为记录住房不稳定性的诊断代码的相关值:全市的队列研究
Andrew L Owen1, Sharon Langshur2, Bruce Doblin3
1Institute of Public Health and Medicine, Northwestern University Feinberg School of Medicine; Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University Feinberg School of Medicine.
American journal of preventive medicine
|December 13, 2025
概括
医疗保健提供者可以使用ICD-10 Z代码来识别经历住房不稳定 (PEHI) 的人. 通过Z代码记录住房不稳定可能有助于将PEHI与关键的医疗和社会服务联系起来.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- ICD-10 Z代码提供了一种标准化的方法,用于记录在医疗保健中经历住房不稳定 (PEHI) 的人.
- 对于PEHI群体中Z码使用模式的了解有限.
- 这项研究分析了Z码的使用及其与医疗保健利用和患者特征的关联.
研究的目的:
- 确定与记录住房不稳定性相关的医疗保健利用模式.
- 确定与住房不稳定性相关的临床和社会人口统计特征.
- 分析Z59诊断代码与大型城市PEHI队列中的医疗保健遭遇之间的关联.
主要方法:
- 通过使用服务PEHI的诊所网络的数据,建立了住房不稳定的参考标准.
- 来自芝加哥六个卫生系统的电子健康记录 (EHR) 数据被链接在一起,以创建一个追溯队列.
- 修改Poisson回归被用于分析Z59代码分配,控制患者层面的因素.
主要成果:
- 经历住房不稳定的人Z59代码有更高的急诊室和住院访问率.
- Z59代码的接受者更有可能是男性,并且患有严重的医疗/精神健康并发症.
- Z59代码的接收者更有可能居住在避难所或街道上,并接受外展护理.
结论:
- 住房不稳定的ICD-10 Z代码在医疗保健机构中未得到充分利用.
- Z代码可以潜在地识别具有最重要的干预需求的PEHI.
- 改进的Z码文档可能有助于PEHI获得基本的医疗和社会支持.
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