Hill Steven C, Zuvekas Samuel H, Zodet Marc W
Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA.
Inquiry. 2011 Fall;48(3):242-59. doi: 10.5034/inquiryjrnl_48.03.04.
This paper assesses the quality of the Medical Expenditure Panel Survey (MEPS) drug data and the impact that misreporting prescription drug data has on descriptive and behavioral analyses. It does this by matching MEPS participants with Medicare Part D coverage during the period 2006-2007 to their Part D claims data. In the validation sample, the number of drug fills and total expenditures are reasonably accurate compared with claims. Household respondents tended to underreport the number of different drugs taken, but tended to overreport the number of fills of each drug. Behavioral analyses of the determinants of medication use and expenditures were largely unaffected because underreporting cut across most sociodemographic groups.
本文评估了医疗支出小组调查(MEPS)药品数据的质量,以及处方药数据误报对描述性分析和行为分析的影响。通过将2006 - 2007年期间参加MEPS且有医疗保险D部分覆盖的参与者与其D部分的理赔数据进行匹配来实现这一目的。在验证样本中,与理赔数据相比,药品配药次数和总支出数量相当准确。家庭受访者往往少报所服用不同药品的数量,但往往多报每种药品的配药次数。用药和支出决定因素的行为分析在很大程度上未受影响,因为少报情况在大多数社会人口群体中都存在。