ITMO public health
Last update : 06/10/2015 | Version : 1 | ID : 267
| General | |
| Identification | |
| Detailed name | Medicalisation programme for acute healthcare information systems in medicine, obstetrics and dentistry |
| Sign or acronym | PMSI-MCO |
| 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 Nuclear medicine Odontology Ophthalmology Otolaryngology or ENT Physical medicine and rehabilitation Pneumology Psychology and psychiatry Radiology and medical imaging Rare diseases Rheumatology Study of allergies Traumatology Urology, andrology and nephrology |
| Pathology (details) | Chronic diseases |
| Health determinants |
Addictions Iatrogenic Intoxication Nutrition |
| Keywords | Medicine, obstetrics, stay, hospital, Medicine-Surgery-Obstetrics (MCO) clinic, emergency departments, surgery |
| 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 | State and health insurance |
| 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 |
| Additional information regarding sample selection. | complete collection of all hospital stays that ended during the year under consideration |
| Database objective | |
| Main objective |
PMSI is a medical-economic analysis tool for hospital activity. For acute hospital stays: medicine, surgery, obstetrics and dentistry (MCO). This analysis is based on the systematic collection of a small amount of administrative and medical information, which forms the standardised discharge summary (RSS).
The information collected are processed automatically, leading to RSS classification for a voluntarily restricted number of groups that are coherent from a medical and cost standpoint: the diagnosis-related groups (DRG). |
| Inclusion criteria | collection of all MCO hospital stays that ended 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 | place of residence and place of hospitalisation of those hospitalized |
| Data collection | |
| Dates | |
| Date of first collection (YYYY or MM/YYYY) | 1998 |
| Size of the database | |
| Size of the database (number of individuals) |
Greater than 20 000 individuals |
| Details of the number of individuals | about 13 million people each year |
| 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) | file items for non-physician professionals, radiology |
| Biological data (detail) | biological examination results |
| Administrative data (detail) | sex, age, geographical code, entry mode, source, discharge mode, 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 Medical/paramedical consultation Medicines consumption |
| Procedures | |
| Data collection method | Medical economic standardised individual collection. Since 2001, a procedure for linking stay summaries has been implemented. This makes it possible to link together, thanks to an anonymous linking number, the various hospitalisations for the same patient, regardless of the type of establishment (public or private), and the hospitalisation sector (MCO or hospitalisation at home (HAD) or follow-up and rehabilitation care (FRC) or psychiatry). |
| Classifications used | WHO International Classification of Diseases 10th Revision (ICD-10) for coding the collected diagnostics (principal, linked and associated). Common Classification of Medical Acts (CCAM) for coding diagnostic and therapeutic acts performed during the stay. |
| Participant monitoring |
No |
| Links to administrative sources |
Yes |
| Linked administrative sources (detail) | SNIIR-AM for health insurance |
| Promotion and access | |
| Promotion | |
| Link to the document | http://www.atih.sante.fr/index.php?id |
| Link to the document | http://www.atih.sante.fr/?id |
| Link to the document | http://www.ncbi.nlm.nih.gov/pubmed?term |
| Access | |
| Terms of data access (charter for data provision, format of data, availability delay) |
1) Access to anonymised individual data:
- no access for private individuals - for authorised requesting structures, obtaining individual data is subject to a declaration with the CNIL and obtaining approval from the latter; in addition, certain variables can be modified according to the needs of the requestor or constraints may be imposed by the CNIL (ages in five-year brackets, residence code limited to the département, replacing the death discharge mode with a domicile discharge mode) All of these methods for accessing anonymous databases from the ATIH are described on its online website: http://www.atih.sante.fr/index.php?id=0001900001FF 2) Access to aggregate data: Cumulative data can also be accessed (by establishment, region, category, diagnosis, record, etc.) from the ATIH website for the years 1995 until the latest collection year: http://www.atih.sante.fr/?id=0004400001FF |
| Access to aggregated data |
Free access |
| Access to individual data |
Access on specific project only |
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