Pecoraro R E, Inui T S, Chen M S, Plorde D K, Heller J L
Public Health Rep. 1979 Jun;94(3):231-8.
A self-administered, health history questionnaire devised for routine use in a general medical clinic is completed without the assistance of clinic personnel and used, unedited, by the providers. The reliability and validity of the responses of 23 patients to this questionnaire were tested statistically. In our setting, more than 90 percent of the patients referred for care are capable of completing the questionnaire. The 23 patients averaged 32 minutes to complete the questionnaire. An average of 34 minutes of encounter time is required to obtain the same historical data by interview. Test-retest reliability of patients' responses to the questionnaire was 90 percent. More than 92 percent of the patients' written responses to health history items agreed with the data obtained in a blinded fashion by internists in the traditional interview. The questionnaire accurately obtains items of history frequently missing from the recorded ambulabory care data base, and in some instances obtains items of history more effectively than the interviewing physician. The study results showed a low incidence of false positive (1.8 percent) and false negative (2.8 percent) responses to questionnaire items.
一份为普通医疗诊所日常使用而设计的自我管理式健康史问卷，由患者在无诊所工作人员协助的情况下完成，且提供者未作编辑直接使用。对23名患者对该问卷的回答进行了统计学可靠性和有效性测试。在我们的环境中，超过90%的就诊患者能够完成问卷。这23名患者平均用时32分钟完成问卷。通过面谈获取相同历史数据平均需要34分钟的问诊时间。患者对问卷回答的重测信度为90%。超过92%的患者对健康史项目的书面回答与内科医生通过传统面谈以盲法获得的数据一致。该问卷能准确获取记录的门诊护理数据库中经常缺失的病史项目，在某些情况下，比面谈医生更有效地获取病史项目。研究结果显示，问卷项目的假阳性（1.8%）和假阴性（2.8%）回答发生率较低。
