Department of Medicine, Lister Hill National Centre for Biomedical Communications, Maryland, United States of America
Research Article
Modifiable Areal Unit Problems for Infectious Disease Cases Described in Medicare and Medicaid Claims, 2016-2019
Author(s): Nick Williams*
Introduction: Modifiable Areal Unit Problems are a major source of spatial uncertainty, but their impact on infectious diseases and epidemic detection is unknown.
Methods: CMS claims (2016-2019) which included infectious disease codes learned through Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) were extracted and analysed at two different units of geography; states and ‘home to work commute extent’ mega regions. Analysis was per member per month. Rolling average above the series median within geography and agent of infection was used to assess peak detection. Spatial random forest was used to assess region segmentation by agent of infection.
Results: Mega-regions produced better peak discovery for most, but not all agents of infection. Variable importance and Gini measures from spati.. View more»