过度的CMS发病率和FEMA声明:现象广泛的协会研究一般化线性模型的CMS诊断代码利用和FEMA事件类型之间的相互作用,1999-2020年
1Lister Hill National Center for Biomedical Communications, National Library of Medicine, National Institutes of Health, 8600 Rockville Pike, Bethesda, MD 20894, USA.
Informatics in medicine unlocked
|December 19, 2025
概括
灾害类型影响医疗保健利用,联邦紧急事务管理局 (FEMA) 的事件影响医疗保险和医疗补助服务中心 (CMS) 的服务使用. 特定的灾难暴露可以加速或阻碍寻求某些类型的护理.
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
- 灾难医学 灾难医学
背景情况:
- 灾难类型与临床健康结果之间的关系尚未得到充分理解.
- 联邦紧急事务管理局 (FEMA) 协调灾害响应,而医疗保险和医疗补助服务中心 (CMS) 负责医疗保健服务.
- 现有的数据还不清楚具体的灾难类型如何与医疗保健服务使用模式相关.
研究的目的:
- 通过使用CMS服务使用数据,调查灾害类型与临床发病率之间的关联.
- 分析不同类型的灾害事件 (如风,火灾,恐怖主义) 对特定CMS健康现象的影响.
- 量化FEMA灾害声明与CMS服务利用之间的关系.
主要方法:
- 使用FEMA API进行灾害声明和CMS慢性状况仓库用于索赔数据.
- 将FEMA和CMS数据按县和月份合并,以创建详细的利用模型.
- 采用了通用线性模型来预测每个成员,每个月,每个县的攻击率,并分析了表型-灾害类型的相互作用.
主要成果:
- 确定了特定灾害类型和医疗保健表型之间的统计学意义上的关联和分离.
- 在各种历史性灾难声明中观察到灾难类型和现象型之间的一致关系.
- 证明灾难声明对不同医疗保健服务的利用有不同的影响.
结论:
- 在统计学上,CMS受益人寻求医疗保健的行为与灾难事件类型有关.
- 联邦紧急事务管理局 (FEMA) 的灾难暴露可以鼓励和阻止特定的医疗保健服务的利用,特别是影响性传播疾病护理的获得.
- 未来的研究应该纳入时间和空间因素,如延迟,领先,距离和持续时间,以完善关联检测.
关键词:
这就是Covid-19的原因.应急准备和应对情况机器学习 机器学习医疗补助公司 (Medicaid) 的医疗补助.美国医疗保险 (Medicare) 的医疗保险.菲瓦斯 (Phewas) 是一种植物.性传播感染 性传播感染野火 烟雾 烟雾 在野火更多相关视频
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