Sensitivity of household reported medical conditions in the medical expenditure panel survey.
Sensitivity of household reported medical conditions in the medical expenditure panel survey.
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DOI：
10.1097/mlr.0b013e318195fa79
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发表时间：
2009-06-01
期刊：
影响因子：
3
通讯作者：
Steiner, Claudia
中科院分区：
文献类型：
--
作者：
Machlin, Steven;Cohen, Joel;Steiner, Claudia
引言：关于医疗条件的准确调查数据对卫生保健研究人员至关重要。虽然医疗条件的数据是复杂的，并受到报告错误，很少有信息存在的家庭报告的条件data.METHODS的质量：我们使用汇总数据从4年（2002-2005年）的医疗支出面板调查（MEPS）估计在何种程度上家庭受访者可能漏报23种医疗条件。医疗支出小组调查是一项具有全国代表性的年度调查，涉及约15，000个家庭，收集两个独立部分的医疗状况信息-家庭部分（HC）和医疗提供者部分（MPC）。我们计算的敏感性率的基础上链接HC和MPC数据的假设，如果收集的医疗条件，从家庭受访者是完整的，然后在MPC中报告的条件也将在HC.RESULTS报告：敏感性率范围从高93.8%到低37.4%，75%或更高的10个23个条件分析。23种疾病的总体敏感率为74%。结论：对于高度突出、引起疼痛、需要住院、需要持续治疗、有特定可识别治疗、改变生活方式和/或影响日常生活的疾病（如妊娠、糖尿病和肾结石），家庭报告往往更准确。此外，一般来说，将病情分类在较广的类别中而不是更详细的类别中，报告效果更好。
INTRODUCTION: Accurate survey data on medical conditions are critical for health care researchers. Although medical condition data are complex and are subject to reporting error, little information exists on the quality of household reported condition data.METHODS: We used pooled data from 4 years (2002-2005) of the Medical Expenditure Panel Survey (MEPS) to estimate the extent to which household respondents may underreport 23 types of medical conditions. The medical expenditure panel survey is a nationally representative annual survey of approximately 15,000 households which collects medical condition information in 2 separate components-the Household Component (HC) and the Medical Provider Component (MPC). We computed sensitivity rates based on linked HC and MPC data under the assumption that if collection of medical conditions from household respondents was complete, then the conditions reported in the MPC would also be reported in the HC.RESULTS: Sensitivity rates ranged from a high of 93.8% to a low of 37.4% and were 75% or higher for 10 of the 23 conditions analyzed. The overall sensitivity rate for the 23 conditions combined was 74%.CONCLUSIONS: Household reports tended to be more accurate for conditions that are highly salient, cause pain, require hospitalization, require ongoing treatment, have specific recognizable treatment, alter lifestyle, and/or affect daily life (eg, pregnancy, diabetes, and kidney stones). In addition, reporting generally was better when conditions are classified in broader categories rather than in more detail.