Evidence map›Paper›PMID 29166905›Full record

ArticleBMC health services research2017

Barriers to data quality resulting from the process of coding health information to administrative data: a qualitative study.

Kelsey Lucyk, Karen Tang, Hude Quan

Abstract read
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed.

  1. Article
  2. Applying the hospital administrative data quality scoring tool in 15 countries.Health information management : journal of the Health Information Management Association of Australia · 2026
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  18. International Classification of Diseases clinical coding training: An international survey.Health information management : journal of the Health Information Management Association of Australia · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kelsey LucykDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3rd Floor TRW, 3280 Hospital Drive NW, Calgary, Alberta, T2N 4Z6, Canada. klucyk@ucalgary.ca.
Karen TangDepartment of Medicine, Cumming School of Medicine, University of Calgary, Health Sciences Centre, Foothills Campus, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4N1, Canada.
Hude QuanDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3rd Floor TRW, 3280 Hospital Drive NW, Calgary, Alberta, T2N 4Z6, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdministrative health data are increasingly used for research and surveillance to inform decision-making because of its large sample sizes, geographic coverage, comprehensivity, and possibility for longitudinal follow-up. Within Canadian provinces, individuals are assigned unique personal health numbers that allow for linkage of administrative health records in that jurisdiction. It is therefore necessary to ensure that these data are of high quality, and that chart information is accurately coded to meet this end. Our objective is to explore the potential barriers that exist for high quality data coding through qualitative inquiry into the roles and responsibilities of medical chart coders.

methodsWe conducted semi-structured interviews with 28 medical chart coders from Alberta, Canada. We used thematic analysis and open-coded each transcript to understand the process of administrative health data generation and identify barriers to its quality.

resultsThe process of generating administrative health data is highly complex and involves a diverse workforce. As such, there are multiple points in this process that introduce challenges for high quality data. For coders, the main barriers to data quality occurred around chart documentation, variability in the interpretation of chart information, and high quota expectations.

conclusionsThis study illustrates the complex nature of barriers to high quality coding, in the context of administrative data generation. The findings from this study may be of use to data users, researchers, and decision-makers who wish to better understand the limitations of their data or pursue interventions to improve data quality.

Indexed as

Data AccuracyAlbertaClinical CodingDocumentationHealth Information ManagementHumansInterviews as TopicMedical Record AdministratorsMedical RecordsQualitative ResearchAbstractingAdministrative dataHealth informationInformaticsQualitative research

Identifiers

PMID29166905
PMCPMC5700659

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.