Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2019

Open Access 01-12-2019 | Care | Research article

Concordance between self-report and medical records of preventive healthcare delivery among a sample of disadvantaged patients from four aboriginal community controlled health services

Authors: Natasha Noble, Christine Paul, Justin Walsh, Kylie Wyndham, Sue Wilson, Jessica Stewart

Published in: BMC Health Services Research | Issue 1/2019

Login to get access

Abstract

Background

This cross-sectional study aimed to explore, among a sample of patients attending one of four Aboriginal Health Services (ACCHSs), the degree of concordance between self-report and medical records for whether screening for key healthcare items had ever been undertaken, or had been undertaken within the recommended timeframe.

Methods

Across the four ACCHSs, a convenience sample of 109 patients was recruited. Patients completed a self-report computer survey assessing when they last had preventive care items undertaken at the service. ACCHS staff completed a medical record audit for matching items. The degree of concordance (i.e. the percentage of cases in which self-reports matched responses from the medical record) was calculated.

Results

Concordance was relatively high for items including assessment of Body Mass Index and blood pressure, but was substantially lower for items including assessment of waist circumference, alcohol intake, physical activity, and diet.

Conclusions

Reliance on either patient self-report or medical record data for assessing the level of preventive care service delivery by ACCHSs requires caution. Efforts to improve documentation of some preventive care delivery in medical records are needed. These findings are likely to also apply to patients in other general practice settings.
Appendix
Available only for authorised users
Literature
1.
Gracey M, King M. Indigenous health part 1: determinants and disease patterns. Lancet. 2009;374(9683):65–75.CrossRef
2.
Vos T, Barker B, Begg S, Stanley L, Lopez AD. Burden of disease and injury in aboriginal and Torres Strait islander peoples: the indigenous health gap. Int J Epidemiol. 2009;38(2):470–7.CrossRef
3.
Harris M. The role of primary health care in preventing the onset of chronic disease, with a particular focus on the lifestyle risk factors of obesity, tobacco and alcohol. Canberra: National Preventative Health Taskforce. 2008;1:21.
4.
Panaretto KS, Wenitong M, Button S, Ring IT. Aboriginal community controlled health services: leading the way in primary care. Med J Aust. 2014;200(11):649–52.CrossRef
5.
6.
Ferrante JM, Ohman-Strickland P, Hahn KA, Hudson SV, Shaw EK, Crosson JC, et al. Self-report versus medical records for assessing cancer-preventive services delivery. Cancer Epidemiol Biomark Prev. 2008;17(11):2987–94.CrossRef
7.
Hrisos S, Eccles MP, Francis JJ, Dickinson HO, Kaner EF, Beyer F, et al. Are there valid proxy measures of clinical behaviour? A systematic review. Implement Sci. 2009;4(1):37–57.CrossRefPubMed
8.
Watson PW, McKinstry B. A systematic review of interventions to improve recall of medical advice in healthcare consultations. J R Soc Med. 2009;102(6):235–43.CrossRefPubMed
9.
Palepu PR, Brown C, Joshi G, Epsin-Garcia O, Eng L, Ramanna J, et al. Assessment of accuracy of data obtained from patient-reported questionnaire (PRQ) compared to electronic patient records (EPR) in patients with lung cancer. J Clin Oncol. 2013;31(supp):40.CrossRef
10.
Seddon M, Marshall M, Campbell S, Roland M. Systematic review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand. Qual Health Care. 2001;10(3):152–8.CrossRefPubMed
11.
Mercer SW, Watt GC. The inverse care law: clinical primary care encounters in deprived and affluent areas of Scotland. Annals Family Med. 2007;5(6):503–10.CrossRef
12.
Stewart JM, Sanson-Fisher RW, Eades S, Fitzgerald M. The risk status, screening history and health concerns of aboriginal and Torres Strait islander people attending an aboriginal community controlled health service. Drug Alcohol Rev. 2012;31(5):617–24.CrossRef
13.
Parker RM, Ratzan SC, Lurie N. Health literacy: a policy challenge for advancing high-quality health care. Health Aff (Millwood). 2003;22(4):147–53.CrossRef
14.
Marmot M. Social determinants and the health of indigenous Australians. Med J Aust. 2011;194(10):512–3.
15.
National Aboriginal Community Controlled Health Organisation, Royal Australian College of General Practice. National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people. 2nd edn. South Melbourne: RACGP; 2012.
16.
17.
18.
Beckles GL, Williamson DF, Brown AF, Gregg EW, Karter AJ, Kim C, et al. Agreement between self-reports and medical records was only fair in a cross-sectional study of performance of annual eye examinations among adults with diabetes in managed care. Med Care. 2007;45(9):876–83.CrossRef
19.
Brown JB, Adams ME. Patients as reliable reporters of medical care process: recall of ambulatory encounter events. Med Care. 1992:400–11.
20.
Bailie RS, Si D, Connors CM, Kwedza R, O'Donoghue L, Kennedy C, et al. Variation in quality of preventive care for well adults in indigenous community health centres in Australia. BMC Health Serv Res. 2011;11(1):1.CrossRef
21.
Tisnado DM, Adams JL, Liu H, Damberg CL, Chen W-P, Hu FA, et al. What is the concordance between the medical record and patient self-report as data sources for ambulatory care? Med Care. 2006;44(2):132–40.CrossRef
22.
Brady M, Sibthorpe B, Bailie R, Ball S, Sumnerdodd P. The feasibility and acceptability of introducing brief intervention for alcohol misuse in an urban aboriginal medical service. Drug Alcohol Rev. 2002;21(4):375–80.CrossRef
23.
Thompson M, Robertson J, Clough A. A review of the barriers preventing indigenous health workers delivering tobacco interventions to their communities. Aust N Z J Public Health. 2011;35(1):47–53.CrossRef
24.
Stewart JM, Sanson-Fisher R, Eades S, D'Este C. Aboriginal health: agreement between general practitioners and patients on their health risk status and screening history. Aust N Z J Public Health. 2014;38(6):563–6.CrossRef
25.
Adams SA, Matthews CE, Ebbeling CB, Moore CG, Cunningham JE, Fulton J, et al. The effect of social desirability and social approval on self-reports of physical activity. AJE. 2005;161(4):389–98.CrossRef
26.
Gorber SC, Schofield-Hurwitz S, Hardt J, Levasseur G, Tremblay M. The accuracy of self-reported smoking: a systematic review of the relationship between self-reported and cotinine-assessed smoking status. Nicotine Tob Res. 2009;11(1):12–24.CrossRef
27.
Schröder M, editor. Retrospective Data Collection in the Survey of Health, Ageing and Retirement in Europe. SHARELIFE Methodology Mannheim: Mannheim Research Institute for the Economics of Ageing; 2011.
28.
Newell S, Girgis A, Sanson-Fisher R, Ireland M. Accuracy of patients' recall of pap and cholesterol screening. Am J Public Health. 2000;90(9):1431–5.CrossRefPubMed
29.
Brady M. Alcohol policy issues for indigenous people in the United States, Canada, Australia and New Zealand. Contemporary drug problems. 2000;27(3):435–509.CrossRef
30.
Australian Institute of Health and Welfare. National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care. Results from June 2016. National key performance indicators for Aboriginal and Torres Strait Islander primary health care series no. 4. Cat. no. IHW 177. Canberra: AIHW; 2017.
31.
Knight AW, Caesar C, Ford D, Coughlin A, Frick C. Improving primary care in Australia through the Australian primary care Collaboratives program: a quality improvement report. BMJ Qual Saf. 2012;21:948–55.CrossRef
32.
DiGiacomo M, Davidson P, Taylor K, Smith J, Dimer L, Ali M, Wood M, Leahy T, Thompson S. Health information system linkage and coordination are critical for increasing access to secondary prevention in aboriginal health: a qualitative study. Qual Prim Care. 2010;18:17–26.
33.
Thiru K, Hassey A, Sullivan F. Systematic review of scope and quality of electronic patient record data in primary care. BMJ. 2003;326(7398):1070–5.CrossRefPubMed
Metadata
Title
Concordance between self-report and medical records of preventive healthcare delivery among a sample of disadvantaged patients from four aboriginal community controlled health services
Authors
Natasha Noble
Christine Paul
Justin Walsh
Kylie Wyndham
Sue Wilson
Jessica Stewart
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-3930-7

Other articles of this Issue 1/2019

BMC Health Services Research 1/2019 Go to the issue

Research article

Partners in Recovery: an early phase evaluation of an Australian mental health initiative using program logic and thematic analysis

Research article

Clinical predictors of protracted length of stay in Ontario Complex Continuing Care hospitals

Research article

Understanding competing discourses as a basis for promoting equity in primary health care

Research article

The role of health and advocacy organisations in assisting female sex workers to gain access to health care in South Africa

Research article

Public hospital reforms in China: the perspective of hospital directors

Study protocol

Impact at two years of an intervention on empowerment among medical care teams: study protocol of a randomised controlled trial in a large French university hospital