Max Rady College of Medicine

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1. Data Sources / Indicators Related to Maternal / Child Health and Early Childhood
This concept identifies all of the health, social, justice and education data sources available in the Manitoba Population Research Data Repository (Repository) at MCHP that could be used for researc...
2. Day Surgery Hospitalizations
This concept discusses the methods used at MCHP to identify day surgery cases that can be used for further analyses. The identification of day surgery cases is primarily used in the counting of hospital separations, where only inpatient and outpatie...
3. Dementia - Measuring Prevalence
This concept defines dementia and then describes the methods that have been used in MCHP research to identify dementia from administrative data in the MCHP Data Repository. Links are provided to report specific research findings. Dementia is a te...
4. Dental Surgeries / Dental Extractions to Treat Severe-Early Childhood Caries (S-ECC) in Preschool Children
Severe-early childhood caries (S-ECC), defined as severe dental decay involving primary teeth in children under the age of six (0-5 years old), is common among Canadian children. In fact, caries is the most common chronic disease in North American c...
5. Depression - Defining in Administrative Data
This concept describes how MCHP has identified and defined depression in its research. The term depression covers a spectrum of mood disorders that can range from being mild and transitory to a persistent state of incapacitation. One end of the spe...
6. Determining Comprehensiveness of Practice among Physicians
Comprehensiveness of practice among physicians is the amount of work done by physicians in settings outside of their offices, including hospital wards, long-term care facilities, emergency rooms, anesthesia and obstetrics wards, and house visits. ...
7. Diabetes - Measuring Prevalence
A chronic condition in which the pancreas no longer produces enough insulin (Type I Diabetes) or when cells stop responding to the insulin that is produced (Type II Diabetes), so that glucose in the blood cannot be absorbed into the cells of the bod...
8. Diabetes in Pregnancy - Differentiating Between Maternal Pre-Gestational Diabetes and Gestational Diabetes
This concept provides background information, definitions and diagnostic codes for discriminating between pre-gestational diabetes and gestational diabetes .
9. Diagnosis Related Groups (DRGs™) - Overview
Diagnosis Related Groups (DRGs™) is an American patient classification system that describes the types of patients treated by a hospital (i.e. its case mix). The DRGs™ work by grouping the 10,000+ ICD-9-CM codes into a more manageable...
10. Dialysis Treatment Start and Dialysis Treatment End
This concept defines dialysis and describes how the start and end (exit) of this treatment are defined in the Care of Manitobans Living with Chronic Kidney Disease deliverable by Chartier et al. (2015). This includes the age gr...
11. Disability - Data Sources for Measuring Prevalence
This concept identifies and discusses possible data sources for identifying individuals with disabilities. This includes a look at survey information from Statistics Canada and from a variety of databases available in the Manitoba Population Resear...
12. Discrepancies Between MCHP and Manitoba Health Published Reports
Using PHIS (Population Health Information System) or annual medical services data at MCHP, the total fee and/or N-services counts show discrepancies from those given in annual Manitoba Health Reports...
13. Discretionary, Non-discretionary and Intermediate Procedures
Based on variation in surgical rates across different regions in Canada, 39 ICD-9-CM procedures were classified into one of three categories according to the degree of discretion (Gentleman et al., 1996:362) . "Primaril...
14. Distance to Hospital - A Method to Calculate
Randy Walld has developed a SAS program that calculates distance to the hospital of the record (as the bird flies), distance to the nearest hospital and distance to the nearest teaching hospital. The program looks at the distances to all hospita...
15. Divorce - Family Structure
concept/Social Determinants of Health-SDOH-Digital Library-Image.jpg Part of the Family Structure group of Concepts, Divorce discusses the definition an...
16. Dose Intensity
Dose intensity, measured using Defined Daily Dose (DDD) and Prescribed Daily Dose (PDD), can be used in several ways, the primary one being to descri...
17. Double Counting
When extracting data from the MCHP's databases (medical services/physician claims or hospital discharge abstracts), it is very important to keep in mind double counted records for particular procedur...
18. Drug Classification Systems
Two systems are commonly used in drug utilization studies to classify/group drugs, or Drug Identification Numbers . Both systems require updating on a regular basis.
19. Duplicate Records - Hospital Discharge Abstracts
In this concept, "duplicate records" refer to records that are duplicated on most of the commonly used variables in the Hospital Abstracts Data. A record can still be a duplicate, despite some sli...
20. Duration of Pharmaceutical Use
In addition to prevalence and incidence measures, for many pharmaceutical-based projects, we need to know not only when a drug is started but also how long a person is exposed to the drug. Usually, we try to create a time window of probable u...

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Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada

204-789-3819