The Cardiovascular Health in Ambulatory Care Research Team (CANHEART) Using Big Data to Measure and Improve Cardiovascular Health and Healthcare Services

被引：145

作者：

Tu, Jack V. ^{[1
,2
,3
]}

Chu, Anna ^{[1
,3
]}

Donovan, Linda R. ^{[1
]}

Ko, Dennis T. ^{[1
,2
,3
]}

Booth, Gillian L. ^{[1
,3
,4
]}

Tu, Karen ^{[1
,3
,5
]}

Maclagan, Laura C. ^{[1
]}

Guo, Helen ^{[1
]}

Austin, Peter C. ^{[1
,3
]}

Hogg, William ^{[1
,6
,7
]}

Kapral, Moira K. ^{[1
,3
,8
]}

Wijeysundera, Harindra C. ^{[1
,2
,3
]}

Atzema, Clare L. ^{[1
,3
,9
]}

Gershon, Andrea S. ^{[1
,3
,10
]}

Alter, David A. ^{[1
,3
,11
]}

Lee, Douglas S. ^{[1
,3
,12
,13
]}

Jackevicius, Cynthia A. ^{[1
,3
,14
]}

Bhatia, R. Sacha ^{[1
,3
,15
,16
]}

Udell, Jacob A. ^{[1
,3
,16
]}

Rezai, Mohammad R. ^{[1
]}

Stukel, Therese A. ^{[1
,3
,17
]}

机构：

[1] ICES, Toronto, ON M4N 3M5, Canada

[2] Sunnybrook Hlth Sci Ctr, Div Cardiol, Schulich Heart Ctr, Toronto, ON M4N 3M5, Canada

[3] Univ Toronto, Toronto, ON, Canada

[4] St Michaels Hosp, Div Endocrinol, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada

[5] Univ Hlth Network, Family Hlth Team, Toronto Western Hosp, Toronto, ON M5T 2S8, Canada

[6] Ottawa Res Grp Primary Hlth Care, Ottawa, ON, Canada

[7] Univ Ottawa, Dept Family Med, Ottawa, ON, Canada

[8] Univ Hlth Network, Div Gen Internal Med & Clin Epidemiol, Toronto, ON, Canada

[9] Sunnybrook Hlth Sci Ctr, Div Emergency Med, Toronto, ON M4N 3M5, Canada

[10] Sunnybrook Hlth Sci Ctr, Div Respirol, Toronto, ON M4N 3M5, Canada

[11] Univ Hlth Network, Toronto Rehabil Inst, Toronto, ON, Canada

[12] Univ Hlth Network, Div Cardiol, Peter Munk Cardiac Ctr, Toronto, ON, Canada

[13] Univ Hlth Network, Joint Dept Med Imaging, Toronto, ON, Canada

[14] Western Univ Hlth Sci, Coll Pharm, Pomona, CA USA

[15] Womens Coll Hosp, Inst Hlth Syst Solut & Virtual Care, Toronto, ON, Canada

[16] Womens Coll Hosp, Cardiovasc Div, Toronto, ON, Canada

[17] Dartmouth Inst Hlth Policy & Clin Practice, Lebanon, NH USA

来源：

CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES | 2015年 / 8卷 / 02期

基金：

加拿大健康研究院;

关键词：

ambulatory care; cardiovascular diseases; ADMINISTRATIVE DATA; AMERICAN-COLLEGE; CARDIAC CARE; RISK; CRITERIA; REGISTRY; ONTARIO; CANADA; STROKE;

D O I：

10.1161/CIRCOUTCOMES.114.001416

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background-The CArdiovascular HEalth in Ambulatory care Research Team (CANHEART) is conducting a unique, population-based observational research initiative aimed at measuring and improving cardiovascular health and the quality of ambulatory cardiovascular care provided in Ontario, Canada. A particular focus will be on identifying opportunities to improve the primary and secondary prevention of cardiovascular events in Ontario's diverse multiethnic population. Methods and Results-A population-based cohort comprising 9.8 million Ontario adults >= 20 years in 2008 was assembled by linking multiple electronic survey, health administrative, clinical, laboratory, drug, and electronic medical record databases using encoded personal identifiers. The cohort includes approximate to 9.4 million primary prevention patients and approximate to 400 000 secondary prevention patients. Follow-up on clinical events is achieved through record linkage to comprehensive hospitalization, emergency department, and vital statistics administrative databases. Profiles of cardiovascular health and preventive care will be developed at the health region level, and the cohort will be used to study the causes of regional variation in the incidence of major cardiovascular events and other important research questions. Conclusions-Linkage of multiple databases will enable the CANHEART study cohort to serve as a powerful big data resource for scientific research aimed at improving cardiovascular health and health services delivery. Study findings will be shared with clinicians, policy makers, and the public to facilitate population health interventions and quality improvement initiatives.

引用

页码：204 / +

页数：16

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