Self-reports of health care utilization compared to provider records
Self-reports of health care utilization compared to provider records
复制标题
DOI：
10.1016/s0895-4356(00)00261-4
复制
发表时间：
2001-02-01
影响因子：
7.2
通讯作者：
Lorig, KR
中科院分区：
文献类型：
--
作者：
Ritter, PL;Stewart, AL;Lorig, KR
本研究比较了自我报告的医疗利用与供应商的记录。作为慢性病自我管理干预研究的一部分，患者完成了最近六个月医疗保健利用的自我报告。从更大的研究中选择一个亚组的患者，并将他们的自我报告与计算机化的使用记录进行比较。与早期的研究一致，患者倾向于报告较少的医生利用比记录在计算机化的供应商记录。然而，他们报告的急诊室就诊次数也往往比计算机化使用记录中报告的略多。人口统计学或健康变量与自我报告和计算机使用记录报告之间存在差异的趋势之间没有关联。然而，随着记录利用量的增加，差异有扩大的趋势。因此，由不同的人口统计学因素引起的偏差的可能性很低，但研究人员应该考虑到，低报发生，并有可能增加利用率的增加。(C)2001 Elsevier Science Inc. All rights reserved.
This study compares self-reports of medical utilization with provider records. As part of a chronic disease self-management intervention study, patients completed self-reports of their last six months of health care utilization. A subgroup of patients was selected from the larger study and their self-reports of utilization were compared to computerized utilization records. Consistent with earlier studies, patients tended to report less physician utilization than was recorded in the computerized provider records. However, they also tended to report slightly more emergency room visits than were reported in the computerized utilization records. There was no association between demographic or health variables and the tendency toward discrepancy between self-report and computerized utilization record reports. However, there was a tendency for the discrepancy to increase as the amount of record utilization increased. Thus, the likelihood of bias caused by differing demographic factors is low, but researchers should take into account that underreporting occurs and is likely to increase as utilization increases. (C) 2001 Elsevier Science Inc. All rights reserved.