Strauss J S, Harder D W
Psychiatry Res. 1981 Jun;4(3):333-45. doi: 10.1016/0165-1781(81)90035-4.
Case records provide a vast resource of information for clinical research, yet their value has been limited by several methodological problems. One of these has been the absence of standardized approaches for making diagnoses and other clinical judgments from case record data. This report describes the Case Record Rating Scale, an instrument designed to provide a standardized method for abstracting case record information. The reliability of the scale is demonstrated, and the advantages and problems encountered using case record data for research are described.
病例记录为临床研究提供了丰富的信息资源,但其价值因几个方法学问题而受到限制。其中一个问题是缺乏从病例记录数据中做出诊断和其他临床判断的标准化方法。本报告介绍了病例记录评定量表,这是一种旨在提供提取病例记录信息的标准化方法的工具。展示了该量表的可靠性,并描述了使用病例记录数据进行研究的优点和遇到的问题。