Medicare Claims Data as Public Use Files: A New Tool for Public Health Surveillance
Medicare Claims Data as Public Use Files: A New Tool for Public Health Surveillance
复制标题
DOI：
10.1097/phh.0b013e3182a3e958
复制
发表时间：
2014-07-01
影响因子：
3.3
通讯作者：
Sennett, Cary
中科院分区：
文献类型：
--
作者：
Erdem, Erkan;Korda, Holly;Sennett, Cary
索赔数据是公共卫生监测的重要数据来源，但由于涉及个人可识别的健康信息和其他问题，在美国尚未广泛使用。我们描述了一组新的公共使用文件的开发和可用性，这些文件是使用去识别的医疗保健索赔创建的，适用于按服务收费的医疗保险受益人，包括65岁及以上的个人和65岁以下的残疾人，以及它们作为公共卫生监测工具的应用。我们提供了这些文件及其属性的概述；审查受益人身份取消程序及其对分析的影响；概述单独或与其他数据源结合使用公共用途文件进行监视的优点和局限性；讨论并举例说明它们在公共卫生监测中的应用，例如慢性病监测、医院再入院、糖尿病治疗的患病率和支出。
Claims data are an important source of data for public health surveillance but have not been widely used in the United States because of concern with personally identifiable health information and other issues. We describe the development and availability of a new set of public use files created using de-identified health care claims for fee-for-service Medicare beneficiaries, including individuals 65 years and older and individuals with disabilities younger than 65 years, and their application as tools for public health surveillance. We provide an overview of these files and their attributes; a review of beneficiary de-identification procedures and implications for analysis; a summary of advantages and limitations for use of the public use files for surveillance, alone and in combination with other data sources; and discussion and examples of their application for public health surveillance using examples that address chronic conditions monitoring, hospital readmissions, and prevalence and expenditures in diabetes care.