PMID- 2533174
OWN - NLM
STAT- MEDLINE
DCOM- 19900314
LR  - 20071115
IS  - 0046-9580 (Print)
IS  - 0046-9580 (Linking)
VI  - 26
IP  - 4
DP  - 1989 Winter
TI  - Measuring severity of illness: a comparison of interrater reliability among 
      severity methodologies.
PG  - 483-92
AB  - Methods for measuring illness severity are receiving increasing attention from 
      payers, purchasers, and others interested in the equity and financial incentives 
      of prospective payment systems, as well as from those concerned with the use of 
      mortality rates and other outcomes to measure quality of care. Several 
      methodologies have been proposed for measuring the severity of illness of 
      patients admitted to hospitals. When choosing among the available measures, one 
      characteristic of interest is reliability. In this paper, we present a 
      comparative evaluation of interrater reliability among four severity 
      measures--APACHE II, MedisGroups, Patient Management Categories (PMCs), and 
      Disease Staging Q-Scale--as well as for the Diagnosis Related Groups (DRG) 
      classification system. The results show APACHE II, MedisGroups, and DRGs to be 
      highly reliable, with Inter-Rater Reliability Coefficient (RI) values greater 
      than .8. PMCs and Disease Staging Q-Scale were able to achieve fair-to-good 
      levels of reliability. Results are consistent regardless of which reliability 
      statistics are used.
FAU - Thomas, J W
AU  - Thomas JW
AD  - School of Public Health, University of Michigan, Ann Arbor 48109-2029.
FAU - Ashcraft, M L
AU  - Ashcraft ML
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Inquiry
JT  - Inquiry : a journal of medical care organization, provision and financing
JID - 0171671
SB  - IM
MH  - Evaluation Studies as Topic
MH  - *Health Services Research
MH  - Information Systems
MH  - Reproducibility of Results
MH  - Research Design
MH  - *Severity of Illness Index
MH  - Statistics as Topic
MH  - United States
EDAT- 1989/01/01 00:00
MHDA- 1989/01/01 00:01
CRDT- 1989/01/01 00:00
PHST- 1989/01/01 00:00 [pubmed]
PHST- 1989/01/01 00:01 [medline]
PHST- 1989/01/01 00:00 [entrez]
PST - ppublish
SO  - Inquiry. 1989 Winter;26(4):483-92.