ITMO public health
Last update : 10/15/2013 | Version : 1 | ID : 261
| General | |
| Identification | |
| Detailed name | Medicalization program of the information system concerning hospitalization at home |
| Sign or acronym | PMSI-HAD |
| CNIL registration number, number and date of CPP agreement, AFSSAPS (French Health Products Safety Agency) authorisation | Autorisation par la CNIL |
| General Aspects | |
| Medical area |
Anatomy - Cytology Biology Cancer research Cardiology Emergency medicine Endocrinology and metabolism General practice Geriatrics Hematology Immunology Infectious diseases Internal medicine Neurology Odontology Ophthalmology Otolaryngology or ENT Physical medicine and rehabilitation Pneumology Psychology and psychiatry Rare diseases Rheumatology Study of allergies Traumatology Urology, andrology and nephrology |
| Health determinants |
Addictions Climate Genetic Iatrogenic Intoxication Nutrition Occupation Pollution Social and psychosocial factors |
| Others (details) | Hospitalization, chronic diseases |
| Keywords | Hospitalization at home (HAD, Hospitalisation à Domicile in French), hospital care at home, caring mode, Karnofsky index (IK), everyday life activity (AVQ), RPSS, RAPSS, dependency |
| Scientific investigator(s) (Contact) | |
| Name of the director | Agence Technique de l'Information sur l'Hospitalisation (ATIH) |
| Address | 117 boulevard Marius Vivier Merle 69329 LYON CEDEX 03 |
| demandes@atih.sante.fr | |
| Organization | Agence Technique de l'Information sur l'Hospitalisation |
| Collaborations | |
| Funding | |
| Funding status |
Public |
| Details | État français, Assurance maladie |
| Governance of the database | |
| Sponsor(s) or organisation(s) responsible | Agence Technique de l'Information sur l'Hospitalisation (ATIH) |
| Organisation status |
Public |
| Additional contact | |
| Main features | |
| Type of database | |
| Type of database |
Health relevant administrative databases |
| Database recruitment is carried out by an intermediary |
A selection of health institutions and services |
| Database recruitment is carried out as part of an interventional study |
No |
| Additional information regarding sample selection. | Systematic collection of hospital activity |
| Database objective | |
| Main objective | PMSI is a tool for medico-economic analysis of hospital activity. Its main purpose is to describe hospital activity to enable a better division of budgetary envelopes, according to the medical and economic complexity of the pathologies treated in each establishment. By its medical-administrative content, it allows to study hospital morbidity and its caring (diagnosis and actions), and the analysis of regional and interregional fluxes of hospitalizations. It's finally used as an internal management tool for some health establishments. In 2004, a systematic collection of medical information has been set up for all the health establishments, publics or privates, having an authorization for hospitalization at home activities, since the 1st of January 2005. The specific of this collection, in comparison with the ones realized in other domains of hospitalization, concern the nature of the information collected: caring methods, main and associated, Karnofsky index. These variables define the classification into homogenous caring groups (GHPC). On the other hand, a certain degree of flexibility is accorded to the establishment, concerning the PMSI for HAD data production rhythm. Indeed, the collection is not necessarily made by stay or calendar week, but by medical treatment sequence: during an hospitalization at home, each sequence of medical treatment is defined as long as a combination of three classifying variables continues; the establishments have the freedom to create one or more summaries by RPSS, to cover the duration of each sequence. |
| Inclusion criteria | All the patients hospitalized at home during the year. |
| Population type | |
| Age |
Newborns (birth to 28 days) Infant (28 days to 2 years) Early childhood (2 to 5 years) Childhood (6 to 13 years) Adolescence (13 to 18 years) Adulthood (19 to 24 years) Adulthood (25 to 44 years) Adulthood (45 to 64 years) Elderly (65 to 79 years) Great age (80 years and more) |
| Population covered |
General population |
| Gender |
Male Woman |
| Geography area |
National |
| Detail of the geography area | Metropolitan France and French overseas departments |
| Data collection | |
| Dates | |
| Date of first collection (YYYY or MM/YYYY) | 2006 |
| Size of the database | |
| Size of the database (number of individuals) |
Greater than 20 000 individuals |
| Details of the number of individuals | 150000 stays for 95 000 patients in 2010 |
| Data | |
| Database activity |
Current data collection |
| Type of data collected |
Clinical data Paraclinical data Biological data Administrative data |
| Clinical data (detail) |
Direct physical measures Medical registration |
| Paraclinical data (detail) | Elements in the dossiers for non-physicians intervening, radiology |
| Biological data (detail) | Results of biological examinations |
| Administrative data (detail) | Sex, age geographic code, mode of entry, origin, mode of exit, destination, length of stay |
| Presence of a biobank |
No |
| Health parameters studied |
Health event/morbidity Health event/mortality Health care consumption and services |
| Care consumption (detail) |
Hospitalization Medicines consumption |
| Procedures | |
| Data collection method | Individual standardized medical-administration collection |
| Classifications used | CIM-10 (CCAM) |
| Participant monitoring |
No |
| Links to administrative sources |
Yes |
| Linked administrative sources (detail) | SNIIRAM |
| Promotion and access | |
| Promotion | |
| Access | |
| Terms of data access (charter for data provision, format of data, availability delay) |
1) Access to anonymous individual data: - no access for private individuals - for authorized requesting structures, obtaining individual data is subject to a declaration with the CNIL and obtaining approval from the latter; All of these methods for obtaining the anonymous databases from the ATIH are described on its internet website http://www.atih.sante.fr/index.php?id=0001900001FF 2) Access to aggregate data: Cumulative data can also be accessed (par establishment, region, category, diagnostic, act, etc.) from the ATIH website for the years 2005 to the latest year in the process of collection. http://www.atih.sante.fr/index.php?id=0005100012FF |
| Access to aggregated data |
Free access |
| Access to individual data |
Access on specific project only |
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