In Reply We appreciate the comments by Hahn and Gould highlighting the shortcomings of existing data to understand low-value care, and we commend them on their research examining the clinical granularity of data that relies on diagnostic coding. Misclassifying a clinically appropriate service as low-value in our study¹ is an inherent limitation of using claims data. We would also note that misclassification can function in the other direction; that is, events excluded from the low-value category may be clinically inappropriate.

中文翻译：

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低价值关怀回复的驱动因素。

作为回复，我们感谢 Hahn 和 Gould 的评论，他们强调了现有数据在理解低价值护理方面的不足，我们赞扬他们的研究，检查依赖于诊断编码的数据的临床粒度。^{在我们的研究1}中将临床上合适的服务误分类为低价值是使用索赔数据的固有限制。我们还会注意到，错误分类可以在另一个方向起作用。也就是说，从低价值类别中排除的事件可能在临床上是不合适的。