阿肯色州全付款人索赔数据库的采样覆盖范围由县的持续贫困指定
Chenghui Li1, Cheng Peng1, Peter DelNero2
1Division of Pharmaceutical Evaluation and Policy, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock, Arkansas, USA.
Health services research
|June 16, 2024
概括
阿肯色州全付款人索赔数据库 (APCD) 显示了良好的人口覆盖率,特别是在持续贫困地区. 这使得它成为这些地区健康差异研究的宝贵资源.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 数据库质量评估数据库质量评估
背景情况:
- 持续贫困地区经常面临独特的健康挑战,需要强大的数据进行研究.
- 评估医疗保健索赔数据库的代表性对于准确的差异研究至关重要.
研究的目的:
- 评估阿肯色州全付款人索赔数据库 (APCD) 对健康差异研究的质量.
- 确定APCD对阿肯色州人口的代表性,县级差异以及持续贫困地区的覆盖率差异.
主要方法:
- 使用2019年阿肯色州APCD会员招生和县级数据进行横截面研究.
- 基于医疗保险持续时间 (≥1天,6月,连续) 的三个队列的分析.
- 使用逆变量加权线性回归,比较持续贫困和其他县之间的抽样比例.
主要成果:
- 在2019年,APCD覆盖了73.6% (队列1),66.3% (队列2) 和58.8% (队列3) 的阿肯色州人.
- 覆盖范围采样比例因县而异,但在所有队列中持续贫困县的覆盖率始终较高.
- 与更高覆盖率相关的县特征包括更大的体型和更高比例的女性或65岁以上的个人.
结论:
- 阿肯色州APCD为该州的人口提供了大量的覆盖.
- 与其他地区相比,APCD内的医疗保健覆盖率在持续贫困县显著更高.
- 该APCD是调查阿肯色州持续贫困地区的健康差异的一个合适的资源.
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