French Dustin D, Margo Curtis E, Campbell Robert R
Regenstrief Institute Inc, Indianapolis, IN, USA.
Am J Med Qual. 2010 Mar-Apr;25(2):143-8. doi: 10.1177/1062860609354638. Epub 2010 Feb 9.
The authors examine the rates of cataract surgery as a crude measure of appropriateness of care among veterans 65 years of age and older who use Veterans Health Administration (VHA). Data were obtained from the national VHA data sets for fiscal years 2000 through 2007, using International Classification of Diseases codes and the American Medical Association's Current Procedural Terminology codes. Cataract surgery was expressed as procedures per 10 000 veteran beneficiaries per fiscal year. The annual incidence of cataract surgery increased marginally over the study period with an average annual incidence of 105.8 surgeries per 10 000 beneficiaries. Institutional rates of VHA surgery differ substantially from those of Medicare beneficiaries, which are approximately 5.5-fold greater. Although direct comparison must be interpreted cautiously, the difference is too great to be explained by demographic factors or secular trends in surgery. Additional research is required to elucidate factors that influence the rate of cataract surgery in the VHA.
作者们对白内障手术率进行了研究，以此作为使用退伍军人健康管理局（VHA）的65岁及以上退伍军人医疗适宜性的粗略衡量指标。数据取自2000财年至2007财年的VHA全国数据集，使用国际疾病分类编码和美国医学协会的现行手术操作术语编码。白内障手术率表示为每财年每10000名退伍军人受益人的手术例数。在研究期间，白内障手术的年发病率略有上升，平均年发病率为每10000名受益人中有105.8例手术。VHA机构的手术率与医疗保险受益人的手术率有很大差异，医疗保险受益人的手术率大约是VHA的5.5倍。尽管直接比较必须谨慎解读，但这种差异太大，无法用人口统计学因素或手术的长期趋势来解释。需要进行更多研究以阐明影响VHA白内障手术率的因素。
