Healthcare Systems Data

Healthcare systems data could reduce the cost, time, and resource burden of clinical trial follow-up. Hypertension detection was defined by the first recorded hypertension episode. No prior systematic review has consolidated evidence on how using quality routine health data influences health service delivery outcomes in LMICs. Healthcare systems data must be rigorously tested for completeness, accuracy, and agreement with trial outcomes before being relied on for scientific or regulatory purposes. Civil registration of death data are considered complete and reliable, while systemic anticancer therapy data have known gaps in haematological cancers. In Ethiopia, utilisation of quality routine health data was estimated at 45.8%. Health problems were recorded using International Classification of Primary Care codes. Even when high-quality data is available, its use may be constrained by organisational and behavioural barriers, limited technical skills, poor attitudes toward data use, weak feedback systems, and competing political or donor priorities. In many LMICs, routine health data use remains limited. Routine care data may be limited by variable coding validity and selective repor…