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The Use of Grade of Membership Analysis to Evaluate and Modify Diagnosis-related Groups

Bibliographic Data

ID9101967
AuthorsKenneth G Manton (Duke University, corresponding author), James C Vertrees
Year1984
Volume22
Issue12
Pages1067-1082
Publication date1984-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198412000-00002
PMID6439954
OpenAlexW2013645367
LanguageEN
Citations received4
References cited1

A classification methodology is presented that can be used to evaluate the heterogeneity of reimbursement categories and service groups in multivariate terms. This methodology, called Grade of Membership analysis, has several properties that are particularly important in such assessments. First, simultaneously with the determination of the multivariate profile of characteristics that describe a group, the methodology determines the degree to which each case is described by that profile, which means that the model can explicitly represent the heterogeneity of individual cases in any derived classification scheme. Second, the estimates of the model's parameters are produced by maximum likelihood procedures; hence, the classification and group descriptions generated by the model can be statistically evaluated. Third, because of the way the group profiles are constructed, the results of the analysis will be reasonably robust to the selection of new samples. The analysis is illustrated using data on hospital discharges for the state of Maryland in 1981. The purpose of the analysis is to examine the association between the patterns of clinical and service attributes identified by the procedures with DRG category assignments

Classification scheme · Data mining · Econometrics · Health care · Machine learning · Multivariate analysis · Multivariate statistics · Reimbursement · Selection (genetic algorithm) · Statistics · Computer Science · Healthcare Policy and Management · Mathematics · Medical Coding and Health Information

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Unique citing works4
Citations per year0,1
Citation span1985 - 2007 (23)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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