Physician Profiling Using Outpatient Pharmacy Data as a Source for Case Mix Measurement and Risk Adjustment

作者：Douglas W. Roblin · 发表于：Journal of Ambulatory Care Management · 年份：1998 · DOI：10.1097/00004479-199810000-00006 · 被引用次数：18 · 研究领域：Pharmaceutical Practices and Patient Outcomes、Medication Adherence and Compliance

Pharmacy data are a potential source of information on the health risks of members in a managed care organization (MCO). Reasons why these data can serve as a basis for case mix measurement of MCO populations are reviewed. Several pharmacy-based case mix measurement systems (CDS, KPARx) are summarized. Applications of pharmacy-based case mix systems for profiling of primary physician panels in an MCO are discussed and illustrated with several examples.