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The Concordance of Survey Reports and Medicare Claims in a Nationally Representative Longitudinal Cohort of Older Adults

Datos Bibliográficos

ID9103301
AutoresFredric D Wolinsky (0000-0002-0916-4955, autor de correspondencia), Michael P Jones (0000-0001-8500-4075, University of Iowa), Fred Ullrich (0000-0003-0726-1708, autor de correspondencia), Yiyue Lou (0000-0003-4098-780X, University of Iowa), George L Wehby (0000-0001-7784-9908, autor de correspondencia)
Año2014
Volumen52
Número5
Páginas462-468
Fecha de publicación2014-05-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000120
PMID24714584
OpenAlexW2090341402
IdiomaEN
Citas recibidas10
Referencias citadas15

BACKGROUND: Concordance between survey reports and claims data is not well established. We compared them for disease histories, preventative, and other health services use in a large, nationally representative sample of older Medicare beneficiaries with special attention given to evaluating age, aging, memory, and respondent status effects. METHODS: Baseline (1993) and biennial follow-up data (through 2010) from the Survey on Assets and Health Dynamics among the Oldest-Old were linked to Medicare claims from 1991 to 2010, for 4910 participants yielding 19,556 person-periods. Concordance was measured by simple, weighted, and prevalence and bias-adjusted κ, and Lin's concordance statistics. Generalized estimating equation negative binomial models were used to predict the summary counts of concordant reports, survey underreports, and survey overreports. RESULTS: Concordance was highly variable overall, unacceptably low for arthritis and physician visits, and less than substantial for angina, heart disease, hypertension, and outpatient surgery. Generalized estimating equation negative binomial models revealed reductions in reporting accuracy (more underreporting and overreporting) associated with both age (interindividual) and aging (intraindividual) effects, countervailing memory effects on concordance due to less underreporting but more overreporting, and countervailing proxy-respondent effects on concordance due to less underreporting but more overreporting. CONCLUSIONS: Further research should explore whether these findings are time or cohort bound, address the potential heterogeneity of the proxy-respondent effects based on the reason for and relationship of the proxy to the target person, and evaluate the effects of a broader spectrum of performance-based cognitive abilities. In the interim, the significant predictors identified here should be included in future studies

Cohort · Concordance · Generalized estimating equation · Health and Retirement Study · Proxy (statistics) · Respondent · Statistics · Survey data collection · Demography · Health Promotion and Cardiovascular Prevention · Internal Medicine · Medicine · Psychometric Methodologies and Testing · Survey Methodology and Nonresponse · Gerontology

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Obras citantes distintas10
Citas por año0,91
Intervalo de citas2015 - 2025 (11)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 10
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