Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy.
San Michele Private Hospital, 17031 Albenga, Italy.
Int J Environ Res Public Health. 2022 Mar 15;19(6):3452. doi: 10.3390/ijerph19063452.
Delineating patients' health profiles is essential to allow for a proper comparison between medical care and its results in patients with comorbidities. The aim of this work was to evaluate the concordance of health profiles outlined by ward doctors and by epidemiologists and the effectiveness of training interventions in improving the concordance. Between 2018 and 2021, we analyzed the concordance between the health profiles outlined by ward doctors in a private hospital and those outlined by epidemiologists on the same patients' medical records. The checks were repeated after training interventions. The agreement test (Cohen's kappa) was used for comparisons through STATA. The initial concordance was poor for most categories. After our project, the concordance improved for all categories of CIRS. Subsequently, we noted a decline in concordance between ward doctors and epidemiologists for CIRS, so a new training intervention was needed to improve the CIRS profile again. Initially, we found a low concordance, which increased significantly after the training interventions, proving its effectiveness.
明确患者的健康状况对于在患有合并症的患者中对医疗保健及其结果进行适当比较至关重要。这项工作的目的是评估病房医生和流行病学家确定的健康状况之间的一致性，并评估培训干预措施在提高一致性方面的效果。在 2018 年至 2021 年期间，我们分析了一家私立医院病房医生在患者病历上确定的健康状况与流行病学家确定的健康状况之间的一致性。在培训干预后重复进行检查。使用 STATA 通过 Cohen's kappa 检验进行比较。对于大多数类别，最初的一致性都很差。在我们的项目之后，CIRS 的所有类别都提高了一致性。随后，我们注意到病房医生和流行病学家之间的 CIRS 一致性下降，因此需要新的培训干预措施来再次改善 CIRS 概况。最初，我们发现一致性较低，经过培训干预后显着提高，证明其有效性。
