Hosp Community Psychiatry 43:69-71, January 1992
© 1992 American Psychiatric Association
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Accuracy of Diagnoses of Schizophrenia in Medicaid Claims
Nicole Lurie M.D., M.S.P.H.1,
Michael Popkin M.D.2,
Maurice Dysken M.D.3,
Ira Moscovice Ph.D.4, and
Michael Finch Ph.D.4
1 University of Minnesota in Minneapolis; Hennepin County Medical Center; University of Minnesota School of Public Health; Hennepin Country Medical Center, 701 Park Avenue, Minneapolis, Minnesota 55415
2 Departments of psychiatry and medicine at the University of Minnesota
3 Veterans Affairs Medical Center in Minneapolis; University of Minnesota
4 University of Minnesota School of Public Health
Hennepion Country Medical Center, 701 Park Avenue, Minneapolis, Minnesota 55415
Medical insurance claims are increasingly important as a source of data in monitoring health care utilization and patient outcomes and in identifying patient cohorts for research. In a study that attempted to verify that those with Medicaid claims for treatment of schizophrenia did indeed have the disorder, two psychiatrists evaluated clinical information obtained from primary mental health care providers in relation to DSM-III-R criteria. The psychiatrists classifid 86.8 percent of 319 patients with claims for treatment of schizophrenia and 27.5 percent of 156 patients with claims for treatment of other psychiatric diagnoses as definitely or probably having schizophrenia. The authors conclude that most diagnoses of schizophrenia listed on Medicaid claims are accurate, but that a substantial number of individuals with schizophrenia may not be identified by claims data.
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|
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|
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|
|
|
|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
|
|
|
|
|
|
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|
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|
|
|
|
|
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|
|
|
|
|
|
|
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|
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|
|
|
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|
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[Abstract]
[Full Text]
|
|
|
|
|
|
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371 - 378.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. H. McFarland, R. E. Johnson, and M. C. Hornbrook
Enrollment Duration, Service Use, and Costs of Care for Severely Mentally Ill Members of a Health Maintenance Organization
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53(10):
938 - 944.
[Abstract]
[PDF]
|
|
|
|
|
|
|
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650 - 655.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
N. Lurie, I. S. Moscovice, M. Finch, J. B. Christianson, and M. K. Popkin
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3300 - 3304.
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[PDF]
|
|
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