Comparing the congruency of self-report and provider records of depressed elders' service use by provider type.
Comparing the congruency of self-report and provider records of depressed elders' service use by provider type.
复制标题
比较抑郁老年人按提供者类型使用服务的自我报告和提供者记录的一致性。
DOI：
10.1097/00005650-200410000-00003
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发表时间：
2004
期刊：
影响因子：
3
通讯作者：
Proctor,Enola
中科院分区：
文献类型：
--
作者：
Rozario,PhilipA;Morrow-Howell,Nancy;Proctor,Enola
背景：对服务使用的准确核算对于了解使用模式和结果是必要的。然而，这样的会计仍然具有挑战性，部分原因是可靠性和有效性的收集方法和sources.Objectives：本研究介绍了2种方法的数据收集：自我报告和检索的供应商记录。我们报告检索记录的努力，产量和挑战。然后，我们比较了两种方法的一致性和完整性：自我报告和供应商记录。最后，我们研究了各种患者的特征对一致率的影响。方法：我们的样本抑郁的老年参与者被招募从住院老年精神病学单位之前，他们被释放到社区。我们在6个月的时间里在3个点采访了参与者。根据自我报告和滚雪球技术，获取不同类型的提供商记录。我们计算了一致率，并检查了91名参与者的数据源的完整性与完整的供应商记录。使用Logistic回归，我们研究了一致性的差异提供者类型以及相关因素的congruency.Results：记录检索过程是劳动密集型和具有挑战性的。我们发现，药房和医院提供者的一致率在统计学上较高，而医生的一致率较低。我们还发现，较高的计数的服务使用，更高的抑郁水平，结婚显着相关的自我报告的服务使用和供应商records.Discussion之间的一致性较低：虽然我们发现相对较高的一致率之间的自我报告和服务记录，方法的选择取决于研究的目的和广度的供应商类型。
Background:An accurate accounting of service use is necessary to understand use patterns and outcomes. Yet such an accounting remains challenging, in part because of the reliability and validity of the collection method and sources.Objectives:This study describes 2 methods of data collection: self-report and the retrieval of provider records. We report on the effort, yield, and challenges of retrieving records. Then, we compare the congruency and completeness of 2 methods: self-report and provider records. Finally, we examine the impact of various patients’ characteristics on congruency rates.Method:Our sample of depressed older participants was recruited from an inpatient geropsychiatry unit before they were discharged into the community. We interviewed participants at 3 points during a 6-month period. Provider records were obtained across provider type, based on self-report and snowballing technique. We calculated congruency rates and examined completeness of either data source on 91 participants with completed provider records. Using logistic regression, we examined the differences in congruency by provider type as well as factors related to the congruency.Results:The record retrieval process is labor-intensive and challenging. We found that congruency rates were statistically higher for pharmacy and hospital providers and lower for physicians. We also found higher counts of service use, higher depression levels, and being married were significantly related with lower congruency between self-report of service use and provider records.Discussion:Although we found relatively high congruency rates between self-report and service records, the choice of methods depends on the purpose of the research and breadth of provider types.