自我报告慢性呼吸道疾病信息的人在其全科医疗记录中有确证依据吗？一项关于方法间可靠性的研究。

Do people self-reporting information about chronic respiratory disease have corroborative evidence in their general practice medical records? A study of intermethod reliability.

作者信息

Iversen Lisa, Hannaford Philip C, Godden David J, Price David

机构信息

Dept of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen, UK.

出版信息

Prim Care Respir J. 2007 Jun;16(3):162-8. doi: 10.3132/pcrj.2007.00013.

DOI:10.3132/pcrj.2007.00013

PMID:17516010

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6634198/

Abstract

AIMS

To use intermethod reliability to compare self-reported data about chronic respiratory disease and health service utilisation with data contained in general practice medical records.

METHODS

Self-reported postal questionnaire information from a small cohort of an age-sex stratified sample of 2318 patients was compared with information contained in their medical records. The agreement between the two sources of information was assessed.

RESULTS

The case notes of 115/135 individuals from eight general practices were examined. For self-reported chest injury or operation (kappa, kappa=-0.03), or chronic bronchitis (kappa=0.10), agreement was poor. Agreement for self-reported pleurisy (kappa=0.32), hay fever or rhinitis (kappa=0.40), or eczema or dermatitis (kappa=0.30) was fair; for chronic obstructive pulmonary disease (COPD) or emphysema (kappa=0.56), or heart trouble (kappa=0.54), agreement was moderate; for asthma (kappa=0.78) or pneumonia (kappa=0.62), agreement was good; and for pulmonary tuberculosis (kappa=0.88), agreement was very good. The strength of agreement for information about health service utilisation for respiratory problems ranged from moderate to very good and was good for smoking status.

CONCLUSIONS

Although based on small numbers, our results suggest good or very good agreement between self-reported data and general practice medical records for the absence or presence of some respiratory conditions and some types of respiratory-related health care utilisation. Depending on the research question being examined self-reported information may be appropriate.

摘要

目的

运用方法间信度，比较慢性呼吸道疾病的自我报告数据及卫生服务利用情况与全科医疗记录中的数据。

方法

将来自2318名患者的年龄 - 性别分层样本中的一小群人的自我报告邮政问卷信息，与他们医疗记录中的信息进行比较。评估了这两种信息来源之间的一致性。

结果

检查了来自八个全科诊所的115/135名个体的病历。对于自我报告的胸部损伤或手术（卡帕值，κ = -0.03）或慢性支气管炎（κ = 0.10），一致性较差。自我报告的胸膜炎（κ = 0.32）、花粉热或鼻炎（κ = 0.40）或湿疹或皮炎（κ = 0.30）的一致性为中等；对于慢性阻塞性肺疾病（COPD）或肺气肿（κ = 0.56）或心脏病（κ = 0.54），一致性为中等；对于哮喘（κ = 0.78）或肺炎（κ = 0.62），一致性良好；对于肺结核（κ = 0.88），一致性非常好。关于呼吸道问题的卫生服务利用信息的一致性强度从中等到非常好不等，吸烟状况的一致性良好。