Description

This file is part of a set of files that relate to treatments within medical specialist care, such as these are registered in the DBC system and in other declarable care products. DBC stands for Diagnosis Treatment Combination. A DBC care product is a package of care with information about the diagnosis and treatment that a patient receives. These are mainly healthcare products that are described in the basic health insurance package. The care takes place in hospitals, independent treatment centres (ZBC and#039;s), categorical institutions for specific diseases and rehabilitation, dialysis, audiological and radiotherapeutic centres. The files are based on the data provided by the institutions to the DBC Information System (DIS), managed by the Dutch Healthcare Authority (NZa). These are files according to the renewed DBC system that started in 2012. From 1 January 2013, the specialty geriatric rehabilitation care has been added to the DBC system. There are 4 different files: a file with DBC care pathways (MSZZorg trajectoriesJJJJTABVV), a file with DBC sub- trajectories (MSZSub trajectoriesJJJTABVV), a file with the provided care profile (MSZGeSuppliedZorgprofileJJJJTABVV) for a sub-route, and a file containing other care products (MSZOverigeZorgproductenJJJTABVV). When a patient comes to the medical specialist with a care request, the DBC registration opens a care process for this specific care question. A health care process mainly contains information about referrals. One or more (serial) DBC sub-processes are part of a care process. A DBC sub-route (also known as DBC for short) is a part of a care pathway defined for declaration purposes and contains data such as duration, type of care, typical diagnosis and declaration data. The basis of this dataset is the sub trajectory file: in the care programme database and the provided health profile file are the care pathways and care activities that belong to sub- trajectories with a closing date in the reference year. The maximum duration of a DBC is 365 days (from 2015 this has been reduced to 120 days). The care activities carried out in a sub-route (diagnostics, treatment, consultations, nursing days and/or (expensive) medicines) are listed in the care profile provided. The DBC sub-route together with the associated care activities forms the basis for the declaration of a DBC care product. The sub-route file lists the specific healthcare product concerned (variable MSZZorg product). Finally, there are 'other care products ' (OZP 's) which can be declared separately from the DBC system. These include, for example, operations carried out at the request of the first line or specialisms that do not register DBC 's. The OZP file therefore contains operations within medical specialist care that are outside the DBC system and therefore cannot be linked to a DBC sub-route. Detailed information about the DBC system can be found on the website of NZa http://werkenmetdbcs.nza.nl/ziekenhuiszorg-artikelen/dbc-systematiek-3/over-de-dbc-systematiek-5/menu-ID-1367). More information on how to access the data: > https://www.cbs.nl/nl-nl/onze-diensten/maatwerk-en-microdata/microdata-zelf-onderzoek-doen ### Methodology The files show only the records of patients that could be linked by CBS to the Basic Records Persons (BRP). This concerns 99.4 % of DBC sub-routes registered in DIS and 98.7 % of other healthcare products in 2013. For 2014, these percentages are 99.4 % and 99.1 %. This link is based on pseudonyms based on Citizen Service Number (BSN) or the combination of date of birth, gender and zip code. As a Person ID, the variable RINPERSOON is added to the files, a meaningless and dimensionless number, which can be used to link to other CBS SSB files. This is a provisional file. In the final sub-route file, an increase weight will be given with which the sub- trajectories (linked to the BRP) can be increased to all sub- trajectories as declared to the health insurers. Furthermore, a variable has been added to the sub-route file indicating the type of setting and a variable indicating the type of setting of the DBC (clinical, day treatment or outpatient). ### Population Closed DBC sub-programmes in the reference year.

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Closed Diagnosis Treatment Combination sub- trajectories in Medical Specialist Care (01-01-2013-01-01-2015)

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