Dumb question- what would it take to have a large, centralized national healthcare database in the US that we could use to carry out massive epidemiological investigations on?
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Replying to @ENirenberg
You would need a national law or policy around every single doctor's office and health system submitting said data to a central database, with thousands of specific standards for which data is submitted in what format when and how. Or a national health system.
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Replying to @grahamwalker @ENirenberg
Not necessarily. To have a reasonable national database, you could get all insurers to send deidentified info with a secret linkage key to a central database. This wouldn't capture all events, but would be enough for most epi analyses
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It would certainly undersample the uninsured and undocumented.
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Absolutely true - national databases are subject to the issues inherent in the health system, and those issues are *vast* in the US. I imagine there are many people who have serious issues who never interact with any health databases at all most of the time
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