Health Services Utilization Reporting in Respiratory Patients

Ungar, Wendy J.; Coyte, Peter C.; the,

doi:10.1016/s0895-4356(98)00117-6

Cited by 48 publications

(21 citation statements)

References 34 publications

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Section: Introductionmentioning

confidence: 83%

“…Good agreement has been demonstrated in reports of specialised diagnostic procedures [1], hospital admission and specialist consultation [2]. These same studies showed over reporting of clinic attendance [1] and blood testing [2]. Similarly, another study showed that agreement between patient report and medical records was higher for procedures that generated a test report than for those that were documented using a physician note [3].…”

Section: Introductionmentioning

confidence: 99%

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Resource use data by patient report or hospital records: Do they agree?

Kennedy

Leigh-Brown

Torgerson

et al. 2002

BMC Health Serv Res

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Section: Introductionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Resource use data by patient report or hospital records: Do they agree?

Kennedy

Leigh-Brown

Torgerson

et al. 2002

BMC Health Serv Res

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“…However, research generally supports moderate to excellent concordance between self-report and registration or routinely collected administrative data, even among older populations [42, 43]. Second, it would be impossible to rule out reverse causation, whereby the participants’ anxiety level is raised as a result of recurring events.…”

Section: Discussionmentioning

confidence: 99%

Prospective Examination of Anxiety Persistence and Its Relationship to Cardiac Symptoms and Recurrent Cardiac Events

Grace

Abbey

Irvine

et al. 2004

Psychother Psychosom

165

150

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Background: The current study builds on previous research demonstrating a link between anxiety and inhospital recurrent ischemic and arrhythmic events, by examining the effects of persistent anxiety on recurrent events 1 year later. Methods: 913 patients with unstable angina (UA) and myocardial infarction (MI) from 12 coronary care units were recruited, and follow-up data were collected at 6 and 12 months after the event. Measures included cardiac symptomatology, healthcare utilization, the anxiety subscale of the Primary Care Evaluation of Mental Disorders , the phobic anxiety subscale of the Middlesex Hospital Questionnaire, and the Beck Depression Inventory. Results: Over one third of participants with UA and MI experienced elevated anxiety at the time of the ischemic event, and these symptoms persisted for 1 year in 50% of anxious participants. Although participants with anxiety reported more atypical cardiac symptomatology, the prevalence of typical cardiac symptoms such as chest pain did not differ based on anxiety. After controlling for the severity of the coronary event, family income, sex, diabetes, and smoking, the following variables were significantly predictive of self-reported recurrent cardiac events at 6 months or 1 year: older age, family history of cardiovascular disease, greater depressive symptomatology at baseline, and anxiety at 6 months. Only 38% of anxious patients were asked about such symptoms, indicating underutilization of effective psychotherapeutic treatment. Conclusions: Over and above the effects of depressive symptomatology (among other confounding variables), nonphobic anxiety appears to have a negative effect on self-reported outcome following an ischemic coronary event. Anxiety symptomatology is underrecognized and undertreated, and examination of effects of treatment on secondary prevention must be pursued.

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“…For example, Cleary & Jette (1984) reported an average discrepancy (reported minus actual) of 0.05 visits over a 1-year period. Participants therefore answered two dichotomous items (YES or NO) derived from Ungar & Coyte (1998) to indicate their current out-patient and general practitioner (GP) utilization : (1) Are you currently receiving any out-patient treatment? and (2) Are you currently being treated by your GP for any illness?…”

Section: Screening Current Medical Statusmentioning

confidence: 99%