退行性肩部疾病:肩部受伤,流行病学,ICD10,编码
Jasmin Azarderakhsh1, Sebastian Siebenlist2, Olaf Schneider1
1Unternehmensbereich Steuerung, Finanzen & Analytik, AOK Baden-Württemberg, Stuttgart, Deutschland.
Zeitschrift fur Orthopadie und Unfallchirurgie
|December 9, 2024
概括
这项研究分析了490万人的2022年计费数据,显示女性比男性更容易受到肩部疾病的影响. 研究结果表明,可能需要更具体的诊断编码和有针对性的治疗措施.
科学领域:
- 整形外科 整形外科 整形外科
- 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:
- 肩部疾病和伤害的发病率不断增加,需要了解疾病负担和护理模式.
- 有限的数据存在于退行性肩部疾病,伤害和医生编码实践 (国际疾病分类,第10版-ICD-10).
研究的目的:
- 通过2022年医疗保险计费数据提供编码肩部疾病和伤害的描述性分析.
- 检查医生编码行为以及肩部疾病的诊断和治疗服务的利用情况.
- 识别护理和编码实践中的潜在差异.
主要方法:
- 分析了2022年巴登-维尔特堡州490万保险人收费数据.
- 将肩部疾病分为与事故有关的伤害和退行性疾病的分类.
- 评估ICD-10编码特异性 (特异性与非特异性代码) 和医生专业.
- 诊断成像和物理治疗处方率的评估.
- 分析与退行性肩部疾病相关的并发症.
主要成果:
- 女性 (7.3%) 受肩部疾病的影响略高于男性 (6.9%),女性在诊断时年龄大得多.
- 一般医生更频繁地使用非特定的代码来描述诸如关节疼痛或阻塞综合征等疾病.
- 只有三分之一的患者接受了成像,40%的患者接受了物理治疗.
- 退行性肩部疾病患者的代谢性疾病和高血压的发病率更高.
结论:
- 肩部疾病在德国是一个严重的健康负担,影响男性和女性.
- 似乎有可能提高诊断特异性和治疗干预的有针对性的处方.
- 更清楚地了解服务使用情况可以指导提供者开始适当的护理,并确定医疗保健系统内的潜在未满足需求.
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