International variation in the definition of ‘main condition’ in ICD-coded health data: Table 1
| Autor: | Alan J. Forster, Saskia E. Droesler, Harold Alan Pincus, O. Steinum, Lori Moskal, Hude Quan, Susan E Brien, Vijaya Sundararajan, William A. Ghali, B. Burnand, Robin L. Walker, G. Henriksson, Patrick S Romano |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | International Journal for Quality in Health Care. 26:511-515 |
| ISSN: | 1464-3677 1353-4505 |
| Popis: | Hospital-based medical records are abstracted to create International Classification of Disease (ICD) coded discharge health data in many countries. The ‘main condition’ is not defined in a consistent manner internationally. Some countries employ a ‘reason for admission’ rule as the basis for the main condition, while other countries employ a ‘resource use’ rule. A few countries have recently transitioned from one of these approaches to the other. The definition of ‘main condition’ in such ICD data matters when it is used to define a disease cohort to assign diagnosis-related groups and to perform risk adjustment. We propose a method of harmonizing the international definition to enable researchers and international organizations using ICD-coded health data to aggregate or compare hospital care and outcomes across countries in a consistent manner. Inter-observer reliability of alternative harmonization approaches should be evaluated before finalizing the definition and adopting it worldwide. |
| Databáze: | OpenAIRE |
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