Pharmacy data in the VA health care system

被引:78
作者
Smith, MW [1 ]
Joseph, GJ
机构
[1] VA Palo Alto Hlth Care Syst, VA HSR&D Htlh Econ Resource Ctr, Palo Alto, CA USA
[2] Stanford Univ, Ctr Primary Care & Outcomes Res, Stanford, CA 94305 USA
[3] Vet Affairs Edward Hines Jr Hosp, VA Informat Resource Ctr, Spinal Cord Injury Qual Enhancement Res Initiat, Hines, IL USA
[4] Vet Affairs Edward Hines Jr Hosp, Midwest Ctr Hlth Serv, Hines, IL USA
[5] Vet Affairs Edward Hines Jr Hosp, Policy Res, Hines, IL USA
关键词
pharmacy; medicine; cost; economics; mirco-costing;
D O I
10.1177/1077558703256726
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Recent advances in Department of Veterans Affairs (VA) health care data systems have greatly increased access to operational pharmacy information. This article presents a brief guide to VA pharmacy data sources: the Veterans Health Information Systems and Technology Architecture files, the Pharmacy Benefits Management database, Decision Support System (DSS) National Data Extracts for inpatient and outpatient care, the planned DSS National Pharmacy Extract, DSS databases at local VA facilities, and the Non-VA Fee Basis files. Depending on the source, available data elements include patient demographics, clinical care information, characteristics of the medication and of the prescribing physician, and cost. Access policies are detailed for VA and non-VA researchers. Linking these sources to VA databases containing data on inpatient and outpatient services offers a comprehensive view of health care within several VA populations of general interest, including people over age 65 and those with physical and psychiatric disabilities.
引用
收藏
页码:92S / 123S
页数:32
相关论文
共 32 条
[1]   Cost-effectiveness of a conservative, ischemia-guided management strategy after non-Q-wave myocardial infarction - Results of a randomized trial [J].
Barnett, PG ;
Chen, S ;
Boden, WE ;
Chow, B ;
Every, NR ;
Lavori, PW ;
Hlatky, MA .
CIRCULATION, 2002, 105 (06) :680-684
[2]   Use of the Decision Support System for VA cost-effectiveness research [J].
Barnett, PG ;
Rodgers, JH .
MEDICAL CARE, 1999, 37 (04) :AS63-AS70
[3]  
CUNNINGHAM F, 2001, VIREC INSIGHTS, V2
[4]   Risk adjustment using automated ambulatory pharmacy data - The RxRisk model [J].
Fishman, PA ;
Goodman, MJ ;
Hornbrook, MC ;
Meenan, RT ;
Bachman, DJ ;
Rosetti, MCO .
MEDICAL CARE, 2003, 41 (01) :84-99
[5]   Development and estimation of a pediatric chronic disease score using automated pharmacy data [J].
Fishman, PA ;
Shay, DK .
MEDICAL CARE, 1999, 37 (09) :874-883
[6]   The relationship between quality and outcomes in routine depression care [J].
Fortney, J ;
Rost, K ;
Zhang, ML ;
Pyne, J .
PSYCHIATRIC SERVICES, 2001, 52 (01) :56-62
[7]   The medicaid Rx model -: Pharmacy-based risk adjustment for public programs [J].
Gilmer, T ;
Kronick, R ;
Fishman, P ;
Ganiats, TG .
MEDICAL CARE, 2001, 39 (11) :1188-1202
[8]  
Hoffman L, 2003, AM J MANAG CARE, V9, P70
[9]  
Hynes DM, 2002, VIREC INSIGHTS, V3, P1
[10]   Protease inhibitor-based therapy is associated with decreased HIV-related health care costs in men treated at a Veterans Administration Hospital [J].
Keiser, P ;
Kvanli, MB ;
Turner, D ;
Reisch, J ;
Smith, JW ;
Nassar, N ;
Gregg, C ;
Skiest, D .
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY, 1999, 20 (01) :28-33