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Francisco Estupiñán-Romero
International Association of Classification Societies
Health careData managementSemantic interoperabilityHealth services researchData model
3Publications
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Background Hospital performance, presented as the comparison of average measurements, dismisses that hospital outcomes may vary across types of patients. We aim at drawing out the relevance of accounting for patient heterogeneity when reporting on hospital performance. Methods An observational study on administrative data from virtually all 2009 hospital admissions for Acute Myocardial Infarction (AMI) discharged in Denmark, Portugal, Slovenia, Spain, and Sweden. Hospital performance was proxied...
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#1Enrique Bernal-Delgado (International Association of Classification Societies)H-Index: 13
#2Anibal García-Sempere (Generalitat Valenciana)
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Background: Health systems are witnessing two transitions that rarely look at each other: a) the epidemiological shift that implies health systems to adapt from the delivery of acute fragmented services to the provision of coordinated chronic care; and b) the deep change in the medical knowledge paradigm whose main feature is the use of real world data (RWD) to produce meaningful evidence for decision-making. The appropriate reutilization of the wealth of data routinely collected in the countles...
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Last. Enrique Bernal-DelgadoH-Index: 2
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The European Collaboration for Healthcare Optimisation (ECHO) Data Model Specification corresponds to a technical report documenting the conceptual, logical and physical data models and main requirements and decisions guiding the final design of the ECHO knowledge infrastructure. This document provides further technical details on the data management of the ECHO project, adding useful hints on how the ECHO Consortium solved main technical and semantic interoperability challenges to enable intern...
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#1Enrique Bernal-Delgado (International Association of Classification Societies)H-Index: 13
#2Francisco Estupiñán-Romero (International Association of Classification Societies)
The integration of different administrative data sources from a number of European countries has been shown useful in the assessment of unwarranted variations in health care performance. This essay describes the procedures used to set up a data infrastructure (e.g., data access and exchange, definition of the minimum common wealth of data required, and the development of the relational logic data model) and, the methods to produce trustworthy healthcare performance measurements (e.g., ontologies...
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