Health services research
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Health services research · Aug 2008
Comparative StudyAssessing validity of ICD-9-CM and ICD-10 administrative data in recording clinical conditions in a unique dually coded database.
The goal of this study was to assess the validity of the International Classification of Disease, 10th Version (ICD-10) administrative hospital discharge data and to determine whether there were improvements in the validity of coding for clinical conditions compared with ICD-9 Clinical Modification (ICD-9-CM) data. ⋯ The validity of ICD-9-CM and ICD-10 administrative data in recording clinical conditions was generally similar though validity differed between coding versions for some conditions. The implementation of ICD-10 coding has not significantly improved the quality of administrative data relative to ICD-9-CM. Future assessments like this one are needed because the validity of ICD-10 data may get better as coders gain experience with the new coding system.
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Health services research · Aug 2008
Does reimportation reduce price differences for prescription drugs? Lessons from the European Union.
To examine the effect of parallel trade on patterns of price dispersion for prescription drugs in the European Union. ⋯ Parallel trade for prescription drugs does not automatically reduce international price differences. Future research should explore how other regulatory schemes might lead to different results elsewhere.
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Health services research · Aug 2008
Hospital nurse practice environments and outcomes for surgical oncology patients.
To examine the effect of nursing practice environments on outcomes of hospitalized cancer patients undergoing surgery. ⋯ This study is one of the first to examine the predictive validity of the National Quality Forum's endorsed measure of the nurse practice environment. Improvements in the quality of nurse practice environments could reduce adverse outcomes for hospitalized surgical oncology patients.
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Health services research · Aug 2008
Use of VA and Medicare services by dually eligible veterans with psychiatric problems.
To examine how service accessibility measured by geographic distance affects service sector choices for veterans who are dually eligible for veterans affairs (VA) and Medicare services and who are diagnosed with mental health and/or substance abuse (MH/SA) disorders. ⋯ As geographic distance to VA medical facility increases, Medicare plays an increasingly important role in providing mental health services to veterans.