Journal article
Measuring 21 low-value hospital procedures: Claims analysis of Australian private health insurance data (2010-2014)
K Chalmers, SA Pearson, T Badgery-Parker, J Brett, IA Scott, AG Elshaug
BMJ Open | BMJ PUBLISHING GROUP | Published : 2019
Abstract
Objective To examine the prevalence, costs and trends (2010-2014) for 21 low-value inpatient procedures in a privately insured Australian patient cohort. Design We developed indicators for 21 low-value procedures from evidence-based lists such as Choosing Wisely, and applied them to a claims data set of hospital admissions. We used narrow and broad indicators where multiple low-value procedure definitions exist. Setting and participants A cohort of 376 354 patients who claimed for an inpatient service from any of 13 insurance funds in calendar years 2010-2014; approximately 7% of the privately insured Australian population. Main outcome measures Counts and proportions of low-value procedures..
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Awarded by HCF Research Foundation
Funding Acknowledgements
This work was supported by the National Health and Medical Research Council (grant number 1109626); the Capital Markets Cooperative Research Centre under the Health Market Quality Program and their partners Hospital and Medical Benefits Systems and the New South Wales Ministry of Health; and the HCF Research Foundation. JB is funded by an NHMRC Postgraduate Scholarship (APPID: 1094304). AGE receives salary support as the HCF Research Foundation Professorial Fellow. KC and TB-P receive salary support via a doctoral scholarship from the Capital Markets Cooperative Research Centre-Health Market Quality Program. KC also receives support from an Australian Government Research Training Program Scholarship, and TB-P through a University Postgraduate Award from the University of Sydney.