VALIDATING HOSPITAL DISCHARGE AND AIDS SURVEILLANCE DATA

有关艾滋病的经济影响和成本的信息至关重要 在规划计划、分配资源和计划中的重要性 成本。为了跟踪艾滋病患者的使用情况和费用 在持续的基础上，政策制定者、研究人员和规划者将需要 具有成本效益的信息来源。截至目前为止报告的信息 治疗艾滋病患者的费用来自两个来源： 特殊研究，通常涉及病历审查，并按惯例 由私营公司维护的收集医院出院数据库 联邦和州政府机构。来自特殊研究的信息有几个 优势，但作为国家信息来源是有限的，因为 它的收集相对昂贵，范围是局部的，而不是 可泛化，因为它仅限于少数几个治疗过的病人 参与机构。常规收集的数据可能是一笔成本- 为持续的健康服务提供有关艾滋病的有效信息来源 研究和监视目的。然而，精确度和 这类信息是否完整，以供研究使用情况和成本 艾滋病患者到目前为止还不清楚。 波士顿大学公共卫生与艾滋病监测学院 波士顿卫生部和医院的计划建议 在一个项目上合作，以实现三个目的。首先，我们会 使用常规采集的军装医院的可行性探讨 用于跟踪交叉验证的放电数据集(UHDDS)信息 监视计划注册表数据，以确定与 带有艾滋病诊断代码的人确实患有艾滋病。第二，我们 将使用验证过程的结果来识别和类型 爱滋病监察登记处失踪病人协助 计划工作人员改进他们的案件发现程序。第三，我们将 使用通过验证过程开发的数据库来演示 使用UHDDS数据描述医院的使用情况和收费情况 艾滋病患者，包括患者的特点， 医院提供治疗，医院留下来。我们将评估 新发展的艾滋病毒相关诊断相关群体的表现 (DRGs)识别艾滋病患者和描述他们的来源 使用(以停留时间和费用为代表)。

Information of the economic impact and costs of AIDS is of critical importance in planning programs, allocating resources, and projecting costs. In order to track the utilization and costs of persons with AIDS on an ongoing basis, policy makers, researchers and planners will need a cost-effective source of information . Information reported to date on the costs of treating persons with AIDS has come from two sources: special studies, usually involving medical record review, and routinely collected hospital discharge data bases maintained by private firms and federal and state agencies. Information from special studies has several advantages but it is limited as a national source of information because it is relatively expensive to collect, local in scope, and not generalizable because it is limited to the patients treated in a few participating institutions. Routinely collected data may be a cost- effective source of information on AIDS for ongoing health services research and surveillance purposes. however, the accuracy and completeness of such information for studying utilization and costs of patients with AIDS is as yet not known. The Boston University School of Public Health and the AIDS Surveillance Program of the Boston Department of Health and hospitals propose to collaborate on a project to accomplish three purposes. First we will investigate the feasibility of using routinely collected Uniform Hospital Discharge Data Set (UHDDS) information to track cross-validating the Surveillance Program Registry data to determine the extent to with persons with diagnostic codes indicating AIDS do have AIDS. Second, we will use the results of the validation process to identify and types of patients missing from the AIDS Surveillance Registry to assist the Program staff in improving their case finding procedures. Third, we will use the data base developed through the validation process to demonstrate the use of the UHDDS data to describe the hospital use and charges of patients with AIDS, including the characteristics of patients, the hospitals providing treating, and the hospital stays. we will assess the performance of the newly developed HIV-related Diagnosis Related Groups (DRGs) in identifying patients with AIDS and in describing their resource use (as proxied by length of stay and charges).