The identification of high-cost patients.
The identification of high-cost patients.
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DOI：
10.3200/htps.83.3.17-24
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发表时间：
2005-01-01
期刊：
影响因子：
--
通讯作者：
Duncan, R Paul
中科院分区：
文献类型：
--
作者：
Radcliff, Tiffany A;Cote, Murray J;Duncan, R Paul
作者检查是否回顾性索赔数据是有用的，以区分未来的高成本的情况下，没有保险。他们依靠从1999年到2001年的内部索赔和会计数据，从一个有代表性的安全网设施来描述成本的分布和区分高成本患者与其他未参保患者的任何特征。他们的结论是，行政数据与深入调查信息相结合可能是确定病例以进行集中病例管理的有用方法。
The authors examine whether retrospective claims data are useful to distinguish future high-cost cases among the uninsured. They rely on internal claims and accounting data for the calendar years from 1999 to 2001 from a representative safety net facility to describe the distribution of costs and any characteristics that distinguish high-cost patients from other uninsured patients. They conclude that administrative data combined with in-depth survey information could be a useful approach for identifying cases for intensive case management.