Roblin D W
Kaiser Foundation Health Plan, Inc., Oakland, CA.
Manag Care Q. 1994 Summer;2(3):38-47.
This article outlines issues concerned with the development of case mix measurement using outpatient drug dispense databases, particularly as this method is being explored at Kaiser Permanente. Development is oriented to a population-based measure that emphasizes identification of major chronic diseases, such as diabetes, heart disease, hypertension, and asthma. Examples illustrate potential applications in the areas of utilization management and resource allocation. Questions concerning the integrity of this method--that is, how reliably the method represents population morbidity--are addressed.
本文概述了使用门诊配药数据库进行病例组合测量所涉及的问题，特别是凯泽医疗集团正在探索的这种方法。该方法旨在开发一种基于人群的测量方法，重点是识别主要的慢性疾病，如糖尿病、心脏病、高血压和哮喘。文中举例说明了该方法在利用管理和资源分配领域的潜在应用。文中还讨论了有关该方法完整性的问题，即该方法能多可靠地反映人群发病率。
