Abstract:
BACKGROUND:Ocular conditions are common following stroke and frequently occur in combination with pre-existing ophthalmologic disease. The Medicare International Statistical Classification of Diseases and Related Health Problems (ICD-10) coding system for identifying vision related health conditions provides a much higher level of detail for coding these complex scenarios than the previous ICD-9 system. While this new coding system has advantages for clinical care and billing, the degree to which providers and researchers are utilizing the expanded code structure is unknown. The purpose of this study was to describe the use of ICD-10 vision codes in a large cohort of stroke survivors. METHODS:Retrospective cohort design to study national 100% Medicare claims files from 2015 through 2017. Descriptive data analyses were conducted using all available ICD-10 vision codes for beneficiaries who had an acute care stay because of a new stroke. The outcome of interest was ≥1 ICD-10 visual code recorded in the claims chart. RESULTS:The cohort (n = 269,314) was mostly female (57.1%) with ischemic stroke (87.8%). Approximately 15% were coded as having one or more ocular condition. Unspecified glaucoma was the most frequently used code among men (2.83%), those over 85+ (4.80%) and black beneficiaries (4.12%). Multiple vision codes were used in few patients (0.6%). Less than 3% of those in the oldest group (85+ years) had two or more vision codes in their claims. CONCLUSIONS:Ocular comorbidity was present in a portion of this cohort of stroke survivors, however the vision codes used to describe impairments in this population were few and lacked specificity. Future studies should compare ophthalmic examination results with billing codes to characterize the type and frequency of ocular comorbidity. It important to understand how the use of ICD-10 vision codes impacts clinical decision making, recovery, and outcomes.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Hreha KP,Fisher SR,Reistetter TA,Ottenbacher K,Haas A,Li CY,Ehrlich JR,Whitaker DB,Whitson HEdoi
10.1186/s12913-020-05484-zsubject
Has Abstractpub_date
2020-07-08 00:00:00pages
628issue
1issn
1472-6963pii
10.1186/s12913-020-05484-zjournal_volume
20pub_type
杂志文章abstract:BACKGROUND:The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-016-1858-8
更新日期:2016-10-28 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:BMC health services research
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12913-020-05545-3
更新日期:2020-07-22 00:00:00
abstract:BACKGROUND:Waiting times for hospital appointments, treatment and/or surgery have become a major political and health service problem, leading to national maximum waiting times and policies to reduce waiting times. Quantitative studies have documented waiting times for various types of surgery and longer waiting times ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2281-5
更新日期:2017-05-05 00:00:00
abstract:BACKGROUND:For Indigenous Australians, health transcends the absence of disease, and includes the health and wellbeing of their community and Country: their whole physical, cultural and spiritual environment. Stronger relationships with Country and greater involvement in cultural practices enhance the wellbeing of Indi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3764-8
更新日期:2018-12-12 00:00:00
abstract:BACKGROUND:Health, fair financing and responsiveness to the user's needs and expectations are seen as the essential objectives of health systems. Efforts have been made to conceptualise and measure responsiveness as a basis for evaluating the non-health aspects of health systems performance. This study assesses the app...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-243
更新日期:2009-12-22 00:00:00
abstract:BACKGROUND:The Birmingham Free Clinic (BFC) in Pittsburgh, Pennsylvania, USA is a free, walk-in clinic that serves medically uninsured populations through the use of volunteer health care providers and an on-site medication dispensary. The introduction of an electronic medical record (EMR) has improved several aspects ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1308-7
更新日期:2016-02-19 00:00:00
abstract:BACKGROUND:A palliative approach at the end of life typically involves forgoing certain drugs and procedures and starting others - weighing burden against potential benefit. An assessment of the palliative approach may be undertaken by investigating which drugs and procedures are used in the dying phase, and at what fr...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-014-0496-2
更新日期:2014-10-25 00:00:00
abstract:BACKGROUND:There is consistent evidence highlighting the mal-distribution of the health workforce between urban and rural and remote regions. To date, addressing this mal-distribution has focused on medicine and nursing with limited initiatives targeted at allied health. Therefore, the aim of this research was to explo...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4954-8
更新日期:2020-02-10 00:00:00
abstract:BACKGROUND:Neonatal male circumcision (NMC) is an alternative approach to adult male circumcision for HIV prevention. Recent studies found that NMC was rarely performed in Thailand and that most Thai health professionals did not recognize that NMC could reduce the risk of HIV infection and would not want NMC services i...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3093-y
更新日期:2018-04-11 00:00:00
abstract:BACKGROUND:Although the expenses of liver cirrhosis are covered by a critical illness fund under the current health insurance program in China, the economic burden associated with hepatitis B virus (HBV) related diseases is not well addressed. In order to provide evidence to address the economic disease burden of HBV, ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-37
更新日期:2013-01-31 00:00:00
abstract:BACKGROUND:In low- and middle-income countries (LMICs), addressing the high prevalence of mental disorders is a challenge given the limited number and unequal distribution of specialists, as well as scarce resources allocated to mental health. The Mental Health Gap Action Programme (mhGAP) and its accompanying Interven...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-1992-y
更新日期:2017-01-17 00:00:00
abstract:BACKGROUND:Although general practitioners (GPs) and community pharmacists (CPs) are encouraged to collaborate, a true collaborative relationship does not exist between them. Our objective was to identify and analyze factors affecting GP-CP collaboration. METHODS:This was a descriptive-exploratory qualitative study car...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-188
更新日期:2012-07-07 00:00:00
abstract:BACKGROUND:Pediatric admissions to intensive care outside children's hospitals are generally excluded from registry-based studies. This study compares pediatric admission to specialist pediatric intensive care units (PICU) with pediatric admissions to intensive care units (ICU) in general hospitals in an Australian pop...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3041-x
更新日期:2018-04-10 00:00:00
abstract:BACKGROUND:Hospital governance is broadening its orientation from cost and production controls towards 'improving performance on clinical outcomes'. Given this new focus one might assume that doctors are drawn into hospital management across OECD countries. Hospital performance in terms of patient health, quality of ca...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1396-4
更新日期:2016-05-24 00:00:00
abstract:BACKGROUND:Analysis of patient mobility in a country not only gives an idea of how the health-care system works, but also can be a guideline to determine the quality of health care and health disparity among regions. Even though determination of patient movement is important, it is not often realized that patient mobil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2381-2
更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:This paper presents a protocol for a randomised controlled trial of the Cardiac-Diabetes Transcare program which is a transitional care, multi-modal self-management program for patients with acute coronary syndrome comorbid with type 2 diabetes. Prior research has indicated people hospitalised with dual card...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12913-017-2043-4
更新日期:2017-02-02 00:00:00
abstract:BACKGROUND:Studies comparing the access to health care of rural and urban populations have been contradictory and inconclusive. These studies are complicated by the influence of other factor which have been shown to be related to access and utilization. This study assesses the equity of access to health care services a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-20
更新日期:2011-01-31 00:00:00
abstract:BACKGROUND:Clinical guidelines are an integral part of healthcare. Whilst much progress has been made in ensuring that guidelines are well developed and disseminated, the gap between routine clinical practice and current guidelines often remains wide. A key reason for this gap is that implementation of guidelines typic...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0648-4
更新日期:2014-12-21 00:00:00
abstract:BACKGROUND:A comprehensive Compensation Plan for pharmacy services delivered by community pharmacists was implemented in Alberta, Canada in July 2012. Services covered by the Compensation Plan include care planning services, prescribing services such as adapting prescriptions, and administering a drug or publicly-funde...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2734-x
更新日期:2017-11-23 00:00:00
abstract:OBJECTIVES:Many European countries face challenges in long-term care for older people, such as the growing number of older people requiring care, the increasing complexity of their health care problems, and a decreasing workforce that is inadequately prepared. Optimizing the staff and skill mix of health care teams may...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3812-4
更新日期:2018-12-20 00:00:00
abstract::In the original publication of this article [1], some values are missing in the Figure 1, Figure 2 and Figure 3. These errors were introduced during typesetting; thus the publisher apologizes for this error. Additionally, the original manuscript has also been updated to amend this error. The correct figures are shown ...
journal_title:BMC health services research
pub_type: 已发布勘误
doi:10.1186/s12913-019-4767-9
更新日期:2019-12-20 00:00:00
abstract:BACKGROUND:A novel point-of-care ultrasound (PoCUS) training program was developed to train rural healthcare providers in Kenya on the Focused Assessment with Sonography for Trauma (FAST), thoracic ultrasound, basic echocardiography, and focused obstetric ultrasonography. The program includes a multimedia manual, pre-c...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3196-5
更新日期:2018-08-06 00:00:00
abstract:BACKGROUND:The goal of universal health coverage is challenging for chronically under-resourced health systems. Although household out-of-pocket payments are the most important source of health financing in low-income countries, relatively little is known about the drivers of primary health care expenditure and the pre...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3211-x
更新日期:2018-06-15 00:00:00
abstract:OBJECTIVE:While most studies focused on the relation between volunteering and health-related outcomes, little attention has been given on the association between volunteering and the use of health care services. Thus, with this analysis we aimed at exploring whether and how the voluntary work of older adults is related...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3867-x
更新日期:2019-01-15 00:00:00
abstract:BACKGROUND:The motivation for this study was to investigate how role stress among nurses could affect their job satisfaction and organizational commitment, and whether the job rotation system might encourage nurses to understand, relate to and share the vision of the organization, consequently increasing their job sati...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-8
更新日期:2009-01-12 00:00:00
abstract:BACKGROUND:African Vaccination Week (AVW) is an initiative of the Member States of the African Region aimed at promoting vaccination and ensuring equity and access to its benefits. The initiative has proven to be particularly effective in reaching populations with limited access to regular health services as well as pr...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0989-7
更新日期:2015-09-02 00:00:00
abstract:BACKGROUND:Evidence for efficacy of cognitive-behavioural therapy (CBT) in treatment of schizophrenia is growing. CBT is effective and cost efficient in treating positive and negative symptoms. To effectively meet the needs of diverse cultural groups, CBT needs to be adapted to the linguistic, cultural and socioeconomi...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-017-2740-z
更新日期:2017-12-06 00:00:00
abstract:BACKGROUND:The involvement of mental health service users and their caregivers in health system policy and planning, service monitoring and research can contribute to mental health system strengthening, but as yet there have been very few efforts to do so in low- and middle-income countries (LMICs). METHODS:This syste...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1323-8
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Pay for performance schemes are increasingly being implemented in low income countries to improve health service coverage and quality. This paper describes the context within which a pay for performance programme was introduced in Tanzania and discusses the potential for pay for performance to address health...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-392
更新日期:2014-09-16 00:00:00
abstract:BACKGROUND:In Tanzania, decentralisation processes and reforms in the health sector aimed at improving planning and accountability in the sector. As a result, districts were given authority to undertake local planning and set priorities as well as allocate resources fairly to promote the health of a population with var...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-273
更新日期:2013-07-12 00:00:00