Using administrative data to measure ambulatory mental health service provision in primary care

Medical Care
Leah S SteeleMichael Evans

Abstract

We sought to determine the accuracy of administrative data for identifying mental health service provision in primary care. This was a chart abstraction study measuring agreement between billing data and clinical data on the binary variable "mental health visit." Data were collected from the charts and billing records of 5 academic family practice clinics in Toronto, Ontario (1999 to 2000). Billing claims (n = 952) were selected from the billings for all visits by a stratified random sampling technique. A blinded data abstractor reviewed the clinical charts and assigned diagnostic codes for each patient visit associated with the selected claims. Any visit with at least 1 abstracted mental health diagnostic code was defined as a mental health visit. The test characteristics of 4 administrative measures of mental health service provision, based on different combinations of billing codes, were calculated. The accuracy of the administrative data was 86.8% when compared with clinical data. The sensitivity of the 4 administrative measures ranged from 22.3% to 80.7%. The specificity ranged from 97.0% to 99.5%. This is the first study to establish the performance of administrative data in measuring mental health service provision in a ...Continue Reading

References

Jan 1, 1992·Hospital & Community Psychiatry·N LurieM Finch
Feb 1, 1981·American Journal of Public Health·D R Studney, A R Hakstian
Apr 1, 1994·Archives of Family Medicine·K RostB Guise
May 28, 1997·JAMA : the Journal of the American Medical Association·J UnützerW Katon
Nov 24, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·E LinP Goering
Sep 22, 1999·Journal of General Internal Medicine·L S GoldmanH C Champion
Nov 4, 2000·The American Journal of Psychiatry·G E SimonH A Pincus

❮ Previous
Next ❯

Citations

Sep 10, 2013·Journal of Epidemiology and Community Health·Flora I MathesonRichard H Glazier
May 16, 2012·BMC Health Services Research·Michelle GreiverRahim Moineddin
Mar 7, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Richard L MorrowColin R Dormuth
Oct 8, 2013·Journal of Epidemiology and Community Health·John CairneyPaul Kurdyak
Sep 13, 2014·The American Journal of Cardiology·Steven M LillyIshak A Mansi
Apr 4, 2015·Journal of Clinical Epidemiology·Claire E KendallMonica Taljaard
Nov 26, 2015·Journal of Cardiac Failure·Marcela Horvitz-LennonSharon-Lise Normand
Mar 10, 2016·Epilepsy & Behavior : E&B·Klajdi PukaElysa Widjaja
Apr 6, 2007·Journal of Affective Disorders·Julie Loebach WetherellDilip V Jeste
Jul 6, 2007·Health Services Research·Baiju R ShahGillian L Booth
Feb 20, 2010·Health Economics·James F BurgessChuan-Fen Liu
Dec 3, 2014·American Journal of Obstetrics and Gynecology·Elad Mei-DanSimone N Vigod
Dec 30, 2014·Journal of Psychiatric Research·Simone N VigodAndrea Gruneir
Jun 7, 2016·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Ayal SchafferAmy Cheung
Jun 28, 2014·Journal of Epidemiology and Community Health·Flora I MathesonRichard H Glazier
Aug 12, 2016·Archives of Women's Mental Health·Lucy Church BarkerSimone Vigod
Aug 21, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Kathryn GrahamPaul Kurdyak
May 20, 2017·The Australian and New Zealand Journal of Psychiatry·Joanne C EnticottGraham Meadows
Jan 20, 2017·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Tanya S HauckKaren Tu
Jun 3, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Sima GandhiPaul Kurdyak
Jul 19, 2017·Current Urology Reports·Yash S KhandwalaMichael L Eisenberg
Nov 11, 2017·Social Psychiatry and Psychiatric Epidemiology·Lucy Church BarkerSimone N Vigod
Jan 9, 2018·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Valerie TarasukPaul Kurdyak
Aug 24, 2017·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Yona LunskyTara Gomes

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.