Patient-doctor Concordance in Elderly Women’s Self-reported Health and Medical Records
2002 (English)In: Methods of Information in Medicine, ISSN 0026-1270, Vol. 41, no 2, 119-124 p.Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
2002. Vol. 41, no 2, 119-124 p.
diagnosis, women, medical records, patients, medical decision making
IdentifiersURN: urn:nbn:se:liu:diva-26291PubMedID: 12061118Local ID: 10807OAI: oai:DiVA.org:liu-26291DiVA: diva2:246839