Comparison of Performance on ADHD Quality of Care Indicators: Practitioner Self-Report Versus Chart Review.
Comparison of Performance on ADHD Quality of Care Indicators: Practitioner Self-Report Versus Chart Review.
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DOI：
10.1177/1087054715624227
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发表时间：
2020-08
影响因子：
3
通讯作者：
Epstein JN
中科院分区：
文献类型：
--
作者：
Gordon MK;Baum RA;Gardner W;Kelleher KJ;Langberg JM;Brinkman WB;Epstein JN
本研究比较了医生自我报告的ADHD护理质量措施与实际表现，记录了图表审查。来自50个儿科诊所的188名医生完成了问卷调查，他们自我报告了ADHD护理质量指标的估计。共审查了1599份图表。与图表审查相比，从业者自我报告他们采用循证护理的患者百分比在每个性能类别中都更高，包括与图表审查相比，在评估和治疗期间更高地使用父母和教师评级量表。在评估过程中，自我报告使用DSM-IV标准的比例也高于图表审查。开始用药后到首次接触的实际天数比自我报告估计的时间长近3倍。从业人员过度报告护理质量指标的表现。这些差异在ADHD诊断和治疗监测实践中很大且一致。医生自我报告的ADHD指南遵守不应被视为一个有效的措施的表现。
This study compared practitioner self-report of ADHD quality of care measures with actual performance, as documented by chart review. 188 practitioners from 50 pediatric practices completed questionnaires in which they self-reported estimates of ADHD quality of care indicators. A total of 1599 charts were reviewed. The percentage of patients for whom practitioners self-reported that they employed evidence-based care was higher in every performance category when compared with chart review, including higher use of parent and teacher rating scales during assessment and treatment compared to chart review. Self-reported use of DSM-IV criteria during assessment was also higher than by chart review. The actual number of days until the first contact after starting medication was nearly 3 times longer than self-report estimates. Practitioners over-report performance on quality of care indicators. These differences were large and consistent across ADHD diagnostic and treatment monitoring practices. Practitioner self-report of ADHD guideline adherence should not be considered a valid measure of performance.
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影响因子：
8
作者：
Rushton, JL;Fant, KE;Clark, SJ
通讯作者：
Clark, SJ
影响因子：
2.6
作者：
Adams, AS;Soumerai, SB;Ross-Degnan, D
通讯作者：
Ross-Degnan, D
影响因子：
5.9
作者：
Bruchmueller, Katrin;Margraf, Juergen;Schneider, Silvia
通讯作者：
Schneider, Silvia
影响因子：
3.5
作者：
Mosa AS;Yoo I;Sheets L
通讯作者：
Sheets L
影响因子：
1.6
作者：
McElligott, James T.;Lemay, John R.;Roberts, James R.
通讯作者：
Roberts, James R.