老年人虐待的诊断编码：来自 2011-2017 年医疗保险优势计划和私人保险患者国家数据库的结果。
Diagnostic Coding of Elder Mistreatment: Results From a National Database of Medicare Advantage and Private Insurance Patients, 2011-2017.
机构信息
Weill Cornell Medicine and NewYork-Presbyterian Hospital, New York City, USA.
Cornell University, Ithaca, NY, USA.
出版信息
J Appl Gerontol. 2022 Apr;41(4):918-927. doi: 10.1177/07334648211018530. Epub 2021 Jun 2.
Health care providers may play an important role in detection of elder mistreatment, which is common but underrecognized. We used the Health Care Cost Institute insurance claims database to describe elder mistreatment diagnosis among Medicare Advantage (MA) and private insurance patients in the United States from 2011 to 2017. We used International Classification of Diseases (ICD) coding to identify cases, examining the impact of transition from ICD-9 (Ninth Revision) to ICD-10 (Tenth Revision), which occurred in October 2015 and added 14 new codes for "suspected" mistreatment. 8,127 patients (0.051% of all aged ≥ 65), including 6,304 with MA (0.058%) and 1,823 with private insurance (0.026%) received elder mistreatment diagnosis. Transition from ICD-9 to ICD-10 was associated with a small increase in diagnosis rate, with "suspected" codes used in 45.3% of ICD-10 versus 9.7% of ICD-9 cases. Overall rates remained low. Rates, settings, and types of diagnosis differed between MA and private insurance patients.
医疗保健提供者在发现虐待老年人方面可能发挥重要作用，因为这种情况很常见但未被充分认识。我们使用医疗保健成本研究所的保险索赔数据库，描述了 2011 年至 2017 年美国医疗保险优势（MA）和私人保险患者中的虐待老年人诊断情况。我们使用国际疾病分类（ICD）编码来确定病例，检查 2015 年 10 月从 ICD-9（第九版）过渡到 ICD-10（第十版）的影响，后者增加了 14 个“疑似”虐待的新编码。共有 8,127 名（所有年龄≥65 岁的患者的 0.051%）患者被诊断为虐待老年人，包括 MA 患者 6,304 名（0.058%）和私人保险患者 1,823 名（0.026%）。从 ICD-9 到 ICD-10 的过渡与诊断率的小幅增加有关，在 ICD-10 中，“疑似”编码的使用比例为 45.3%，而 ICD-9 中为 9.7%。总体比率仍然很低。MA 和私人保险患者的诊断率、设置和类型存在差异。
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