Measuring morbidity: self-report or health care records?
Measuring morbidity: self-report or health care records?
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DOI：
10.1093/fampra/cmp098
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发表时间：
2010-02-01
期刊：
影响因子：
2.2
通讯作者：
Hay, Elaine
中科院分区：
文献类型：
--
作者：
Barber, Julie;Muller, Sara;Hay, Elaine
背景资料。流行病学调查通常依赖自我报告作为人口发病率的衡量标准。然而，这些数据也可以从初级保健记录中提取。比较基于自我报告的发病率估计和从初级保健记录获得的发病率估计。在英国北斯塔福德郡的三个普通诊所中，对所有50岁的成年人进行了横断面调查和伴随的医疗记录审查。将自我报告的发病率与调查前两年的计算机全科会诊记录进行比较。在7878名调查应答者中，5889人同意审查病历。自我报告和咨询数据之间的一致性对糖尿病来说是非常好的。这两个数据来源在高血压、心脏问题、胸部问题和视力问题上的一致性较低。耳聋和跌倒情况较差。自我报告和咨询数据提供了对糖尿病等特定诊断患病率的可比估计。对于其他情况，自我报告和会诊记录提供了不同的患病率衡量标准，衡量标准的选择将取决于正在研究的发病率。
Background. Epidemiological surveys often rely on self-report as a measure of morbidity in a population. However, these data can also be extracted from primary care records.Objective. To compare morbidity estimates based on self-report with those obtained from primary care records.Methods. A cross-sectional survey and accompanying medical record review were carried out in all consenting adults aged >= 50 years in three general practices in North Staffordshire, UK. Self-reported morbidity was compared with computerized general practice consultation records for the 2 years prior to the survey.Results. Of the 7878 survey responders, 5889 consented to medical record review. Agreement between self-reported and consultation data was excellent for diabetes. Agreement between the two sources of data was lower for hypertension, heart problems, chest problems and eyesight problems. It was poor for deafness and falls.Conclusions. Self-report and consultation data provide comparable estimates of the prevalence of specific diagnoses such as diabetes. For other conditions, self-report and consultation records provide different measures of prevalence, and the choice of measure will depend on the morbidity being studied.