The need for a national emergency health services database

CJEM. 2008 Mar;10(2):120-4. doi: 10.1017/s1481803500009829.

Abstract

Objective: In February 2007, the Health Council of Canada, in its third annual report, emphasized the need for pan-Canadian data on our health care system. To date, no studies have examined the strengths and weaknesses of emergency health services (EHS) administrative databases, as perceived by researchers. We undertook a qualitative study to determine, from a researcher's perspective, the strengths and weaknesses of EHS administrative databases. The study also elicited researchers' suggestions to improve these databases.

Methods: We conducted taped interviews with 4 Canadian health services researchers. The transcriptions were subsequently examined for common concepts, which were finalized after discussion with all the investigators.

Results: Five common themes emerged from the interviews: clinical detail, data quality, data linkage, data use and population coverage. Data use and data linkages were considered strengths. Clinical detail, data quality and population coverage were considered weaknesses.

Conclusion: The 5 themes that emerged from this study all serve to reinforce the call from the Health Council of Canada for national data on emergency services, which could be readily captured through a national EHS administrative database. We feel that key stakeholders involved in emergency services across Canada should work together to develop a strategy to implement an accurate, clinically detailed, integrated and comprehensive national EHS database.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Database Management Systems / statistics & numerical data*
  • Emergency Medical Services / statistics & numerical data*
  • Humans
  • Medical Informatics / organization & administration*
  • National Health Programs / statistics & numerical data*
  • Ontario
  • Retrospective Studies