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 S. Inui, Paula Lozano, Kevin B. Weiss

Research output: Contribution to journalArticle

13 Scopus citations

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 (US)
Pages (from-to)189-194
Number of pages6
JournalJournal of Asthma
Volume44
Issue number3
DOIs
StatePublished - Apr 1 2007

Keywords

  • Agreement
  • Asthma
  • Family caregiver
  • Healthcare utilization

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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    Lee, T. A., Fuhlbrigge, A. L., Sullivan, S. D., Finkelstein, J. A., Inui, T. S., 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