医疗保险收费服务受益者在医院使用常用Z码,2017-2021年
Ji E Chang1, Nate Smith2, Zoe Lindenfeld1
1Department of Public Health Policy and Management, New York University School of Global Public Health, New York, NY 10003, United States.
Health affairs scholar
|May 17, 2024
概括
美国医院的Z码使用率仍然很低,住房需求是例外. 增加提供者培训对于统一记录与健康相关的社会需求至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响患者的健康结果.
- 医疗保险和医疗补助服务中心 (CMS) 在2016年推了ICD-10 Z代码,以记录与健康有关的社会需求.
- 统一的SDOH文档对于全面的患者护理和健康公平至关重要.
研究的目的:
- 分析2017年至2021年美国医院的医疗保险费用收件人中SDOH的ICD-10Z码利用趋势.
- 为了确定与更高的Z码采用率相关的因素.
- 通过使用标准化代码,评估目前捕捉与健康相关的社会需求的情况.
主要方法:
- 从2017年到2021年对医疗保险服务费索赔数据的回顾性分析.
- 在五个常见的SDOH域中检查Z-code的使用情况.
- 多变量分析以确定与Z码利用相关的医院特征.
主要成果:
- 总体而言,Z码采用率很低,56.9%的医院每年至少记录一次Z码.
- 住房需求是使用Z码最频繁记录的SDOH.
- 一般医疗,教学机构,大型卫生系统的一部分,中型至大型的大型医院的Z码利用率更高.
结论:
- 尽管有建议,但Z码在医院中用于记录SDOH的广泛采用是有限的.
- 包括提供者教育和培训在内的有针对性的干预措施是必要的,以改善与健康相关的社会需求的一致和标准化文档.
- 需要进一步的研究来了解Z-code实现的障碍和促进者.
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