• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

利用保险理赔数据衡量医疗质量。

Use of insurance claims data in measuring quality of care.

作者信息

Lohr K N

出版信息

Int J Technol Assess Health Care. 1990;6(2):263-71. doi: 10.1017/s0266462300000787.

DOI:10.1017/s0266462300000787
PMID:2203702
Abstract

This article discusses data that might be used for measuring quality of care, for health care administrative purposes, and for tracking the use of technologies. The advantages and limitations of administrative data banks for research purposes and some process-of-care and outcome analysis are noted. Three important obstacles to their use--reliability of diagnosis and service information, unique patient identifiers, and provider identifiers--are discussed briefly.

摘要

本文讨论了可能用于衡量医疗质量、用于医疗管理目的以及用于追踪技术使用情况的数据。文中指出了行政数据库用于研究目的以及一些医疗过程和结果分析的优点和局限性。简要讨论了使用行政数据库的三个重要障碍——诊断和服务信息的可靠性、患者唯一标识符以及提供者标识符。

相似文献

1
Use of insurance claims data in measuring quality of care.利用保险理赔数据衡量医疗质量。
Int J Technol Assess Health Care. 1990;6(2):263-71. doi: 10.1017/s0266462300000787.
2
Technology assessment using insurance claims. Example of prostatectomy.利用保险理赔进行技术评估。前列腺切除术示例。
Int J Technol Assess Health Care. 1990;6(2):194-202. doi: 10.1017/s0266462300000714.
3
Impact of claims data research on clinical practice.索赔数据研究对临床实践的影响。
Int J Technol Assess Health Care. 1990;6(2):282-7. doi: 10.1017/s0266462300000805.
4
Variation in outcomes of quality measurement by data source.不同数据源的质量测量结果存在差异。
Pediatrics. 2014 Jun;133(6):e1676-82. doi: 10.1542/peds.2013-4277.
5
Assessment of medical outcomes. New opportunities for achieving a long sought-after objective.医疗结果评估。实现长期追求目标的新机遇。
Int J Technol Assess Health Care. 1990;6(2):333-9. doi: 10.1017/s0266462300000866.
6
Using administrative data to study persons with disabilities.利用行政数据研究残疾人
Milbank Q. 2002;80(2):347-79. doi: 10.1111/1468-0009.t01-1-00007.
7
The need for access to Medicare fee-for-service claims data.获取医疗保险按服务收费索赔数据的必要性。
JAMA. 2013 Jul 3;310(1):29-30. doi: 10.1001/jama.2013.6509.
8
Administrative and claims records as sources of health care cost data.作为医疗保健成本数据来源的行政和理赔记录。
Med Care. 2009 Jul;47(7 Suppl 1):S51-5. doi: 10.1097/MLR.0b013e31819c95aa.
9
Identifying comorbidities in home health care patients: does the Outcome and Assessment Information Set have incremental value to Medicare claims data?识别家庭医疗保健患者的合并症:结局与评估信息集对医疗保险理赔数据是否具有增量价值?
Home Health Care Serv Q. 2011 Jan;30(1):1-9. doi: 10.1080/01621424.2011.545726.
10
Applying insurance claims data to assess quality of care: a compilation of potential indicators.应用保险理赔数据评估医疗质量:潜在指标汇编
QRB Qual Rev Bull. 1990 Dec;16(12):424-38. doi: 10.1016/s0097-5990(16)30404-3.

引用本文的文献

1
Patterns of case fatality and hospitalization duration among nearly 1 million hospitalized COVID-19 patients covered by Iran Health Insurance Organization (IHIO) over two years of pandemic: An analysis of associated factors.在大流行的两年中,伊朗健康保险组织(IHIO)覆盖的近 100 万例住院 COVID-19 患者的病死率和住院时间模式:相关因素分析。
PLoS One. 2024 Feb 23;19(2):e0298604. doi: 10.1371/journal.pone.0298604. eCollection 2024.
2
Drug prescription patterns and their association with mortality and hospitalization duration in COVID-19 patients: insights from big data.**药物处方模式及其与 COVID-19 患者死亡率和住院时间的关系:大数据洞察。**
Front Public Health. 2023 Dec 18;11:1280434. doi: 10.3389/fpubh.2023.1280434. eCollection 2023.
3
Comparison of Electronic Health Record-Based and Claims-Based Diabetes Care Quality Measures: Causes of Discrepancies.基于电子健康记录和理赔的糖尿病护理质量衡量指标的比较:差异的原因。
Health Serv Res. 2018 Aug;53 Suppl 1(Suppl Suppl 1):2988-3006. doi: 10.1111/1475-6773.12819. Epub 2017 Dec 28.
4
Electronic health records vs Medicaid claims: completeness of diabetes preventive care data in community health centers.电子健康记录与医疗补助索赔:社区卫生中心中糖尿病预防保健数据的完整性。
Ann Fam Med. 2011 Jul-Aug;9(4):351-8. doi: 10.1370/afm.1279.
5
Development of a computerized medical history profile for children in out-of-home placement using Medicaid data.利用医疗补助数据为处于家庭外安置状态的儿童开发计算机化病史档案。
J Health Care Poor Underserved. 2009 Aug;20(3):748-55. doi: 10.1353/hpu.0.0184.
6
Psychological Research With Administrative Data Sets: An Underutilized Strategy for Mental Health Services Research.利用行政数据集进行的心理学研究:心理健康服务研究中一种未充分利用的策略。
Prof Psychol Res Pr. 2005 Oct;36(5):551-557. doi: 10.1037/0735-7028.36.5.551.
7
Concordance between childhood injury diagnoses from two sources: an injury surveillance system and a physician billing claims database.两种来源的儿童伤害诊断结果的一致性:一个伤害监测系统和一个医生计费索赔数据库。
Inj Prev. 2005 Jun;11(3):186-90. doi: 10.1136/ip.2004.006585.
8
Positive predictive value of the diagnosis of acute myocardial infarction in an administrative database.行政数据库中急性心肌梗死诊断的阳性预测值
J Gen Intern Med. 1999 Sep;14(9):555-8. doi: 10.1046/j.1525-1497.1999.10198.x.
9
The role of insurance claims databases in drug therapy outcomes research.保险理赔数据库在药物治疗效果研究中的作用。
Pharmacoeconomics. 1993 Nov;4(5):323-30. doi: 10.2165/00019053-199304050-00003.
10
Routine data: a resource for clinical audit?常规数据:临床审计的一种资源?
Qual Health Care. 1993 Jun;2(2):104-11. doi: 10.1136/qshc.2.2.104.