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*Percentage of patients in each age, sex, and morbidity groups were calculated for each practice.
Five morbidity groups were built by grouping diagnostic categories, and six by grouping subcategories.
Morbidity groups were deduced from main and secondary diagnoses coded in hospital medical records.
Based on checklist responses, four "morbidity" groups were created for comparisons relevant to the primary study objectives.
Morbidity groups were attributed independently to all insured inpatients from coded diagnoses (Table 3, ICD-10 column) and dispensed drugs (Table 3, ATC codes).
While some drugs-based morbidity groups were very specific (i.e. tuberculosis, vertigo, psoriasis, neutropenia), others were broad (viral diseases, malignant neoplasms).
Similar(51)
For patients with procedures the morbidity groups are made by unique combinations of a diagnosis and one or more procedures.
The medication-based Rx-Defined Morbidity Groups was useful in predicting pharmacy cost as well as total cost in Taiwan.
The number of patients in the two sickest morbidity groups was small and therefore combined in all analyses.
This study has demonstrated that the Rx-Defined Morbidity Groups are applicable for predicting the total cost and the medication cost in a universal health insurance system.
Women who reported symptoms consistent with more than one morbidity group were excluded to reduce the chance of misclassification.
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