Information about health plan employer data and information set





 

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Ann Allergy Asthma Immunol. 2004 Dec;93(6):538-45.
The utility of the Health Plan Employer Data and Information Set
(HEDIS) asthma measure to predict asthma-related outcomes.
================================================================

Berger WE, Legorreta AP, Blaiss MS, Schneider EC, Luskin AT, Stempel
DA, Suissa S, Goodman DC, Stoloff SW, Chapman JA, Sullivan SD, Vollmer
B, Weiss KB.
American College of Allergy, Asthma, and Immunology, Mission Viejo,
California, USA.

Comment in:
Ann Allergy Asthma Immunol. 2004 Dec;93(6):510-2.

Abstract
BACKGROUND: The Health Plan Employer Data and Information Set (HEDIS)
measures are used extensively to measure quality of care. OBJECTIVE:
To evaluate selected aspects of the HEDIS measure of appropriate use
of asthma medications. METHODS: Claims data were analyzed for
commercial health plan members who met HEDIS criteria for persistent
asthma in 1999. The use of asthma medications was evaluated in the
subsequent year with stratification by controller medication and a
measure of adherence (days' supply). Multivariate logistic regressions
were used to evaluate the association among long-term controller
therapy for persistent asthma, adherence to therapy, and
asthma-related hospitalizations or emergency department (ED) visits,
controlling for demographic, preindex utilization, and other
confounding characteristics. RESULTS: Of the 49,637 persistent asthma
patients, approximately 35.7% were using 1 class of long-term
controller medications, 18.4% were using more than 1 class, and 45.9%
were not using such medication. More than 25% of the persistent asthma
patients did not use any asthma medication in the subsequent year.
Patients with low adherence to controller medication had a
significantly higher risk (odds ratio OR, 1.72; 95% confidence
interval CI, 1.42-2.08) of ED visit or hospitalization relative to
patients not using any controllers compared with persons with moderate
(OR, 0.84; 95% CI, 0.57-1.23) or high (OR, 0.70; 95% CI, 0.34-1.44)
adherence. Patients receiving a high days' supply of inhaled
corticosteroids had the lowest risk of ED visit or hospitalization
(OR, 0.37; 95% CI, 0.05-2.69). CONCLUSIONS: Our findings suggest that
refinements to the HEDIS measure method for identifying patients with
persistent asthma may be needed.

PMID: 15609762 PubMed - indexed for MEDLINE
Publication Types, MeSH Terms, Substances
-----------------------------------------

Publication Types:
Comparative Study

Research Support, Non-U.S. Gov't
MeSH Terms:

Adult
Anti-Asthmatic Agents/therapeutic use

Asthma/classification
Asthma/drug therapy

Female
Hospitalization/statistics & numerical data

Humans
Male

Outcome and Process Assessment (Health Care)
Patient Compliance

Substances:
Anti-Asthmatic Agents

LinkOut - more resources
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Full Text Sources:

Ingenta plc
EBSCO

Ovid Technologies, Inc.
Other Literature Sources:

COS Scholar Universe
Medical:

Asthma - MedlinePlus Health Information
Supplemental Content
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Cited by 1 PubMed Central article
---------------------------------

Monitoring asthma control using claims data and patient-reported
 outcomes measures.
James T, Fine M. P T. 2008 Aug; 33(8):454-66.

P T. 2008
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