دورية أكاديمية
The National Provider Identifier Taxonomy: Does it Align With a Surgeon's Actual Clinical Practice?
| العنوان: | The National Provider Identifier Taxonomy: Does it Align With a Surgeon's Actual Clinical Practice? |
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| المؤلفون: | Oliphant BW; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI. Electronic address: bryantol@med.umich.edu., Sangji NF; Department of Surgery, University of Michigan, Ann Arbor, MI., Dolman HS; Department of Surgery, Wayne State University, Detroit, MI., Scott JW; Department of Surgery, University of Michigan, Ann Arbor, MI., Hemmila MR; Department of Surgery, University of Michigan, Ann Arbor, MI. |
| المصدر: | The Journal of surgical research [J Surg Res] 2023 Feb; Vol. 282, pp. 254-261. Date of Electronic Publication: 2022 Nov 01. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : Academic Press Original Publication: Philadelphia [etc.] |
| مواضيع طبية MeSH: | Surgeons* , Orthopedics* , Orthopedic Procedures* , Medicine*, Humans ; Specialization |
| مستخلص: | Introduction: The taxonomy code(s) associated with each National Provider Identifier (NPI) entry should characterize the provider's role (e.g., physician) and any specialization (e.g., orthopedic surgery). While the intent of the taxonomy system was to monitor medical appropriateness and the expertise of care provided, this system is now being used by researchers to identify providers and their practices. It is unknown how accurate the taxonomy codes are in describing a provider's true specialization. Methods: Department websites of orthopedic surgery and general surgery from three large academic institutions were queried for practicing surgeons. The surgeon's specialty and subspeciality information listed was compared to the provider's taxonomy code(s) listed on the National Plan and Provider Enumeration System (NPPES). The match rate between these data sources was evaluated based on the specialty, subspecialty, and institution. Results: There were 295 surgeons (205 general surgery and 90 orthopedic surgery) and 24 relevant taxonomies (8 orthopedic and 16 general or plastic) for analysis. Of these, 294 surgeons (99%) selected their general specialty taxonomy correctly, while only 189 (64%) correctly chose an appropriate subspecialty. General surgeons correctly chose a subspecialty more often than orthopedic surgeons (70 versus 51%, P = 0.002). The institution did not affect either match rate, however there were some differences noted in subspecialty match rates inside individual departments. Conclusions: In these institutions, the NPI taxonomy is not accurate for describing a surgeon's subspecialty or actual practice. Caution should be taken when utilizing this variable to describe a surgeon's subspecialization as our findings might apply in other groups. (Copyright © 2022 Elsevier Inc. All rights reserved.) |
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| معلومات مُعتمدة: | K23 AR079565 United States AR NIAMS NIH HHS |
| فهرسة مساهمة: | Keywords: Accuracy; National provider identifier; Surgeon; Taxonomy |
| تواريخ الأحداث: | Date Created: 20221104 Date Completed: 20221129 Latest Revision: 20230524 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10204001 |
| DOI: | 10.1016/j.jss.2022.09.008 |
| PMID: | 36332304 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1095-8673 |
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| DOI: | 10.1016/j.jss.2022.09.008 |