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Use of administrative database to describe physician services utilization and care patterns in multiple sclerosis in France

Abstract : Background: As multiple sclerosis (MS) is a chronic disease which starts at young adulthood, overall care consumption is known to be high in patients. This has never been precisely described in France although the number of prevalent cases is estimated to be 100,000. French health insurance database is now open to researchers through a random sample of 1/97th of national health system beneficiaries. Objective: Describe physician services utilization and care patterns in multiple sclerosis in France using a sample of the national health insurance system. Materials and methods: Study population was defined according to specific MS codes in hospital admissions (International Classification of Diseases 9/10) codes and prescription claims. The study period was 2007-2012. Physician service utilization (treating physician, neurologists and others) and hospitalizations rates (all-cause and MS-related) were measured in people affected with MS. Differences according to gender, year of birth, year of MS onset, and region of residence were assessed. Results: Pilot study was conducted for the year 2007 only and is the only available up to now. A total of 621 MS cases (453 women and 168 men) were identified. Women and young patients had a higher number of medical visits than men and older patients respectively. The number of medical at-home visits increased with age. Moreover physician service utilization differed according to administrative regions and seemed to be linked to the medical density. Discussion: The present study will be the first one investigating the care patterns in MS in France using administrative database.
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https://hal-univ-rennes1.archives-ouvertes.fr/hal-01228174
Contributor : Laurent Jonchère <>
Submitted on : Thursday, November 12, 2015 - 5:34:19 PM
Last modification on : Monday, July 20, 2020 - 11:04:02 AM

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Emmanuelle Leray, J. Roux, N Le Meur. Use of administrative database to describe physician services utilization and care patterns in multiple sclerosis in France. Abstracts from the World Congress of Neurology (WCN 2015), Oct 2015, Santiago, Chile. pp.e310--e311, ⟨10.1016/j.jns.2015.08.1092⟩. ⟨hal-01228174⟩

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