Agreement between self-reported and health insurance claims on utilization of health care: A population study
Agreement between self-reported and health insurance claims on utilization of health care: A population study
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DOI：
10.1016/j.jclinepi.2009.01.016
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发表时间：
2009-12-01
影响因子：
7.2
通讯作者：
Lin, Yu-Hsuan
中科院分区：
文献类型：
--
作者：
Yu, Sheng-Tsung;Chang, Hsing-Yi;Lin, Yu-Hsuan
目的：研究设计与地点：资料来源于2001年台湾全民健康访问调查。共有22，121人（94.2%）完成了访问，其中18，143人年龄在12岁及以上。其中，87%的受访者签署了同意书，允许我们将他们的访谈数据与国民健康保险数据库相关联。删除识别码或出生日期难以辨认的受试者后，15,660例受试者入组研究。Kappa（K）用于描述访视一致性，而组内相关系数用于描述频率一致性。结果：所有患者均具有合理的就诊时间和频率。Logistic回归分析表明，男性和那些生活在农村地区往往有一个较低的可能性协议，在报告门诊访问与其他人相比。在报告急诊室访问，男性和那些具有较高的教育水平，自我感觉健康的“不好”，慢性疾病，或至少有一个困难的日常生活活动（ADL）有较高的机会agreement.Conclusion：协议之间的自我报告的利用和保险索赔是相当不错的一般人群。(C)2009 Elsevier Inc. All rights reserved.
Objective: To investigate the agreement between self-reported and insurance claim of the utilization of health care.Study Design and Setting: Data were from the Taiwan National Health Interview Survey, conducted in 2001. There were 22,121 (94.2%) individuals who completed the interview, 18,143 of them aged 12 and above. Among them, 87% signed a consent form to allow us linking their interview with data with the National Health Insurance database. After deleting those with illegible identification code or date of birth, 15,660 subjects were included in the study. Kappa (K) was used to describe the visit concordance, whereas the intraclass correlation coefficient was used to describe frequency consistency. Logistic regression was used to investigate factors associated with the agreement.Results: All had reasonable visit and frequency agreements. Logistic regression showed that males and those living in rural areas tended to have a lower likelihood of agreement in reporting outpatient visits compared with others. In reporting emergency room visits, males and those with a higher education level, self-perceived health of "not good," chronic disease, or at least one difficulty with activities of daily living (ADL) had higher chances of agreement.Conclusion: Agreement between self-reported utilization and insurance claims were fairly good in general population. (C) 2009 Elsevier Inc. All rights reserved.