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Diagnosestellung und Diagnosecodierung von Demenzen im Spiegel der Abrechnungsdaten der gesetzlichen Krankenversicherung

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Diagnosestellung und Diagnosecodierung von Demenzen im Spiegel der Abrechnungsdaten der gesetzlichen Krankenversicherung. / Kaduszkiewicz, Hanna; Wiese, Birgitt; Steinmann, Susanne; Schön, Gerhard; Hoffmann, Falk; van den Bussche, Hendrik.

In: PSYCHIAT PRAX, 23.09.2013.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Kaduszkiewicz, H, Wiese, B, Steinmann, S, Schön, G, Hoffmann, F & van den Bussche, H 2013, 'Diagnosestellung und Diagnosecodierung von Demenzen im Spiegel der Abrechnungsdaten der gesetzlichen Krankenversicherung', PSYCHIAT PRAX. https://doi.org/10.1055/s-0033-1349505

APA

Kaduszkiewicz, H., Wiese, B., Steinmann, S., Schön, G., Hoffmann, F., & van den Bussche, H. (2013). Diagnosestellung und Diagnosecodierung von Demenzen im Spiegel der Abrechnungsdaten der gesetzlichen Krankenversicherung. PSYCHIAT PRAX. https://doi.org/10.1055/s-0033-1349505

Vancouver

Kaduszkiewicz H, Wiese B, Steinmann S, Schön G, Hoffmann F, van den Bussche H. Diagnosestellung und Diagnosecodierung von Demenzen im Spiegel der Abrechnungsdaten der gesetzlichen Krankenversicherung. PSYCHIAT PRAX. 2013 Sep 23. https://doi.org/10.1055/s-0033-1349505

Bibtex

@article{55f08340f7c54af8bedb23a1bfd6f63c,
title = "Diagnosestellung und Diagnosecodierung von Demenzen im Spiegel der Abrechnungsdaten der gesetzlichen Krankenversicherung",
abstract = "Objective: On the basis of data from one German Sickness Fund we analyzed which medical discipline coded the incident diagnosis of dementia in ambulatory medical care in Germany, which type of dementia was coded and how the initial code eventually changed during the year of incidence.Methods: Claims data of 1,848 insured people aged ≥ 65 years in 2004 with incident dementia were analyzed by means of descriptive statistics.Results: The diagnosis within the first quarter of the incidence year was coded by the GP in 71 %, by a psychiatrist or neurologist in 14 %, by both in 6 % and by other disciplines in 9 % of the cases. The percentage of unspecified diagnoses was 62 % among GPs and 46 % among psychiatrists or neurologists, a number differing largely from epidemiological studies. In 27 % of the cases patients received two or more different dementia diagnoses during the incidence year.Conclusion: Studies and care concepts regarding dementia on the basis of diagnosis codes in ambulatory claims data should be interpreted with great caution.",
author = "Hanna Kaduszkiewicz and Birgitt Wiese and Susanne Steinmann and Gerhard Sch{\"o}n and Falk Hoffmann and {van den Bussche}, Hendrik",
note = "{\textcopyright} Georg Thieme Verlag KG Stuttgart · New York.",
year = "2013",
month = sep,
day = "23",
doi = "10.1055/s-0033-1349505",
language = "Deutsch",
journal = "PSYCHIAT PRAX",
issn = "0303-4259",
publisher = "Georg Thieme Verlag KG",

}

RIS

TY - JOUR

T1 - Diagnosestellung und Diagnosecodierung von Demenzen im Spiegel der Abrechnungsdaten der gesetzlichen Krankenversicherung

AU - Kaduszkiewicz, Hanna

AU - Wiese, Birgitt

AU - Steinmann, Susanne

AU - Schön, Gerhard

AU - Hoffmann, Falk

AU - van den Bussche, Hendrik

N1 - © Georg Thieme Verlag KG Stuttgart · New York.

PY - 2013/9/23

Y1 - 2013/9/23

N2 - Objective: On the basis of data from one German Sickness Fund we analyzed which medical discipline coded the incident diagnosis of dementia in ambulatory medical care in Germany, which type of dementia was coded and how the initial code eventually changed during the year of incidence.Methods: Claims data of 1,848 insured people aged ≥ 65 years in 2004 with incident dementia were analyzed by means of descriptive statistics.Results: The diagnosis within the first quarter of the incidence year was coded by the GP in 71 %, by a psychiatrist or neurologist in 14 %, by both in 6 % and by other disciplines in 9 % of the cases. The percentage of unspecified diagnoses was 62 % among GPs and 46 % among psychiatrists or neurologists, a number differing largely from epidemiological studies. In 27 % of the cases patients received two or more different dementia diagnoses during the incidence year.Conclusion: Studies and care concepts regarding dementia on the basis of diagnosis codes in ambulatory claims data should be interpreted with great caution.

AB - Objective: On the basis of data from one German Sickness Fund we analyzed which medical discipline coded the incident diagnosis of dementia in ambulatory medical care in Germany, which type of dementia was coded and how the initial code eventually changed during the year of incidence.Methods: Claims data of 1,848 insured people aged ≥ 65 years in 2004 with incident dementia were analyzed by means of descriptive statistics.Results: The diagnosis within the first quarter of the incidence year was coded by the GP in 71 %, by a psychiatrist or neurologist in 14 %, by both in 6 % and by other disciplines in 9 % of the cases. The percentage of unspecified diagnoses was 62 % among GPs and 46 % among psychiatrists or neurologists, a number differing largely from epidemiological studies. In 27 % of the cases patients received two or more different dementia diagnoses during the incidence year.Conclusion: Studies and care concepts regarding dementia on the basis of diagnosis codes in ambulatory claims data should be interpreted with great caution.

U2 - 10.1055/s-0033-1349505

DO - 10.1055/s-0033-1349505

M3 - SCORING: Zeitschriftenaufsatz

C2 - 24062153

JO - PSYCHIAT PRAX

JF - PSYCHIAT PRAX

SN - 0303-4259

ER -