Assessing the Representativeness of Medical Expenditure Panel Survey Inpatient Utilization Data for Individuals With Psychiatric and Nonpsychiatric Conditions.
Assessing the Representativeness of Medical Expenditure Panel Survey Inpatient Utilization Data for Individuals With Psychiatric and Nonpsychiatric Conditions.
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DOI：
10.1177/1077558715592745
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发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Stuart EA
中科院分区：
文献类型：
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作者：
Slade EP;Goldman HH;Dixon LB;Gibbons B;Stuart EA
医疗支出小组调查（MEPS）调查中的抽样和报告偏倚可能会导致住院患者利用率数据不代表严重精神疾病患者。作者通过比较MEPS对2005年至2010年非老年美国成年人（N=9288）的年度精神病和非精神病住院患者总住院人数和住院天数以及平均住院时间的估计，评估了MEPS关于精神病住院患者利用率的数据的代表性。来自医院行政记录的全国代表性住院治疗数据库（N=21934378）。与NIS相比，MEPS显示34%的精神科住院和86%的非精神科住院，而MEPS的平均精神科住院时间大于NIS。在MEPS数据中，社区医院精神科住院患者利用率偏低可能会导致常用的精神科住院患者利用率和费用统计数据的测量失真。
Sampling and reporting biases in the Medical Expenditure Panel Survey (MEPS) survey could render data on inpatient utilization that are not representative for individuals with severe psychiatric conditions. The authors assessed the representativeness of MEPS data on psychiatric inpatient utilization, by comparing MEPS estimates of total annual psychiatric and non-psychiatric inpatient admissions and bed days, and mean length-of-stay, for non-elderly U.S. adults in calendar years 2005 to 2010 (N=9288) to estimates from the Nationwide Inpatient Sample (NIS), a nationally representative inpatient care database derived from hospitals’ administrative records (N=21934378). Compared with the NIS, the MEPS indicated 34% as many psychiatric admissions and 86% as many non-psychiatric admissions, while mean psychiatric length-of-stay was greater in MEPS than in NIS. In MEPS data, underrepresentation of psychiatric inpatient utilization at community hospitals may result in measurement distortions for commonly used statistics on psychiatric inpatient utilization and costs.