健康Z码的社会决定因素的使用很少, 2016-22
Monica S Aswani1, Lauren A Do2, Paul R Shafer3
1Monica S. Aswani (aswani@uab.edu), University of Alabama at Birmingham, Birmingham, Alabama.
Health affairs (Project Hope)
|May 5, 2025
概括
健康的社会决定因素 (Z代码) 在2016-2022年的索赔数据中使用率增加. 然而,它们的应用仍然不一致,Z码的个体承担了更高的医疗保健费用.
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
- 卫生经济学 卫生经济学
背景情况:
- 疾病与相关健康问题的国际统计分类,第十版 (ICD-10) 引入了Z代码来捕捉健康的社会决定因素 (SDOH).
- 记录SDOH对于了解健康差异和定制干预措施至关重要.
研究的目的:
- 分析Z码在商业索赔数据中的使用率和趋势.
- 调查Z码在不同国家,领域和年龄段的使用变化.
- 检查Z码文档与医疗保健支出之间的关联.
主要方法:
- 对2016年至2022年商业索赔数据的分析.
- 评估Z码流行率,包括趋势和人口/地理变化.
- 具有和没有Z码文档的个人之间的年度总医疗保健支出的比较.
主要成果:
- 商业索赔数据中Z代码的普及率在2016年至2022年期间翻了一番.
- 尽管Z码的使用量有所增加,但Z码的使用量仍然很少,并且根据州,领域和年龄组表现出显著的变化.
- 与没有Z代码的个人相比,Z代码的个人平均年度医疗保健支出是Z代码的两倍多.
结论:
- 虽然Z码的使用量正在增加,但在记录健康的社会决定因素方面仍然存在重大差距和不一致.
- 与Z码个体相关的更高的医疗保健成本强调了解决SDOH的重要性.
- 需要进一步的研究和标准化实施,以有效地利用Z代码进行公共卫生倡议.
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