Use of Medicare and DOD data for improving VA race data quality

Use of Medicare and DOD data for improving VA race data quality
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DOI:
10.1682/jrrd.2009.08.0122
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发表时间:
2010-01-01
影响因子:
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通讯作者:
Hynes, Denise M.
Hynes, Denise M.
中科院分区:
其他
文献类型:
--
作者:
Stroupe, Kevin T.;Tarlov, Elizabeth;Hynes, Denise M.

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我们评估了通过将退伍军人事务部(VA)数据与来自医疗保险和国防部(DOD)的数据联系起来可以实现的VA种族数据完整性的改善,并检查了数据源之间的价值一致性。为了评估人种一致性,我们计算了敏感性、特异性、阳性预测值(PPV)、阴性预测值,和kappa统计数据添加医疗保险(和国防部)数据将种族数据完整性从48%提高到76%在老年患者(65岁)中,添加医疗保险数据将数据完整性提高到近100%在年轻患者(
We evaluated the improvement in Department of Veterans Affairs (VA) race data completeness that could be achieved by linking VA data with data from Medicare and the Department of Defense (DOD) and examined agreement in values across the data sources After linking VA with Medicare and DOD records for a 10% sample of VA patients, we calculated the percentage for which race could be identified in those sources To evaluate race agreement, we calculated sensitivities, specificities, positive predictive values (PPVs), negative predictive values, and kappa statistics Adding Medicare (and DOD) data improved race data completeness from 48% to 76% Among older patients (65 years), adding Medicare data improved data completeness to nearly 100% Among younger patients (