Defining, Measuring, and Evaluating Prenatal Care in Insurance Claims Data

3区 医学
Elizabeth Simmons, Mekhala V. Dissanayake, Jacob C. Kahrs, Chase D. Latour, Oluwasolape Olawore, Lauren M. Kucirka, Mollie E. Wood
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Abstract

Purpose of Review

The objective of this paper is to discuss the complexities of identifying prenatal care visits in insurance claims databases, review existing methods to identify prenatal care encounters, and explore how different study goals should inform the definition of prenatal care employed by investigators.

Recent Findings

Insurance claims data are routinely used to conduct perinatal epidemiology studies focused on the effects of medical interventions. Prenatal care, an important medical intervention and an indicator of ongoing pregnancy, lacks a consistent definition among clinical and research-based sources.

Summary

We have categorized definitions of prenatal care in three groups: all healthcare received while pregnant, pregnancy-specific healthcare, and guideline-concordant healthcare. In studies using insurance claims data, we found five common methods to identify prenatal care encounters. Using example study goals, we outline important considerations investigators must make when applying different methods to identify prenatal care visits in studies using insurance claims data.

Abstract Image

从保险理赔数据中定义、衡量和评估产前护理
本文旨在讨论在保险理赔数据库中识别产前护理就诊的复杂性,回顾识别产前护理就诊的现有方法,并探讨不同的研究目标应如何影响调查人员对产前护理的定义。产前护理是一项重要的医疗干预措施,也是正在进行的妊娠的指标之一,但在临床和研究来源中缺乏一致的定义。摘要我们将产前护理的定义分为三类:怀孕期间接受的所有医疗护理、妊娠特定医疗护理和与指南一致的医疗护理。在使用保险理赔数据的研究中,我们发现了五种常见的产前护理识别方法。通过研究目标示例,我们概述了调查人员在使用保险理赔数据的研究中采用不同方法识别产前护理就诊时必须注意的重要事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Epidemiology Reports
Current Epidemiology Reports OTORHINOLARYNGOLOGY-
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