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Health Rep. 2015 Feb;26(2):9-16.

Developing a non-categorical measure of child health using administrative data.

Author information

1
Health Analysis Division, Statistics Canada, Ottawa, Ontario.
2
the Ottawa Hospital Research Institute.
3
University of British Columbia.
4
University of Manitoba.
5
McGill University.
6
McMaster University.

Abstract

BACKGROUND:

Few studies have examined the potential of linked administrative data for research on child health. This analysis describes the application of a non-categorical survey-based tool, the Children with Special Health Care Needs (CSHCN) Screener, to administrative data.

DATA AND METHODS:

Five Screener items were applied to linked administrative health data from Population Data British Columbia. Hospital admissions and demographic and community characteristics for a cohort of children aged 6 to 10 in 2006 were examined to validate the use of these items.

RESULTS:

Overall, 17.5% of children were identified as CSHCN. An estimated 14% of children used more medical care and 5.2% had more functional limitations than is usual for children of the same age; 3.3% were prescribed long-term medication; 1.9% needed/received treatment or counselling; and 0.1% needed/received special therapy. Boys were more likely than girls to be identified as CSHCN.

INTERPRETATION:

With some limitations, the CSHCN Screener can be applied to Canadian administrative health data.

KEYWORDS:

Child health services; children with disabilities; data linkage; medical record linkage

PMID:
25692939
[Indexed for MEDLINE]
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