Improving the geographical precision of rural chronic disease surveillance by using emergency claims data: a cross-sectional comparison of survey versus claims data in Sullivan County, New York.

ABSTRACT:

Objectives

Some of the most pressing health problems are found in rural America. However, the surveillance needed to track and prevent disease in these regions is lacking. Our objective was to perform a comprehensive health survey of a single rural county to assess the validity of using emergency claims data to estimate rural disease prevalence at a sub-county level.

Design

We performed a cross-sectional study of chronic disease prevalence estimates using emergency department (ED) claims data versus mailed health surveys designed to capture a substantial proportion of residents in New York's rural Sullivan County.

Setting

Sullivan County, a rural county ranked second-to-last for health outcomes in New York State.

Participants

Adult residents of Sullivan County

SUBMITTER: Lee DC 

PROVIDER: S-EPMC6887089 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature