Agreement between caregiver reported healthcare utilization and administrative data for children with asthma

Todd A. Lee, Anne L. Fuhlbrigge, Sean D. Sullivan, Jonathan A. Finkelstein, Thomas Inui, Paula Lozano, Kevin B. Weiss

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

In asthma, healthcare utilization is frequently an outcome measure and can come from several sources. Asthma-related hospitalizations, emergency department (ED) visits, oral steroid bursts, and outpatient visits were compared between caregiver report and administrative data over 2 years. The difference between sources (caregiver minus administrative) was as follows: hospitalizations = -0.02 (95% limits of agreement, -0.66 to 0.61), ED visits = 0.18 (-1.16 to 1.52), steroid bursts = 0.26 (-3.98 to 4.49), and outpatient visits = 0.29 (-6.10 to 6.64). The percent of individuals with disagreement between sources was hospitalizations = 6.1%; ED visits = 20.2%; steroid bursts = 34.3%; and outpatient visits = 83.6%. The data sources resulted in similar estimates on the population level; however, there were pronounced differences for outpatient visits on an individual level. Importantly, the individual level disagreement between the data sources could negatively affect the perceived quality of care provided by a physician and reduce their compensation in a pay-for-performance system when physicians are rated using administrative data, yet they provide treatment based on patient-reported information.

Original languageEnglish
Pages (from-to)189-194
Number of pages6
JournalJournal of Asthma
Volume44
Issue number3
DOIs
StatePublished - Apr 2007

Fingerprint

Caregivers
Outpatients
Asthma
Delivery of Health Care
Hospital Emergency Service
Hospitalization
Information Storage and Retrieval
Steroids
Incentive Reimbursement
Physicians
Quality of Health Care
Outcome Assessment (Health Care)
Population
Therapeutics

Keywords

  • Agreement
  • Asthma
  • Family caregiver
  • Healthcare utilization

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Lee, T. A., Fuhlbrigge, A. L., Sullivan, S. D., Finkelstein, J. A., Inui, T., Lozano, P., & Weiss, K. B. (2007). Agreement between caregiver reported healthcare utilization and administrative data for children with asthma. Journal of Asthma, 44(3), 189-194. https://doi.org/10.1080/02770900701209723

Agreement between caregiver reported healthcare utilization and administrative data for children with asthma. / Lee, Todd A.; Fuhlbrigge, Anne L.; Sullivan, Sean D.; Finkelstein, Jonathan A.; Inui, Thomas; Lozano, Paula; Weiss, Kevin B.

In: Journal of Asthma, Vol. 44, No. 3, 04.2007, p. 189-194.

Research output: Contribution to journalArticle

Lee, TA, Fuhlbrigge, AL, Sullivan, SD, Finkelstein, JA, Inui, T, Lozano, P & Weiss, KB 2007, 'Agreement between caregiver reported healthcare utilization and administrative data for children with asthma', Journal of Asthma, vol. 44, no. 3, pp. 189-194. https://doi.org/10.1080/02770900701209723
Lee, Todd A. ; Fuhlbrigge, Anne L. ; Sullivan, Sean D. ; Finkelstein, Jonathan A. ; Inui, Thomas ; Lozano, Paula ; Weiss, Kevin B. / Agreement between caregiver reported healthcare utilization and administrative data for children with asthma. In: Journal of Asthma. 2007 ; Vol. 44, No. 3. pp. 189-194.
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