终末期肾病患者死亡率分析中的社会和环境因素：对卫生政策的影响。
Social and contextual factors in the analysis of mortality in end-stage renal disease patients: implications for health policy.
作者信息
Plough A L, Salem S
出版信息
Am J Public Health. 1982 Nov;72(11):1293-5. doi: 10.2105/ajph.72.11.1293.
Abstract
A sample of medical records of decreased End-Stage Renal Disease (ESRD) patients was reviewed by a panel of experienced clinicians. The panel's determination of cause of death was compared to that reported for these patients in the Health Care Financing Administration Management Information System. There was concurrence in only 25 per cent of the cases. The difference is attributable to increased awareness of psychosocial and behavioral antecedent factors surrounding the occurrence of death.
摘要
一组经验丰富的临床医生对一组终末期肾病（ESRD）患者数量减少的病历样本进行了审查。该小组对死亡原因的判定与医疗保健财务管理局管理信息系统中报告的这些患者的死亡原因进行了比较。只有25%的病例判定结果一致。这种差异归因于对围绕死亡发生的社会心理和行为先行因素的认识提高。
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