The Birth Certificate and Medicaid Data Match Project Initial ：出生证明和医疗补助项目初始数据匹配.pptVIP

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The Birth Certificate and Medicaid Data Match Project Initial ：出生证明和医疗补助项目初始数据匹配.ppt

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The Birth Certificate and Medicaid Data Match Project Initial ：出生证明和医疗补助项目初始数据匹配

The Birth Certificate and Medicaid Data Match Project: Initial Findings in Infant Mortality John Oswald, PhD Director, Minnesota Center for Health Statistics June 7, 2006 NAPHSIS Annual Meeting Background The Minnesota IMR in 2002 was 5.3 per 1000 live births One of the lowest infant mortality rates in the nation The low rate masks great disparities in infant mortality within the state Background The Minnesota Department of Human Services (DHS) and the Minnesota Department of Health (MDH) entered into a data sharing agreement to link Minnesota Medicaid data with birth certificate data This linking allows for comparisons between the Medicaid and non-Medicaid populations 1997-2001 linked data are analyzed for this presentation Background The Medicaid population is comprised of both Medical Assistance and MinnesotaCare enrollees The non-Medicaid population includes those covered by private health insurance, self-insured, or uninsured Linkage Methods Iterative matching procedure that included mother’s name, mother’s date of birth, and father’s last name. State of residence of the birth mother was used rather than state of occurrence of the birth Linkage Methods overall match rate has been 93.1% No major differences between Medicaid women who matched and those who did not except * Hispanic women * Border communities with North Dakota Linkage Methods Future methodological issues in data linkage and probabilistic techniques Agenda for future research: Gyllstrom ME, Oswald JW, et al. Linking Birth Certificates with Medicaid Data to Enhance Population Health Assessment: Methedological Issues Addressed. Journal of Public Health Management and Practice, July 2002, 38-44. Other Methods Race categories are based upon the race of the mother as reported on the birth certificate and include White, Black/African American, Asian, and Native American Hispanic ethnicity is also based upon ethnicity of mother as reported on the birth certificate and includes anyo