Fehlkodierungen von HIV/AIDS-Diagnosen und deren Bedeutung für den morbiditätsorientierten Risikostrukturausgleich
- Author(s)
- J. Tomeczkowski, J. Mahlich, M. Stoll
- Abstract
Background: The objective of this study is to determine the number and costs of patients with HIV-diagnoses and their dependence on age and gender by evaluating German statutory health insurance data. Methods: We analyzed various databases of several million customers of various statutory sickness funds operating independently nationwide and extrapolated the results to the overall population. Results: The number of HIV-positive patients varied considerably between the particular statutory sickness funds analyzed. The prevalence of HIV diagnoses in the year 2008 was significantly higher than reported by the governmental Robert Koch-Institute. After elimination of a coding error in the administration software of German ophthalmologists the number of HIV-diagnosis decreased from 2008 to 2010. In the year 2011 no further decline was notable. At that time 60.7% of documented HIV-positive patients had prescriptions for antiretroviral medications. 38.7% patients without prescriptions for ARM had a diagnosis by the B23.8 ICD-code only. Unexpectedly for Germany women had a higher proportion of B23.8 diagnoses than men (56.2% with B23.8 versus 38.4% all other HIV-codes). Conclusions: False coded HIV-diagnosis presumably triggered financing the statutory sickness funds in Germany. Even after the decline of false coded diagnoses, our results show a high prevalence of HIV diagnoses. The disproportional high numbers of ICD-10 B23.8 for women in the year 2011 are notes for remaining false coded B23.8 diagnoses in the statutory health care system.
- Organisation(s)
- Department of Economics
- External organisation(s)
- Janssen-Cilag GmbH, Medizinische Hochschule Hannover (MHH)
- Journal
- Gesundheitsokonomie und Qualitatsmanagement
- Volume
- 20
- Pages
- 132-139
- No. of pages
- 8
- ISSN
- 1432-2625
- DOI
- https://doi.org/10.1055/s-0034-1385779
- Publication date
- 06-2015
- Peer reviewed
- Yes
- Austrian Fields of Science 2012
- 303010 Health economics
- Keywords
- ASJC Scopus subject areas
- Health Policy
- Sustainable Development Goals
- SDG 3 - Good Health and Well-being
- Portal url
- https://ucris.univie.ac.at/portal/en/publications/fehlkodierungen-von-hivaidsdiagnosen-und-deren-bedeutung-fur-den-morbiditatsorientierten-risikostrukturausgleich(aec5239f-f491-4a4c-a55f-3f7b076b9535).html