Análisis automatizado de la calidad del conjunto mínimo de datos básicos. Implicaciones para los sistemas de ajuste de riesgos

摘要: Summary Setting. Together with the age of patient, main diagnosis, secondary diagnosis (comorbility and complications) procedures performed are critical variables for risk-adjusting. Therefore, its correct incorporation to CMBD is great importance. However, several studies, especially in United States, but also Spain, have made evident existence important problems quality these data, difficulties improvement limitations which this has assess or efficiency hospitals. The objective study approach administrative clinical collected Valencian Health Service (VHS) using an automatized process analysis data from same CMBD, discuss implications management, as well possible strategies. Material method. An 1994 VHS (20 hospitals, 241,341 admissions) was performed, indicators valid fulfilling field values, relationship between fields episode, different episodes volume specificity information. Results. analysed contains few errors management variables, exception residence, it shows information, a high variability Conclusions. may be biased use aims when assessing quality, epidemiological evalua