Identifying comorbidities in home health care patients: does the Outcome and Assessment Information Set have incremental value to Medicare claims data?
Identifying comorbidities in home health care patients: does the Outcome and Assessment Information Set have incremental value to Medicare claims data?
复制标题
识别家庭保健患者的合并症：结果和评估信息集对医疗保险索赔数据是否具有增量价值？
DOI：
10.1080/01621424.2011.545726
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发表时间：
2011
影响因子：
1.4
通讯作者：
Madigan,Elizabeth
中科院分区：
文献类型：
--
作者：
Koroukian,SiranM;Scharpf,Tanya;Bakaki,PaulM;Madigan,Elizabeth
我们使用（a）家庭医疗保健索赔数据、（b）来自医疗保险提供者分析和审查（MedPAR）的数据以及（c）结果和评估信息集（OASIS），使用通过链接医疗保险管理数据和 OASIS 记录开发的独特数据库，比较了有心力衰竭的按服务收费医疗保险受益人中出现合并症的患者比例。与 OASIS 或家庭医疗保健索赔数据（分别为 77%、51% 和 51%）相比，来自 MedPAR 的数据产生了更高比例的患有共病的患者，这使我们得出结论，非家庭医疗保健索赔数据必须用于涉及家庭医疗保健患者的研究中的风险调整。
We compare the proportion of patients presenting with comorbid conditions among fee-for-service Medicare beneficiaries with heart failure obtained by using (a) home health care claims data, (b) data from the Medicare Provider Analysis and Review (MedPAR), and (c) the Outcome and Assessment Information Set (OASIS), using a unique database developed by linking the records of Medicare administrative data and the OASIS. Data from the MedPAR yielded a higher proportion of patients with comorbid conditions compared to the OASIS or home health care claims data (77%, 51%, and 51%, respectively), leading us to conclude that non-home health care claims data must be used for risk adjustment in studies involving home health care patients.