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As stated previously, the goal of the HOS is to collect valid and reliable health status data in Medicare managed care for the purposes of quality improvement activities, public reporting, and competition based plan accountability and health outcomes improvement [ 10].
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Such veterinarians are motivated to collect valid data at the herd level.
In light of the above considerations, we can assert that, despite highly developed administrative systems, it is still difficult to collect valid and exhaustive drug utilization data and, therefore, to perform a reliable cross-national comparison in Europe.
It was not possible to collect valid data about fundal pressure, as this procedure was not always documented in the medical records, especially not in cases with assisted vaginal delivery and women themselves were not always sure whether fundal pressure was given or not.
We were not able to collect valid data on the age of onset of diabetes in the mothers, but the great majority are likely to have had type 2 diabetes.
Since we studied the knowledge of parents or legal guardians on infant vaccination as a part of a different study using the same sample, toddlers who did not have parents or a proper legal guardian to collect valid information were also excluded.
To address these problems, it is important to discuss with the health policy decision makers, coordinators, and clinical staff whether it is feasible to collect the valid information as much as possible and the acceptable sampling period should be made.
The data collection with the pressure mat was fast and efficient, and a maximum of 10 minutes per pig was needed to collect 3 valid runs.
We were able to collect 822 valid replies in less than two weeks.
Thanks to thorough preparation, we were able to collect highly valid data.
More surveillance locations are required to collect more valid and comprehensive health data for future research and intervention planning.
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