The National Provider Identifier Taxonomy: Does it Align With a Surgeon's Actual Clinical Practice?
The National Provider Identifier Taxonomy: Does it Align With a Surgeon's Actual Clinical Practice?
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DOI：
10.1016/j.jss.2022.09.008
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发表时间：
2023-02
影响因子：
2.2
通讯作者：
Hemmila, Mark R.
中科院分区：
文献类型：
--
作者：
Oliphant, Bryant W.;Sangji, Naveen F.;Dolman, Heather S.;Scott, John W.;Hemmila, Mark R.
与每个国家提供商标识符（NPI）条目相关联的分类代码应该表征提供商的角色（例如，医师）和任何专业（例如，整形外科手术）。虽然分类系统的目的是监测医疗适当性和提供的护理专业知识，但研究人员现在正在使用该系统来识别提供者及其实践。分类法代码在描述提供者的真正专业化方面的准确性尚不清楚。查询三所大型学术机构的骨科和普外科网站，寻找执业医师。将列出的外科医生的专业和亚专业信息与国家计划和提供者枚举系统（NPPES）上列出的提供者分类代码进行比较。根据专业、亚专业和机构评价这些数据源之间的匹配率。共有295名外科医生（205名普通外科医生和90名骨科医生）和24个相关分类（8名骨科医生和16名普通或整形外科医生）进行分析。其中，294名外科医生（99%）正确选择了他们的一般专业分类，而只有189名（64%）正确选择了适当的亚专业。普通外科医生比骨科医生更经常正确地选择一个亚专业（70%对51%，P = 0.002）。该机构并没有影响任何匹配率，但有一些差异，在个别部门内的子专业匹配率。在这些机构中，NPI分类法对于描述外科医生的亚专业或实际实践并不准确。当利用这个变量来描述外科医生的亚专业时，应该小心，因为我们的研究结果可能适用于其他群体。
The taxonomy code(s) associated with each National Provider Identifier (NPI) entry should characterize the provider’s role (e.g., physician) and any specialization (e.g., orthopedic surgery). While the intent of the taxonomy system was to monitor medical appropriateness and the expertise of care provided, this system is now being used by researchers to identify providers and their practices. It is unknown how accurate the taxonomy codes are in describing a provider’s true specialization. Department websites of orthopedic surgery and general surgery from three large academic institutions were queried for practicing surgeons. The surgeon’s specialty and subspeciality information listed was compared to the provider’s taxonomy code(s) listed on the National Plan and Provider Enumeration System (NPPES). The match rate between these data sources was evaluated based on the specialty, subspecialty, and institution. There were 295 surgeons (205 general surgery and 90 orthopedic surgery) and 24 relevant taxonomies (8 orthopedic and 16 general or plastic) for analysis. Of these, 294 surgeons (99%) selected their general specialty taxonomy correctly, while only 189 (64%) correctly chose an appropriate subspecialty. General surgeons correctly chose a subspecialty more often than orthopedic surgeons (70 versus 51%, P = 0.002). The institution did not affect either match rate, however there were some differences noted in subspecialty match rates inside individual departments. In these institutions, the NPI taxonomy is not accurate for describing a surgeon’s subspecialty or actual practice. Caution should be taken when utilizing this variable to describe a surgeon’s subspecialization as our findings might apply in other groups.
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发表时间：
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影响因子：
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