Methods Inf Med 1998; 37(01): 64-68
DOI: 10.1055/s-0038-1634494
Original Article
Schattauer GmbH

Best-Link Matching of Scottish Health Data Sets

S. W. Kendrick
1   Information and Statistics Division, NHS in Scotland, Scotland
,
M. M. Douglas
2   National Health Service Central Register for Scotland, Scotland
,
D. Gardner
1   Information and Statistics Division, NHS in Scotland, Scotland
,
D. Hucker
3   3CSC Scotland Healthcare, Scotland
› Author Affiliations
Further Information

Publication History

Publication Date:
07 February 2018 (online)

Abstract:

Methods are described used to link the Community Health Index and the National Health Service Central Register (NHSCR) in Scotland to provide a basis for a national patient index. The linkage used a combination of deterministic and probability matching techniques. A best-link principle was used by which each Community Health Index record was allowed to link only to the NHSCR record with which it achieved the highest match weight. This strategy, applied in the context of two files which each covered virtually the entire population of Scotland, increased the accuracy of linkage approximately a thousand-fold compared with the likely results of a less structured probability matching approach. By this means, 98.8% of linkable records were linked automatically with a sufficient degree of confidence for administrative purposes.

 
  • REFERENCES

  • 1 Sayers RC. Strategy to achieve a national-unique patient identifier. CI News No 5 July/August 1994 (National Health Service in Scotland Management Executive Health Systems Directorate).
  • 2 Womersley J. The public health uses of the Scottish Community Health Index (CHI). J Public Health Med 1996; 18: 465-72.
  • 3 Hedley AJ, and McMaster W. Use of the National Health Service Central Register for Medical Research Purposes. Health Bulletin (Edinburgh) 1988; 46: 63-8.
  • 4 Kendrick SW, and Clarke JA. The Scottish Record Linkage System. Health Bulletin (Edinburgh) 1993; 51: 72-9.
  • 5 Kendrick S, and Mcllroy R. One-pass linkage – rapid creation of patient-based data. Current Perspectives in Healthcare Computing: Healthcare Computing 1996 Conference Proceedings..
  • 6 Newcombe HB. Handbook of Record Linkage. New York: Oxford University Press; 1988
  • 7 Fair ME. An overview of record linkage in Canada. Proceedings of the Social Statistics Section of the American Statistical association. 1995
  • 8 Baldwin JA, Acheson ED, Graham WJ eds. Textbook of Record Linkage. Oxford: Oxford University Press; 1988
  • 9 Heasman MA, and Clarke JA. Medical record linkage in Scotland. Health Bulletin (Edinburgh) 1979; 37: 97-103.
  • 10 Kendrick S. The development of record linkage in Scotland: the responsive application of probability matching. Proceedings of the 1997 Record Linkage Workshop. Washington D.C.: March 20-21st 1997. (In press).
  • 11 Newcombe HB. Age-related bias in probabilistic death searches due to neglect of the “prior likelihoods”. Computers and Biomedical Research 1995; 28: 87-99.
  • 12 Newcombe HB, Fair ME, Lalonde P. Discriminating powers of partial agreements of names for linking personal records. Meth Inform Med 1989; 28: 86-96.
  • 13 Newcombe HB, Fair ME, and Lalonde P. The use of names for linking personal records. Journal of the American Statistical Association 1992; 87: 1193-208.