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Despite some differences in EHR data quality compared to expert review and self-reported data [ 9], many health services researchers consider the EHR record to be more accurate compared to claims data and are calling for a shift away from claims-based measures to using clinical measures derived from the EHR [ 3, 10] for research, quality measurement, and performance monitoring.
For example, physicians overestimated adherence with second-generation antipsychotics, primarily by patients with bipolar disorder, as compared to claims data (Stephenson et al. 2012).
But surely the public is discerning enough to separate the trustworthiness of information reported on traditional news outlets such as the BBC compared to claims on hyper-partisan blogs like Truthfeed?
For example, EHRs typically have more diagnosis fields (we found nearly 100 in this sample) compared to claims data, which may be significant when excluding cases from quality measures.
Compared to claims that did not have a diagnosis code for hyponatremia, claims with a positive test were also significantly more likely to be observed for members diagnosed with kidney disease, cardiovascular conditions, and/or chronic obstructive pulmonary disease; however, claims with a positive test were significantly less likely to be observed among members with diabetes or dementia (Table 1).
Compared to claims without a corresponding diagnosis code, mean age was greater among outpatient laboratory claims indicating hyponatremia with an outpatient professional diagnosis code for hyponatremia observed within 15 days (positive test, 67 versus 59 years; p <.001), and claims were observed significantly more often for women (61% versus 66%; p = <.001).
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However, differences were relatively small compared to claimed tar mass yields.
Limited information has been published on the benefits and limitations of using EHR data compared to claims-based data [ 12], yet it is critically important to understand these differences as we begin to rely on EHR data for research and payment in addition to supporting clinical care.
Between 2002 and 2005 the PIAA DSP had 38,173 closed claims, compared to 10,056 claims for the individual insurer dataset.
Specificity and PPV for non-outpatient claims were numerically higher and sensitivity lower, compared to outpatient claims.
Wales is not being treated on an equal basis by the UK government compared to Scotland, claims First Minister Carwyn Jones.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com