Comparison of self-report versus agency records of service utilization in a community sample of individuals with alcohol use disorders

Comparison of self-report versus agency records of service utilization in a community sample of individuals with alcohol use disorders
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DOI:
10.1016/j.drugalcdep.2003.09.006
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发表时间:
2004-02-07
影响因子:
4.2
通讯作者:
Simpson, KN
Simpson, KN
中科院分区:
医学2区
文献类型:
--
作者:
Killeen, TK;Brady, KT;Simpson, KN

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卫生服务研究已成为评估干预措施成本效益的重要领域。当用于治疗结果研究时,自我报告数据的准确性至关重要。酗酒和吸毒成瘾者自我报告服务利用的可靠性和有效性是值得怀疑的,而且很大程度上尚未得到探索。本研究评估了在寻求酒精使用障碍患者的治疗样本中自我报告的服务使用情况与服务记录提取的准确性。比较分析的结果发现,某些服务,特别是医疗、精神科和药物滥用住院患者入院以及社会服务参与的同意程度良好。在急诊室就诊和逮捕方面达成的共识较少。探讨了与自我报告和记录之间差异相关的因素。 (C) 2003 Elsevier Ireland Ltd. 保留所有权利。
Health services research has become an important area for evaluating the cost effectiveness of interventions. When used in treatment outcome research, the accuracy of self-report data is essential. The reliability and validity of self-report service utilization among alcohol and drug addicted individuals is questionable and largely unexplored. This study assessed the accuracy of self-report utilization of services compared to service record abstraction in a sample of treatment seeking individuals with alcohol use disorders. The results of the comparative analysis found that the level of agreement for some services, particularly medical, psychiatric and substance abuse inpatient admissions, and social service involvement was good. There was less agreement in emergency room visits and arrests. Factors related to discrepancies between self-report and records were explored. (C) 2003 Elsevier Ireland Ltd. All rights reserved.