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Owing to the influence of observational intensity on diagnoses from administrative databases, the standard HCC index over-adjusts for regional differences in spending.
However, the observational intensity biases of the standard indices could be reduced through a statistical adjustment to correct for variation in visit rates.
Potential problems with administrative data included limited insight into the quality and appropriateness of care, 33 and observational intensity bias if coding practices varied between geographic areas.
For the current study we developed two new approaches to risk adjustment based on data that is clearly independent of observational intensity.
The new measures must be free of observational intensity, and they must efficiently and effectively assess population health when adjusting mortality and spending.
The second approach corrected the HCC index to reduce observational intensity bias using the physician visit rate during the last six months of life as a proxy.
Similar(44)
Pain response was measured using an observational pain intensity rating scale and the physiologic parameters of heart rate, respiratory rate, oxygen saturation levels, salivary cortisol levels, and length of cry.
A longitudinal observational study of PA intensity, type and duration using objective and subjective measurement methods.
There are potential consequences of not reporting dose intensity with observational studies, particularly as the same strength medicines are not necessarily available in all countries.
We carried out a prospective single-centre observational study to assess intensity and features of anxiety at admission and whether anxiety was predictive of subsequent respiratory failure in patients with GBS.
The lack of reporting of dose intensity in observational studies of medication safety is a lost opportunity for improving medication safety research and limits the ability to control for differential doses when undertaking meta-analyses and systematic reviews.
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