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Data from private hospitals was not included in this study (representing around 15% of all inpatient stays in Portugal).
Although data from private hospitals were not available, they were not expected to have any significant influence on the results, as according to the data in 1998, only 6.8% of total hospital days were being utilized in private hospitals [ 25].
We chose not to include data collected in private hospitals for two main reasons: a) The data provided were frequently incomplete; b) It had previously been shown that inclusion of data from private hospitals had no impact on the ACSH rates (correlation coefficient of 0.938 between the datasets with and without private hospitals) [ 35].
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HES data exclude information from private hospitals.
Changes to the data provided from private hospitals for linkage could potentially reduce the size of the unlinked birth records.
Thailand's Ministry of Commerce collects data on medical tourist inflows from private hospitals, counting foreign patients as the APHM does, except that definitions between hospitals about numbers vary (some count inpatient admissions, others per procedure) [ 71].
Data are not fully representative, mainly because only 7% of the data reported to the SNVS come from private hospitals, clinics, and providers (22 ).
For example, SSK purchased cardiovascular surgical services from private hospitals.
Moreover, due to the unavailability of detailed disaggregated data from the private hospitals, we could not adjust for deceased inpatients and non-residents in the estimation procedure.
When comparing data from the private hospital with those from the public hospitals (Table 3), we found an incidence of severe sepsis of 16% versus 35%.
Data from one private hospital were excluded due to a gross counting error.
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