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Using insurance claims to measure health status: The illness scale
Journal article

Using insurance claims to measure health status: The illness scale

Jana M. Mossey and Leslie L. Roos
Journal of chronic diseases, v 40(1), pp 41S-50S
1987
DOI: https://doi.org/10.1016/S0021-9681(87)80031-0
PMID: 3597697
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Health services Health status measurement Insurance claims data Utilization
Health insurance systems are generating large numbers of claims filed by physicians and hospitals for reimbursement and accounting purposes. This paper describes and evaluates a measure of health status derived from physician and hospital claims filed for a sample of older Canadians during 1970–1977. Information on the number, type, and seriousness of reported diagnoses and the number and duration of hospitalizations and surgeries during each year were combined to generate annual Illness Scales ranging from 0 to 24. Alpha coefficients, measures of internal consistency, were between 0.82 and 0.84. Consistent with high validity, Illness Scale scores increased with age, were significantly associated with other health measures, and were strongly predictive of death and hospitalization in the following year. The ability to develop valid and reliable health status measures from insurance claims substantially expands the potential use of these data for research and evaluation.

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20 Record Views
22 citations in Web of Science
32 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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