Concordance between survey reported childhood asthma and linked Medicaid administrative records

Details

• Alternative Title:
  J Asthma
• Personal Author:
  Zablotsky, Benjamin ; Black, Lindsey I.
• Description:
  Objective
  
  Agreement between administrative and survey data have been shown to vary by the condition of interest and there is limited research dedicated to parental report of asthma among children. The current study assesses the concordance between parent-reported asthma from the National Health Interview Survey (NHIS) with Medicaid administrative claims data among linkage eligible children from the NHIS.
  
  Methods
  
  Medicaid Analytic eXtract (MAX) files from the Centers for Medicare & Medicaid Services (CMS) (years 2000-2005) were linked to participants of the NHIS (years 2001-2005). Concordance measures were calculated to assess overall agreement between a claims-based asthma diagnosis and a survey-based asthma diagnosis. Structural equation modeling was used to assess the association between demographic, service utilization and co-occurring conditions factors and agreement.
  
  Results
  
  Percent agreement between the two data sources was high (90%) with a prevalence-adjusted bias-adjusted kappa of 0.80 and Cohen’s kappa of 0.55. Agreement varied by demographic characteristics, service utilization characteristics, and the presence of allergies and other health conditions. Structural equation modeling results found the presence of a series of co-occurring conditions, namely allergies, resulted in significantly lower agreement after controlling for demographics and service utilization.
  
  Conclusions
  
  There was general agreement between asthma diagnoses reported in the NHIS when compared to medical claims. Discordance was greatest among children with co-occurring conditions.
  
  
• Subjects:
  Adolescent Asthma Child Child, Preschool Comorbidity Data Collection Female Health Services Health Surveys Humans Insurance Claim Review Male Medicaid Socioeconomic Factors United States

  More +
• Keywords:
  Agreement Asthma Children Diagnosis National Survey Parent-report
• Source:
  J Asthma. 56(3):285-295
• Pubmed ID:
  29771597
• Pubmed Central ID:
  PMC6240395
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  56
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6378d29f0e531008dc10614fd9595e1a62114b2962724a308cd2312085149f76
• Download URL:
  https://stacks.cdc.gov/view/cdc/60731/cdc_60731_DS1.pdf
• File Type:
  [PDF - 580.43 KB ]