Journal article

Measuring 21 low-value hospital procedures: claims analysis of Australian private health insurance data (2010-2014)

Kelsey Chalmers, Sallie-Anne Pearson, Tim Badgery-Parker, Jonathan Brett, Ian A Scott, Adam G Elshaug

BMJ Open | BMJ PUBLISHING GROUP | Published : 2019


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 proced..

View full abstract


Awarded by National Health and Medical Research Council

Awarded by NHMRC Postgraduate Scholarship

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.