Bhandari Aman, Wagner Todd
University of California, Berkeley, CA, USA.
Med Care Res Rev. 2006 Apr;63(2):217-35. doi: 10.1177/1077558705285298.
Self-report is often used to estimate health care utilization. However, the accuracy of such data is of paramount concern. The authors conducted a systematic review of 42 studies that evaluated the accuracy of self-report utilization data, where utilization was defined as a visit to a clinical provider or entity. They also present a broad conceptual model that identifies major issues to consider when collecting, analyzing, and reporting such data. The results show that self-report data are of variable accuracy. Factors that affect accuracy include (1) sample population and cognitive abilities, (2) recall time frame, (3) type of utilization, (4) utilization frequency, (5) questionnaire design, (6) mode of data collection, and (7) memory aids and probes.
自我报告常常被用于估算医疗保健利用率。然而，此类数据的准确性是至关重要的关注点。作者对42项评估自我报告利用率数据准确性的研究进行了系统综述，其中利用率被定义为对临床医疗服务提供者或机构的就诊。他们还提出了一个宽泛的概念模型，该模型确定了在收集、分析和报告此类数据时需要考虑的主要问题。结果表明，自我报告数据的准确性参差不齐。影响准确性的因素包括：（1）样本群体和认知能力；（2）回忆时间范围；（3）利用率类型；（4）利用率频率；（5）问卷设计；（6）数据收集方式；以及（7）记忆辅助工具和提示。
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