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Peer-Reviewed Publication
J Am Med Inform Assoc2020;27(7):1037-1045.July 1, 2020Journal Article

The bird's-eye view: A data-driven approach to understanding patient journeys from claims data.

Katherine Bobroske1, Christine Larish2, Anita Cattrell2, Margrét V Bjarnadóttir3, Lawrence Huan1
1Cambridge Centre for Health and Leadership Enterprise, University of Cambridge, Cambridge, United Kingdom.
2Research and Development, Evolent Health, Arlington, Virginia, USA.
3Robert H. Smith School of Business, University of Maryland, College Park, Maryland, USA.

Abstract

OBJECTIVE: In preference-sensitive conditions such as back pain, there can be high levels of variability in the trajectory of patient care. We sought to develop a methodology that extracts a realistic and comprehensive understanding of the patient journey using medical and pharmaceutical insurance claims data. MATERIALS AND METHODS: We processed a sample of 10 000 patient episodes (comprised of 1…

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