Validation of SHI Claims Data Exemplified by Gender-specific Diagnoses

• Published in: Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen Gesundheitsdienstes (Germany)) Vol. 78; no. 10; p. e53
• Main Authors: Hartmann, J, Weidmann, C, Biehle, R
• Format: Journal Article
• Language: German
• Published: Germany 01.10.2016
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Ambulatory Care - statistics & numerical data; Data Accuracy; Diagnostic Errors - prevention & control; Diagnostic Errors - statistics & numerical data; Female; Germany; Humans; Insurance Claim Review - statistics & numerical data; Insurance, Health, Reimbursement - statistics & numerical data; Male; Middle Aged; National Health Programs - statistics & numerical data; Quality Assurance, Health Care - statistics & numerical data; Sex Distribution; Young Adult

Use of statutory health insurance (SHI) data in health services research is increasing steadily and questions of validity are gaining importance. Using gender-specific diagnosis as an example, the aim of this study was to estimate the prevalence of implausible diagnosis and demonstrate an internal v...