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Accuracy and usefulness of the HEDIS childhood immunization measures

机译：HEDIS儿童免疫措施的准确性和实用性

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OBJECTIVE: With the use of Centers for Disease Control and Prevention (CDC) immunization recommendations as the gold standard, our objectives were to measure the accuracy ("is this child up-to-date on immunizations?") and usefulness ("is this child due for catch-up immunizations?") of the Healthcare Effectiveness Data and Information Set (HEDIS) childhood immunization measures. METHODS: For children aged 24 to 35 months from the 2009 National Immunization Survey, we assessed the accuracy and usefulness of the HEDIS childhood immunization measures for 6 individual immunizations and a composite. RESULTS: A total of 12 096 children met all inclusion criteria and composed the study sample. The HEDIS measures had >90% accuracy when compared with the CDC gold standard for each of the 6 immunizations (range, 94.3%-99.7%) and the composite (93.8%). The HEDIS measure was least accurate for hepatitis B and pneumococcal conjugate immunizations. The proportion of children for which the HEDIS measure yielded a nonuseful result (ie, an incorrect answer to the question, "is this child due for catch-up immunization?") ranged from 0.33% (varicella) to 5.96% (pneumococcal conjugate). The most important predictor of HEDIS measure accuracy and usefulness was the CDC-recommended number of immunizations due at age 2 years; children with zero or all immunizations due were the most likely to be correctly classified. CONCLUSIONS: HEDISchildhood immunizationmeasuresare,onthewhole, accurate and useful. Certain immunizations (eg, hepatitis B, pneumococcal conjugate)andchildren(eg, thosewithasingleoverdueimmunization),however, are more prone to HEDIS misclassification.
机译：目的：使用疾病控制与预防中心（CDC）的免疫建议作为金标准，我们的目标是测量准确性（“该儿童是否接受了最新的免疫？”）和有用性（“这是儿童应进行补充免疫吗？”），医疗保健有效性数据和信息集（HEDIS）的儿童免疫措施。方法：对于2009年全国免疫调查以来年龄在24到35个月的儿童，我们评估了HEDIS儿童免疫措施对6种个人免疫和复合免疫的准确性和有用性。结果：共有12 096名儿童符合所有入选标准并组成了研究样本。与6种免疫接种（94.3％-99.7％的范围）和复合免疫制剂（93.8％）的CDC金标准相比，HEDIS措施的准确度> 90％。 HEDIS测度对于乙型肝炎和肺炎球菌结合免疫接种的准确性最低。 HEDIS测验得出无效结果（即，对这个问题的回答不正确，即“该儿童是否应进行追赶免疫？”）的儿童比例在0.33％（水痘）至5.96％（肺炎球菌结合物）之间。 HEDIS衡量准确性和有用性最重要的预测指标是CDC推荐2岁时应接种的疫苗数量。免疫接种次数为零或全部的儿童最有可能被正确分类。结论：HEDIS儿童免疫措施是全面，准确和有用的。但是，某些免疫接种（例如，乙型肝炎，肺炎球菌结合物）和儿童（例如，过期免疫后的儿童）更容易发生HEDIS分类错误。

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