Download PDF
Methods Inf Med 2002; 41(02): 119-124
DOI: 10.1055/s-0038-1634295
Original Article
Schattauer GmbH

Patient-doctor Concordance in Elderly Women’s Self-reported Health and Medical Records

M. Ockander
1   Department of Social Medicine and Public Health Sciences, Linköping University, Sweden
,
M. Hjerppe
1   Department of Social Medicine and Public Health Sciences, Linköping University, Sweden
,
T. Timpka
1   Department of Social Medicine and Public Health Sciences, Linköping University, Sweden
› Author Affiliations
Further Information

Publication History

Received 31 August 2000

Accepted 24 April 2001

Publication Date:
07 February 2018 (online)

    Permissions and Reprints

Summary

Objectives: To compare the chronic diseases mentioned by elderly women in an interview study with those documented in their respective medical records.

Methods: The prevalence of positive diagnoses, overall agreement, and the kappa-coefficient were calculated for each group of diagnoses.

Results: The lowest overall agreement was observed for psychiatric diseases, followed by diseases of the gastrointestinal system. Poor chance-adjusted agreement was found concerning diseases of the gastrointestinal system and diseases of the skin.

Conclusions: The results suggest that a main reason for discordance was that the elderly women feared »losing face« by reporting some diseases.

Keywords

Diagnosis - women - medical records - patients - medical decision making
 

  • References

  • 1 Liaw ST, Young D, Farish S. Improving patient-doctor concordance: an intervention study in general practice. Fam Pract 1996; 13 (Suppl. 05) 427-31.
    CrossrefPubMedSearch in Google Scholar
  • 2 Harlow SD, Linet MS. Agreement between questionnaire data and medical records. The evidence for accuracy of recall. Am J Epidemiol 1989; 129 (Suppl. 02) 233-48.
    CrossrefPubMedSearch in Google Scholar
  • 3 Haapanen N, Miilunpalo S, Pasanen M, Oja P, Vuori I. Agreement between questonnaire data and medical records of chronic diseases in middle-aged and elderly Finnish men and women. Am J Epidemiol 1997; 145 (Suppl. 08) 762-9.
    CrossrefPubMedSearch in Google Scholar
  • 4 Bush TL, Miller SR, Golden AL, Hale WE. Self-report and medical record report agreement of selected medical conditions in the elderly. Am J Public Health 1989; 79 (Suppl. 11) 1554-6.
    CrossrefPubMedSearch in Google Scholar
  • 5 Kriegsman DM, Penninx BW, van Eijk JT, Boeke AJ, Deeg DJ. Self-reports and general practitioner information on the presence of chronic diseases in comunity dwelling elderly. A study on the accuracy of patients’ self-reports and on determinants of inaccuracy. J Clin Epidemiol 1996; 49 (Suppl. 12) 1407-17.
    CrossrefPubMedSearch in Google Scholar
  • 6 Kehoe R, Wu SY, Leske MC, Chylack LTJ. Comparing self-reported and physician-reported medical history. Am J Epidemiol 1994; 139 (Suppl. 08) 813-8.
    CrossrefPubMedSearch in Google Scholar
  • 7 Coldizt GA, Martin P, Stampfer MJ. et al. Validation of questionnaire information on risk factors and disease outcomes in a prospective cohort study of women. Am J Epidemiol 1986; 123 (Suppl. 05) 894-900.
    CrossrefPubMedSearch in Google Scholar
  • 8 Heliövaara M, Aromaa A, Klaukka T, Knekt P, Joukamaa M, Impivaara O. Reliability and validity of interview data on chronic diseases. The Mini-Finland Health Survey. J Clin Epidemiol 1993; 46 (Suppl. 02) 181-91.
    CrossrefPubMedSearch in Google Scholar
  • 9 van der Velden J, Abrahamse HPH, Donker G, van der Steen J, van Sonsbeck JLA, van den Bos GAM. What do health interview surveys tell us about the prevalence of somatic chronic diseases? A study into concurrent validity. Eur J Public Health 1998; 8 (Suppl. 01) 52-8.
    CrossrefPubMedSearch in Google Scholar
  • 10 Paganini-Hill A, Chao A. Accuracy of recall of hip fracture, heart attack, and cancer: a comparison of postal survey data and medical records. Am J Epidemiol 1993; 138 (Suppl. 02) 101-6.
    CrossrefPubMedSearch in Google Scholar
  • 11 Anonymous.. Prevalence of chronic diseases in older Italians: comparing self-reported and clinical diagnoses. The Italian Longitudinal Study on Aging Working Group. Int J Epidemiol 1997; 26 (Suppl. 05) 995-1002.
    CrossrefPubMedSearch in Google Scholar
  • 12 Beckett M, Weinstein M, Goldman N, Yu-Hsuan L. Do health interview surveys yield reliable data on chronic illness among older respondents?. Am J Epidemiol 2000; 151 (Suppl. 03) 315-23.
    CrossrefPubMedSearch in Google Scholar
  • 13 Macintyre S, Ford G, Hunt K. Do women “over-report” morbidity? Men’s and women’s responses to structured prompting on a standard question on long standing illness. Soc Sci Med 1999; 48 (Suppl. 01) 89-98.
    CrossrefPubMedSearch in Google Scholar
  • 14 Lloyd SS, Rissing JP. Physician and coding errors in patient records. JAMA 1985; 254 (Suppl. 10) 1330-6.
    CrossrefPubMedSearch in Google Scholar
  • 15 Lagaay AM, van der Meij JC, Hijmans W. Validation of medical history taking as part of a population based survey in subjects aged 85 and over. BMJ 1992; 304 6834 1091-2.
    CrossrefPubMedSearch in Google Scholar
  • 16 Jachuck SJ, Price P, Bound CL. Evaluation of quality of contents of general practice records. BMJ 1984; 289: 26-8.
    CrossrefPubMedSearch in Google Scholar
  • 17 Westergren V, Lundblad L, Timpka T. Interob-server variations in assessment of antral disease from direct sinoscopic observations compared to video recordings. Am J Rhinol 1998; 12 (Suppl. 03) 159-65.
    CrossrefPubMedSearch in Google Scholar
  • 18 Altman DG. Practical statistics for medical research. London: Chapman & Hall; 1997
    Search in Google Scholar
  • 19 Fleiss JL. Statistical methods for rates and proportions. (2nd Ed.) New York: Wiley; 1981
    Search in Google Scholar
  • 20 Hibbard J, Pope C. Another look at sex differences in the use of medical care: illness orientation and the types of morbidities for which services are used. Women Health 1986; 11: 21-36.
    CrossrefPubMedSearch in Google Scholar
  • 21 Rowlinson A. Inflammatory bowel disease 3: importance of partnership in care. Br J Nurs 1999; 8 (Suppl. 15) 1013-8.
    CrossrefPubMedSearch in Google Scholar
  • 22 Kelsey JL, O’Brien LA, Grisso JA, Hoffman S. Issues in carrying out epidemiologic research in the elderly. Am J Epidemiol 1989; 130 (Suppl. 05) 857-66.
    CrossrefPubMedSearch in Google Scholar
  • 23 Gjørup T. The kappa coefficient and the prevalence of a diagnosis. Methods Inf Med 1988; 27 (Suppl. 04) 184-6.
    Thieme ConnectPubMedSearch in Google Scholar