Measuring diabetes guideline adherence with claims data: systematic construction of indicators and related challenges.

ABSTRACT:

Objectives

Indicators of guideline adherence are frequently used to examine the appropriateness of healthcare services. Only some potential indicators are actually usable for research with routine administrative claims data, potentially leading to a biased selection of research questions. This study aimed at developing a systematic approach to extract potential indicators from clinical practice guidelines (CPG), evaluate their feasibility for research with claims data and assess how the extracted set reflected different types of healthcare services. Diabetes mellitus (DM), Swiss national guidelines and health insurance claims data were analysed as a model case.

Methods

CPG for diabetes patients were retrieved from the Swiss Endocrinology and Diabetes Society website. Recomme

SUBMITTER: Ulyte A 

PROVIDER: S-EPMC6501964 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature