[Validity and consistency of the entries in the Health Care Network's patient records for the use of services by the elderly].

Ciência & saúde coletiva
Vanessa Carvalho Leite Gama RochaSilvia Lanziotti Azevedo da Silva

Abstract

The scope of this article is to verify the validity and consistency of entries in medical records and self-reporting about the use of the health services by elderly users of the Health Care Network. It involved a cross-sectional, population-based observational study. Entries in medical, dental, home visit, referral to the secondary sector and hospitalization appointment records for the years 2015 and 2016 were evaluated. The concordance percentage, Kappa coefficient, sensitivity, specificity and predictive values for each item were also analyzed. The highest concordance percentage (81.93%) with a significant Kappa coefficient (p = 0.03) was for hospitalization. The dentistry appointments revealed a higher Kappa coefficient (k = 0.271) with significance of p=0.01. The analyses showed high specificity in the hospitalization records (83%), and a greater sensitivity for home visits (74%). Positive predictive values were low for hospitalization (8%), and negative predictive values were low for medical appointments (17%). The low concordance between the use of the self-reported health service and entries in medical records highlight one of the possible causes of the fragmentation in continuity of care.

References

Mar 11, 2008·Cadernos de saúde pública·José Alberto Magno de Carvalho, Laura L Rodríguez-Wong
Jul 29, 2008·Cadernos de saúde pública·Miguel Murat VasconcellosIlara Hammerli Sozzi de Moraes
Jan 19, 2012·Revista de saúde pública·Rosana Teresa Onocko-CamposRoberta Nascimento
Mar 22, 2013·Revista da Escola de Enfermagem da U S P·Calíope PilgerThais Aidar de Freitas Mathias
May 28, 2014·Ciência & saúde coletiva·Célia Landmann SzwarcwaldCarlos Augusto Monteiro
Jun 13, 2014·International Journal of Health Services : Planning, Administration, Evaluation·Werner SoorsJean-Pierre Unger
Aug 15, 2014·Ciência & saúde coletiva·Lavínia Uchôa Azevedo de AraújoHelano Jader Batista de Almeida Júnior
Feb 5, 2015·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Paulo Sérgio Cardoso da SilvaKaren Glazer Peres
Jan 12, 2017·Ciência & saúde coletiva·Danielle BordinNemre Adas Saliba
Jun 16, 2017·Medical Care·Patricia St ClairDana P Goldman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.