Department of Public Health, Ben-Gurion University of the Negev, Israel.
Can J Aging. 2013 Sep;32(3):287-97. doi: 10.1017/S0714980813000366. Epub 2013 Aug 6.
Discordance between self-reports and medical records reflects patient and provider factors that have implications for management and research. This study investigated discordance and socio-demographic factors that explain concordance. A purposive sample of 402 disabled older persons was interviewed using a structured questionnaire. The highest concordances were found for diabetes, cardiovascular accident (CVA), and cancer while the lowest were evident for arthritis, and renal and gastrointestinal conditions. Significant explanatory factors included (a) age for explaining concordance in hypertension; (b) ethnicity in explaining concordance in arthritis and cancer; (c) marital status in explaining concordance in thyroid diseases; (d) education in explaining concordance in gastrointestinal conditions; and (e) functional status in explaining concordance in respiratory, gastrointestinal, and thyroid diseases. Co-morbidity increased concordance for all health conditions and decreased concordance for hypertension. Further investigation is needed to examine the reasons for the disparities between the two sources of information.
自我报告和医疗记录之间的差异反映了患者和提供者的因素，这些因素对管理和研究都有影响。本研究调查了导致差异的原因以及可以解释一致性的社会人口学因素。采用目的抽样法，对 402 名残疾老年人进行了结构问卷调查。结果发现，糖尿病、心血管意外 (CVA) 和癌症的一致性最高，而关节炎、肾脏和胃肠道疾病的一致性最低。具有显著解释作用的因素包括：(a) 年龄对高血压一致性的解释；(b) 种族对关节炎和癌症一致性的解释；(c) 婚姻状况对甲状腺疾病一致性的解释；(d) 教育程度对胃肠道疾病一致性的解释；以及 (e) 功能状态对呼吸、胃肠道和甲状腺疾病一致性的解释。合并症增加了所有健康状况的一致性，降低了高血压的一致性。需要进一步调查，以研究这两种信息来源之间存在差异的原因。
