli & Vincenzo Guardabasso & Rosaria Gesuita, 2019. "Availability of Real-World Data in Italy: A Tool to Navigate Regional Healthcare Utilization Databases," IJERPH, MDPI, vol. 17(1), pages 1-12, December.
  • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:8-:d:299207
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    References listed on IDEAS

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    1. Surasak Saokaew & Takashi Sugimoto & Isao Kamae & Chayanin Pratoomsoot & Nathorn Chaiyakunapruk, 2015. "Healthcare Databases in Thailand and Japan: Potential Sources for Health Technology Assessment Research," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-20, November.
    2. Martin Ladouceur & Elham Rahme & Christian A. Pineau & Lawrence Joseph, 2007. "Robustness of Prevalence Estimates Derived from Misclassified Data from Administrative Databases," Biometrics, The International Biometric Society, vol. 63(1), pages 272-279, March.
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    Cited by:

    1. Marica Iommi & Andrea Faragalli & Martina Bonifazi & Federico Mei & Lara Letizia Latini & Marco Pompili & Flavia Carle & Rosaria Gesuita, 2022. "Prognosis and Survival in Idiopathic Pulmonary Fibrosis in the Era of Antifibrotic Therapy in Italy: Evidence from a Longitudinal Population Study Based on Healthcare Utilization Databases," IJERPH, MDPI, vol. 19(24), pages 1-10, December.

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