Be aware, very old people die from this as a secondary cause from a primary of Alzheimer’s and other dementias. They just stop eating. It’s a misleading statistic to use to identify poverty based malnutrition. It’s a very common diagnosis in terminal patients. And the way US billing works, getting the most diagnosis codes recorded is important for reimbursement. It’s likely the cause for this disparity.
Edit: yeah 2015 is when ICD-10 adoption and cms billing changes went into play. And then the rate quadrupled. This is an artifact of the US’s dumb private/public insurance model for end of life as more people gamed the system for reimbursement. The spread of billing practices over time.
Be aware, very old people die from this as a secondary cause from a primary of Alzheimer’s and other dementias. They just stop eating. It’s a misleading statistic to use to identify poverty based malnutrition. It’s a very common diagnosis in terminal patients. And the way US billing works, getting the most diagnosis codes recorded is important for reimbursement. It’s likely the cause for this disparity.
Edit: yeah 2015 is when ICD-10 adoption and cms billing changes went into play. And then the rate quadrupled. This is an artifact of the US’s dumb private/public insurance model for end of life as more people gamed the system for reimbursement. The spread of billing practices over time.
Why is France also an outlier?
Gave a detailed answer: https://lemmy.ml/post/46593201/25415914
Ah, thanks. I figured that, like the US, it was some kind of other policy that had a side effect of artificially skewing the numbers.
What’s the US’s excuse in this case?
Go read the comment I initially replied to.
Dunno. I’m a US nurse. I don’t know how France does their death certificates. Wouldn’t surprise me that they’re more granular though.