Using Medical Billing Data to Evaluate Chronically Ill Children Over Time
Using Medical Billing Data to Evaluate Chronically Ill Children Over Time
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DOI：
10.1097/00004479-200610000-00004
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发表时间：
2006-10-01
影响因子：
2.3
通讯作者：
Fitzgibbon, Tracy
中科院分区：
文献类型：
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作者：
Neff, John M.;Sharp, Virginia L.;Fitzgibbon, Tracy
本研究评估了使用临床风险组的健康计划账单数据中4岁以上儿童慢性疾病识别的稳定性。共有31，055名儿童连续登记4年; 7.5%（2，334人）在2002年第1年被确定为慢性疾病状态，另有15.4%（4，784人）在随后的几年中被确定为“健康”; 63.6%（19，759人）被确定为“健康”。最稳定的是那些被确定患有灾难性健康状况的人。最不稳定的是那些轻微和中度/显性的主要慢性疾病。总体而言，73.1%（1706）的慢性病儿童在第1年的状况有所改善，5.7%（133）进展到更复杂的条件。
This study evaluates stability of chronic condition identification in children older than 4 years in a health plan billing data using Clinical Risk Groups. A total of 31,055 children were continuously enrolled for 4 years; 7.5% (2334) identified with a chronic condition status in year 1, 2002, and another 15.4% (4784) during subsequent years; 63.6% (19,759) were identified as "healthy" throughout. The most stable were those identified with a catastrophic health condition. The least stable were those with minor and moderate/dominant major chronic conditions. Overall, 73.1% (1706) of the children with chronic conditions in year 1 improved in status, and 5.7% (133) progressed to more complex conditions.