Data collection outcomes comparing paper forms with PDA forms in an office-based patient survey

Data collection outcomes comparing paper forms with PDA forms in an office-based patient survey
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DOI:
10.1370/afm.762
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发表时间:
2008-03-01
影响因子:
4.4
通讯作者:
Hickner, John M.
Hickner, John M.
中科院分区:
医学1区
文献类型:
--
作者:
Galliber, James M.;Stewart, Thomas V.;Hickner, John M.

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目的:我们比较了使用纸质表格和使用手持计算机上加载的电子表格收集数据的完整性,该调查是在美国家庭医生学会国家研究网络内进行的一项基于办公室的患者访谈调查。方法:我们要求19名家庭医生的医疗助理和护士对60名老年人进行肺炎球菌免疫接种调查。30人使用纸质表格,30人使用手持计算机上的电子表格。通过随机分配,面试官首先使用纸质或电子表格。使用多层次分析调整病人的特点和聚类形式的做法,我们分析了数据的完整性。结果预期的1,140形式返回到数据中心的1,003。由于电子数据收集遇到技术困难以及手提电脑被盗或丢失,纸质表格的总体退回率(570份中的537份,94%)高于电子表格(570份中的466份,82%)。然而,使用纸质表格时,退回表格上的遗漏错误更为常见。在退回的表格中,只有3%的电子收集的表格有遗漏的错误,而纸质收集的表格有35%。同样,只有0.04%的总调查项目缺失的电子表格,相比之下,3.5%的调查项目使用纸质forms.CONCLUSIONS虽然手持电脑产生更完整的数据比纸质方法返回的表单,他们没有上级,因为大量的数据丢失,由于技术困难与手持电脑或丢失或被盗。其他硬件解决方案,如通过无线网络直接连接到网站的平板电脑或手机,可能是未来更好的电子解决方案。
PURPOSE We compared the completeness of data collection using paper forms and using electronic forms loaded on handheld computers in an office-based patient interview survey conducted within the American Academy of Family Physicians National Research Network.METHODS We asked 19 medical assistants and nurses in family practices to administer a survey about pneumococcal immunizations to 60 older adults each, 30 using paper forms and 30 using electronic forms on handheld computers. By random assignment, the interviewers used either the paper or electronic form first. Using multilevel analyses adjusted for patient characteristics and clustering of forms by practice, we analyzed the completeness of the data.RESULTS A total of 1,003 of the expected 1,140 forms were returned to the data center. The overall return rate was better for paper forms (537 of 570, 94%) than for electronic forms (466 of 570, 82%) because of technical difficulties experienced with electronic data collection and stolen or lost handheld computers. Errors of omission on the returned forms, however, were more common using paper forms. Of the returned forms, only 3% of those gathered electronically had errors of omission, compared with 35% of those gathered on paper. Similarly, only 0.04% of total survey items were missing on the electronic forms, compared with 3.5% of the survey items using paper forms.CONCLUSIONS Although handheld computers produced more complete data than the paper method for the returned forms, they were not superior because of the large amount of missing data due to technical difficulties with the handheld computers or loss or theft. Other hardware solutions, such as tablet computers or cell phones linked via a wireless network directly to a Web site, may be better electronic solutions for the future.