Incidence and Variation of Discrepancies in Recording Chronic Conditions in Australian Hospital Administrative Data

PloS One
Hassan AssarehKim Hill

Abstract

Diagnostic data routinely collected for hospital admitted patients and used for case-mix adjustment in care provider comparisons and reimbursement are prone to biases. We aim to measure discrepancies, variations and associated factors in recorded chronic morbidities for hospital admitted patients in New South Wales (NSW), Australia. Of all admissions between July 2010 and June 2014 in all NSW public and private acute hospitals, admissions with over 24 hours stay and one or more of the chronic conditions of diabetes, smoking, hepatitis, HIV, and hypertension were included. The incidence of a non-recorded chronic condition in an admission occurring after the first admission with a recorded chronic condition (index admission) was considered as a discrepancy. Poisson models were employed to (i) derive adjusted discrepancy incidence rates (IR) and rate ratios (IRR) accounting for patient, admission, comorbidity and hospital characteristics and (ii) quantify variation in rates among hospitals. The discrepancy incidence rate was highest for hypertension (51% of 262,664 admissions), followed by hepatitis (37% of 12,107), smoking (33% of 548,965), HIV (27% of 1500) and diabetes (19% of 228,687). Adjusted rates for all conditions decline...Continue Reading

References

Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Aug 5, 2003·Quality & Safety in Health Care·J M SimpsonUNKNOWN Australian and New Zealand Neonatal Network
May 27, 2005·Australian and New Zealand Journal of Public Health·Michael Coory, Sue Cornes
Feb 9, 2006·Scandinavian Journal of Primary Health Care·Katarina HedinAnders Håkansson
Aug 16, 2006·Health Policy·Paul J M SteinbuschFrans J M Schaepkens
Oct 26, 2006·Medical Care·Toni HendersonVijaya Sundararajan
Oct 16, 2007·Journal of Epidemiology and Community Health·Jon Nicholl
Feb 5, 2008·Health Information Management : Journal of the Health Information Management Association of Australia·Suong SantosKerin M Robinson
Mar 19, 2009·Health Information Management : Journal of the Health Information Management Association of Australia·Ping ChengLindsay Paul
Apr 4, 2009·Clinical Trials : Journal of the Society for Clinical Trials·Reza RostamiCarl F Pieper
Jan 9, 2010·Medical Care·Vicki FungJoseph V Selby
Apr 23, 2010·BMC Health Services Research·Deirdre A HennessyCynthia A Beck
Mar 17, 2011·JAMA : the Journal of the American Medical Association·H Gilbert WelchJohn E Wennberg
Jul 28, 2011·Health Services Research·Alex BottlePaul Aylin
Jul 29, 2011·Journal of Public Health·E M BurnsO D Faiz
Dec 21, 2011·Annals of Internal Medicine·Christopher L Knight
Jan 10, 2012·Health Economics, Policy, and Law·Jacqueline O'ReillyMiriam Wiley
Sep 19, 2012·Health Services Research·Christopher W SeymourColin R Cooke
Sep 22, 2012·BMC Health Services Research·Efty StavrouSallie-Anne Pearson
Jan 1, 2013·Therapeutic Innovation & Regulatory Science·Hassan AssarehKerrie Mengersen

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Citations

Jul 7, 2016·Journal of Diabetes Science and Technology·Sabine E HoferUNKNOWN Austrian/German DPV Initiative
Jul 27, 2017·Health Information Management : Journal of the Health Information Management Association of Australia·Lieu Thi Thuy TrinhVeth Guevarra
Dec 20, 2017·Health Informatics Journal·Hassan AssarehJean-Frederic Levesque
Aug 10, 2018·Internal Medicine Journal·Joanne M StubbsBin Jalaludin
Jul 7, 2020·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Cameron McLeanAnne-Therese McMahon
Nov 10, 2018·BMJ Supportive & Palliative Care·Hassan AssarehHelen M Achat

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