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Modern Health Science
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2576-7291 - ISSN (Online) 2576-7305
Published by IDEAS SPREAD Homepage  [6 journals]
  • Relationship Between Specificity and Precision in Writing the Main
           Diagnosis and Accuracy of Main Diagnosis Codes with Financing Claims in
           Cases of DM in Dr Radjiman Wediodiningrat Hospital, Lawang

    • Authors: Endang Sri Dewi Hastuti Suryandari
      Abstract: Specificity and precision in writing the main diagnosis will give the accuracy of diagnosis code, and proper code will give an impact on the appropriate of the cost using INA-CBGs. Research objectives was to analyze the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code based on ICD-10, also the claims of financing in the case of Diabetes Mellitus (DM) in RSJ Dr. Radjiman Wediodiningrat Lawang, as well as analyzed their relationship. This type of research was a cross sectional correlasional. Independent variables were the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code, and the dependent variable was the claim of financing. The number of samples analyzed were 50 inpatient medical record document (MRD) of DM cases which hospitalization from January to September 2017, selected by simple random sampling. The results showed the unspecific and unprecise in writing the main diagnosis of DM disease had a risk 1.6 times greater impacting the inaccuracy the main diagnosis code of DM disease (95% CI: 1.05 - 2.30) and 1.8 times greater resulting in the claims for financing treatment not accordance (95% CI: 1.03 - 3.12). An internal verification team is needed for submission of financing claims, consisting of elements from the medical committee, medical recorders and other related elements, as well as conducting periodic monitoring and evaluation of how to write the main diagnoses and their coding.
      PubDate: 2019-10-09
      DOI: 10.30560/mhs.v2n2p26
      Issue No: Vol. 2, No. 2 (2019)
       
  • Index of Independence

    • Authors: Ilija Barukčić
      Abstract: Objective. Under certain circumstances, the results of multiple investigations – particularly, rigorously-designed trials, can be summarized by systematic reviews and meta-analyses. However, the results of properly conducted meta-analyses can but need not be stronger than single investigations, if (publication) bias is not considered to a necessary extent. Methods. In assessing the significance of publication bias due to study design simple to handle statistical measures for quantifying publication bias are developed and discussed which can be used as a characteristic of a meta-analysis. In addition, these measures may permit comparisons of publication biases between different meta-analyses. Results. Various properties and the performance of the new measures of publication bias are studied and illustrated using simulations and clearly described thought experiments. As a result, individual studies can be reviewed with a higher degree of certainty. Conclusions. Publication bias due to study design is a serious problem in scientific research, which can affect the validity and generalization of conclusions. The index of unfairness and the index of independence are of use to quantify publication bias and to improve the quality of systematic reviews and meta-analyses.
      PubDate: 2019-10-07
      DOI: 10.30560/mhs.v2n2p1
      Issue No: Vol. 2, No. 2 (2019)
       
 
 
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