Agreement between Self‐reported and Routinely Collected Health‐care Utilization Data among Seniors

Raina, Parminder; Torrance-Rynard, Vicki; Wong, Micheline; Woodward, Christel A.

doi:10.1111/1475-6773.00047

Cited by 167 publications

(159 citation statements)

References 24 publications

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“…This approach has been shown to be valid and accurate, especially for emergency utilization (as compared to routine outpatient care). [54][55][56]57 We utilized a time frame of 12 months for recall of such events, and while a shorter duration of recall may improve accuracy, the relatively infrequent nature of events such as hospitalizations made a shorter recall period impractical. Nonetheless, longitudinal studies with objective verification of events will be an important future avenue of research.…”

Section: Discussionmentioning

confidence: 99%

Lower Health Literacy is Associated with Poorer Health Status and Outcomes in Chronic Obstructive Pulmonary Disease

et al. 2012

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BACKGROUND: Limited health literacy is associated with poor outcomes in many chronic diseases, but little is known about health literacy in chronic obstructive pulmonary disease (COPD). OBJECTIVE: To examine the associations between health literacy and both outcomes and health status in COPD. PARTICIPANTS, DESIGN AND MAIN MEASURES:Structured interviews were administered to 277 subjects with self-report of physician-diagnosed COPD, recruited through US random-digit telephone dialing. Health literacy was measured with a validated threeitem battery. Multivariable linear regression, controlling for sociodemographics including income and education, determined the cross-sectional associations between health literacy and COPD-related health status: COPD Severity Score, COPD Helplessness Index, and Airways Questionnaire-20R [measuring respiratory-specific health-related quality of life (HRQoL)]. Multivariable logistic regression estimated associations between health literacy and COPD-related hospitalizations and emergency department (ED) visits. KEY RESULTS: Taking socioeconomic status into account, poorer health literacy (lowest tertile compared to highest tertile) was associated with: worse COPD severity (+2.3 points; 95 % CI 0.3-4.4); greater COPD helplessness (+3.7 points; 95 % CI 1.6-5.8); and worse respiratory-specific HRQoL (+3.5 points; 95 % CI 1.8-4.9). Poorer health literacy, also controlling for the same covariates, was associated with higher likelihood of COPD-related hospitalizations (OR=6.6; 95 % CI 1.3-33) and COPD-related ED visits (OR=4.7; 95 % CI 1.5-15). Analyses for trend across health literacy tertiles were statistically significant (p<0.05) for all above outcomes. CONCLUSIONS: Independent of socioeconomic status, poor health literacy is associated with greater COPD severity, greater COPD helplessness, worse respiratoryspecific HRQoL, and higher odds of COPD-related emergency health-care utilization. These results underscore that COPD patients with poor health literacy may be at particular risk for poor health-related outcomes.KEY WORDS: chronic obstructive pulmonary disease; health literacy; health status; health outcomes; utilization.

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Section: Discussionmentioning

confidence: 99%

Lower Health Literacy is Associated with Poorer Health Status and Outcomes in Chronic Obstructive Pulmonary Disease

et al. 2012

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“…Not only is selfreported health status widely used in studies of this kind (see, for example, Benzeval andJudge, 2001, Bound, 1991), but also it appears to be a good predictor of subsequent health care utilization and mortality. (See, for example, McCallum et al, 1994, Idler and Benyamini, 1997, Bierman et al, 1999, and Badley et al, 2000 This is so in spite of the fact that there appears to be much inaccuracy in the self reporting of specific health conditions (Baker et al, 2001, Raina et al, 2002.…”

Section: Introductionmentioning

confidence: 99%

The transition from good to poor health: an econometric study of the older population

Buckley

Denton

Robb

et al. 2004

Journal of Health Economics

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“…7 Physician billing occurs through the OHIP, and surgical fee claims are expected to have a high sensitivity and positive predictive value (PPV), as shown with other service payments. 8 Data analysis. Individuals within the data sources were linked deterministically through unique, encrypted numbers.…”

Section: Methodsmentioning

confidence: 99%

An administrative data algorithm to identify traumatic spinal cord injured patients: a validation study

et al. 2013

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Objective: To assess the validity of different administrative data sources available for the identification of traumatic spinal cord injured (TSCI) patients. Study design: Retrospective validation study. Setting: Ontario, Canada. Participants: Adult patients seen in tertiary outpatient spinal cord rehabilitation clinics after 1 April 2002. Outcome measures: Sensitivity, specificity, positive and negative predicative values of diagnostic ICD10 codes from Canadian Institutes of Health Discharge Abstracts (CIHI-DAD), Rehabilitation Coding Groups (RCG) from that National Rehabilitation System (NRS), and spinal cord injury fee codes from the Ontario Healthcare Insurance Plan (OHIP). Secondary outcome was the agreement between actual lesion level and RCG/ICD10 coded lesion level. Results: The RCG codes in the NRS have high sensitivity (92%, 95% confidence interval (CI): 87-95%) and specificity (97%, 95% CI: 94-99%) for the identification of true TSCI patients, whereas CIHI-DAD ICD10 codes are highly specific (99%, 95% CI: 95-100) and moderately sensitive (76%, 95% CI: 79-87%). OHIP fee codes had poor sensitivity (64%, 95% CI: 57-71%). Agreement between true lesion level and the NRS and CIHI-DAD coding is good (Kappa of 0. 65-0.88 and 0.56-0.70, respectively). Conclusion: This study demonstrated that the NRS is able to accurately discriminate between patients with and without a TSCI. A large population of incident and prevalent TSCI patients are identifiable using administrative data.

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Agreement between Self‐reported and Routinely Collected Health‐care Utilization Data among Seniors

Cited by 167 publications

References 24 publications

Lower Health Literacy is Associated with Poorer Health Status and Outcomes in Chronic Obstructive Pulmonary Disease

Lower Health Literacy is Associated with Poorer Health Status and Outcomes in Chronic Obstructive Pulmonary Disease

The transition from good to poor health: an econometric study of the older population

An administrative data algorithm to identify traumatic spinal cord injured patients: a validation study

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