Journal ArticleDOI
How Valid Are Medical Records and Patient Questionnaires for Physician Profiling and Health Services Research?: A Comparison With Direct Observation of Patient Visits
Kurt C. Stange,Stephen J. Zyzanski,Tracy Fedirko Smith,Robert B. Kelly,Robert B. Kelly,Doreen M. Langa,Susan A. Flocke,Carlos Roberto Jaén +7 more
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TLDR
The validity of the medical record and patient questionnaire for measuring delivery of different health services varied with the service and can be used to choose the optimal nonobservational method of measuring the delivery of specific ambulatory medical services for research and physician profiling.Abstract:
Objectives.This study was designed to determine the optimal nonobservational method of measuring the delivery of outpatient medical services.Methods.As part of a multimethod study of the content of primary care practice, research nurses directly observed consecutive patient visits to 138 practicread more
Citations
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Journal ArticleDOI
The Quality of Ambulatory Care Delivered to Children in the United States
Rita Mangione-Smith,Alison H. DeCristofaro,Claude Messan Setodji,Joan Keesey,David J. Klein,John L. Adams,Mark A. Schuster,Elizabeth A. McGlynn +7 more
TL;DR: Deficits in the quality of care provided to children appear to be similar in magnitude to those previously reported for adults and strategies to reduce these apparent deficits are needed.
Journal ArticleDOI
Continuity of primary care: to whom does it matter and when?
TL;DR: Continuity of physician care is associated with more positive assessments of the visit and appears to be particularly important for more vulnerable patients, who have established a relationship with their physician and whose visit addresses more complex problems.
Journal ArticleDOI
What is the concordance between the medical record and patient self-report as data sources for ambulatory care?
Diana M. Tisnado,John L. Adams,Honghu Liu,Cheryl L. Damberg,Wen-Pin Chen,Fang Ashlee Hu,David M. Carlisle,Carol M. Mangione,Katherine L. Kahn +8 more
TL;DR: Good concordance was found between survey and medical records overall, but there was substantial variation within and across domains, and quality ratings are likely to vary in differing directions, depending on the data source used.
Journal ArticleDOI
Advanced Statistics: Understanding Medical Record Review (MRR) Studies
Andrew Worster,Ted Haines +1 more
TL;DR: Methodological guidance is provided regarding the strengths and weaknesses of these types of studies in medical record review studies.
Journal ArticleDOI
Racial and ethnic disparities in smoking-cessation interventions: analysis of the 2005 National Health Interview Survey.
TL;DR: Despite progress in smokers' being advised to quit during healthcare encounters in the past 5 years, black and Hispanic smokers continue to be less likely than whites to receive and use tobacco-cessation interventions, even after control for socioeconomic and healthcare factors.
References
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Journal ArticleDOI
The measurement of observer agreement for categorical data
J. R. Landis,Gary G. Koch +1 more
TL;DR: A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
Journal ArticleDOI
High agreement but low kappa: I. The problems of two paradoxes.
TL;DR: In a fourfold table showing binary agreement of two observers, the observed proportion of agreement, p0, can be paradoxically altered by the chance-corrected ratio that creates kappa as an index of concordance.
Journal ArticleDOI
High agreement but low kappa: II. Resolving the paradoxes.
TL;DR: An omnibus index offers a single summary expression for a fourfold table of binary concordance among two observers and the paradoxes of kappa are desirable since they appropriately "penalize" inequalities in ppos and pneg.
Journal ArticleDOI
Misinterpretation and misuse of the kappa statistic
Journal ArticleDOI
The accuracy of Medicare's hospital claims data: progress has been made, but problems remain.
Elliott S. Fisher,F S Whaley,W M Krushat,David J. Malenka,Craig Fleming,John A. Baron,David C. Hsia +6 more
TL;DR: Although some diagnoses and all major surgical procedures that were examined were accurately coded, the variability in the accuracy of diagnosis coding poses a problem that must be overcome if claims-based research is to achieve its full potential.
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