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Use of Insurance Claims Data in Measuring Quality of Care

Published online by Cambridge University Press:  10 March 2009

Kathleen N. Lohr
Kathleen N. Lohr
Affiliation:
Institute of Medicine
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Abstract

This article discusses data that might be used for measuring quality of care, for health care administrative purposes, and for tracking the use of technologies. The advantages and limitations of administrative data banks for research purposes and some process-of-care and outcome analysis are noted. Three important obstacles to their use—reliability of diagnosis and service information, unique patient identifiers, and provider identifiers—are discussed briefly.

Type
Special Section: Measuring Health Care Effectiveness: Use of Large Data Bases for Technology and Quality Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 6 , Issue 2 , January 1990 , pp. 263 - 271
Copyright
Copyright © Cambridge University Press 1990

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References

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