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Course 'Utilización de datos de vida real en la investigación en servicios y políticas sanitarias'

This course organized by the School of Public Health of Menorca will take place on September 18 and 19, 2019 in Llatzeret de Maó.

The collection of available data on the characteristics of populations and patients, on their exposure to health services or health policies, and on the consequences of such exposure, has grown in recent years in a formidable way.

Its potential for research in health and political services is unquestionable; in its most recognizable aspect it allows analyzing the suitability of the use of technologies and services, or analyzing the performance of health providers; On its most innovative side, analyze the clinical trajectories followed by patients, evaluate comparatively the effectiveness and safety of health interventions under real conditions, or predict the future use or probability of a specific health outcome.

However, its use in research on health services and policies is still limited, partly due to problems of access to data, partly due to the methodological and technological difficulties imposed by the use of massive and dynamic data. Once the problems of access and computational capacity are solved, the use of real-life data will have other limitations that must be known and dealt with by researchers; for example, we should always ask about the veracity of the data (incomplete data, non-existent data, heterogeneous data, fraudulent data); the limitations of an observational study (especially, the risks of the confusion phenomenon and the selection biases); and the curses of the use of massive data (dimensionality, spurious correlations or overfitting).

This introductory course gives a review of these issues, offering a framework for the use and analysis of DMVR, as well as case studies that answer questions about the scope of the work (research questions), data sources used (access difficulties and preparation of databases), and on the methodological threats encountered (and their treatment).

Goals:

This course of initiation to the use of massive real life data (DMVR) in the investigation of services and health policies, seeks that the participants:

1) Know the available sources of DMVR and the ethical and legal problems for its access;

2) Identify the type of research question that can be answered with DMVR;

3) Approach the methodological problems of the use of DMVR;

4) Know techniques that allow to mitigate the methodological problems associated with the use of DMVR N.B.

The course is not oriented to the use and / or development of computer code for the analysis of massive data.

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