在堕胎研究中使用医疗补助行政数据的局限性
Brittni Frederiksen1, Emily Dennis2, Guodong Liu2
1Women's Health Policy, KFF, San Francisco, CA, United States.
Contraception
|September 18, 2024
概括
国家数据集中的医疗补助堕胎索赔明显低于实际程序,数据准确性因州而异. 研究人员在使用医疗补助分析提取 (MAX) 和转换医疗补助统计信息系统 (TAF) 数据进行堕胎研究时必须谨慎.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生数据分析 公共卫生数据分析
- 生殖健康政策 生殖健康政策
背景情况:
- 国家医疗补助申请数据,包括医疗补助分析提取 (MAX) 和转换医疗补助统计信息系统 (TAF) 文件,通常用于研究堕胎趋势.
- 准确的数据对于了解医疗保健的获取和政策对生殖健康服务的影响至关重要.
研究的目的:
- 评估国家医疗补助申请档案中的堕胎数据的准确性.
- 为了比较MAX和TAF数据中的堕胎计数与医疗补助覆盖堕胎的州具体估计.
主要方法:
- 利用当前的程序术语/医疗保健常规程序编码系统和国家药物规范数据来识别2009-2010 MAX和2020 TAF中的堕胎索赔.
- 根据州的资助政策,估计预期的医疗补助计划覆盖的堕胎 (62%在覆盖州,0.9%在遵循海德限制的州).
- 与这些州级估计相比,比较了已识别的索赔.
主要成果:
- 在2009-2010年,MAX数据只捕获了预期的医疗补助覆盖堕胎的11-13% .
- 2020年的TAF数据确定了25%的预期医疗补助覆盖的堕胎.
- 2020年,有16个州中有8个州的政府资助的堕胎覆盖率报告的预期医疗补助堕胎率不到10%.
结论:
- 在MAX和TAF中,堕胎索赔代表了医疗补助计划所涵盖的堕胎的显著不足.
- 计数不足的程度在各州和随着时间的推移而有很大差异.
- 研究人员在使用MAX/TAF堕胎索赔进行跨州或纵向分析时必须非常小心,因为可能存在偏差.
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