健康的社会决定因素 ICD-10代码在住院儿科的使用
Kaitlyn McQuistion1, Stacey Stokes1, Bridget Allard1
1Children's National Hospital, Washington, District of Columbia.
Pediatrics
|July 11, 2023
概括
健康的社会决定因素 (SDOH) 儿科住院患者的ICD-10代码使用在政策变化后略有增加. 然而,这些重要的代码在跟踪患者需求方面仍未得到充分利用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科健康结果的结果
- 医疗信息学 医疗信息学
背景情况:
- 美国儿科学会建议对健康的社会决定因素 (SDOH) 进行查,并将家庭与资源联系起来.
- 对未满足需求的有效应对需要系统的识别,记录和资源提供.
研究的目的:
- 为了比较使用SDOH国际疾病分类,第10版 (ICD-10) 儿童住院患者的代码在2018年政策变化之前和之后的使用情况.
- 评估允许非医生使用SDOH的ICD-10代码的影响.
主要方法:
- 使用2016年和2019年的儿童住院患者数据库对21岁以下的患者进行了回顾性队列研究.
- 定义的SDOH代码作为ICD-10Z代码 (Z55-Z65) 或AAP推的代码.
- 通过千平方测试和后勤回归,比较了2016年和2019年的代码使用情况.
主要成果:
- SDOH代码文档从2016年的1.4%增加到2019年的1.9% (P < .001).
- 青少年,美洲原住民和那些患有心理健康诊断的人更频繁地记录记录.
- 使用任何SDOH代码的医院数量增加了近8%.
结论:
- 国际疾病分类,第10修订 (ICD-10) 代码在儿科住院患者环境中未能用于跟踪健康的社会决定因素 (SDOH).
- 需要进一步的研究来确定SDOH代码文档是否能改善对未满足的社会需求的响应.
- 应该探索增强所有医疗保健提供者使用SDOH代码的策略.
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