Journal of Clinical Epidemiology
Volume 62, Issue 12 , Pages 1316-1322 , December 2009

Agreement between self-reported and health insurance claims on utilization of health care: A population study

  • Sheng-Tsung Yu

      Affiliations

    • Center for Health Policy Research and Development, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli County 350, Taiwan ROC
    • ,
  • Hsing-Yi Chang

      Affiliations

    • Center for Health Policy Research and Development, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli County 350, Taiwan ROC
    • Corresponding Author InformationCorresponding author. Tel.: +886-37-246166; fax: +886 37586261.
    • ,
  • Ming-Chu Lin

      Affiliations

    • Center for Health Policy Research and Development, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli County 350, Taiwan ROC
    • ,
  • Yu-Hsuan Lin

      Affiliations

    • Center for Population and Health Survey Research, Bureau of Health Promotion, Department of Health, Taichung, Taiwan ROC

,Accepted 27 January 2009.

References 

  1. Uiters E, van Dijk L, Deville W, Foets M, Spreeuwenberg P, Groenewegen PP. Ethnic minorities and prescription medication; concordance between self-reports and medical records. BMC Health Serv Res. 2006;6:115–121
  2. Spiers MV, Kutsik DM. Self-reported memory of medication use by the elderly. Am J Health Syst Pharm. 1995;52:985–990
  3. Raina P, Torrance-Rynard V, Wong M, Woodward C. Agreement between self-reported and routinely collected health-care utilization data among seniors. Health Serv Res. 2002;37:751–773
  4. Rozario PA, Morrow-Howell N, Proctor E. Comparing the congruency of self-report and provider records of depressed elders' service use by provider type. Med Care. 2004;42:952–959
  5. Killeen TK, Brady KT, Gold PB, Tyson C, Simpson KN. Comparison of self-report versus agency records of service utilization in a community sample of individuals with alcohol use disorders. Drug Alcohol Depend. 2004;73:141–147
  6. Klungel OH, de Boer A, Paes AH, Herings RM, Seidell JC, Bakker A. Influence of question structure on the recall of self-reported drug use. J Clin Epidemiol. 2000;53:273–277
  7. Udry JR, Gaughan M, Schwingl PJ, van den Berg BJ. A medical record linkage analysis of abortion underreporting. Fam Plann Perspect. 1996;28:228–231
  8. Rhodes AE, Fung K. Self-reported use of mental health services versus administrative records: care to recall?. Int J Methods Psychiatr Res. 2004;13:165–175
  9. Klungel OH, de Boer A, Paes AH, Herings RM, Seidell JC, Bakker A. Agreement between self-reported antihypertensive drug use and pharmacy records in a population-based study in The Netherlands. Pharm World Sci. 1999;21:217–220
  10. Bergmann MM, Noethlings U, Eisinger B, Streller B, Quehl A, Walter D, et al. The importance of the common cancer registry for the identification of cancer cases in the EPIC Potsdam-study—results of the first record linkage, Gesundheitswesen. 2004;66:475–481
  11. Hall HI, Van Den Eeden SK, Tolsma DD, Rardin K, Thompson T, Hughes Sinclair A, et al. Testing for prostate and colorectal cancer: comparison of self-report and medical record audit. Prev Med. 2004;39:27–35
  12. Boudreau DM, Daling JR, Malone KE, Gardner JS, Blough DK, Heckbert SR. A validation study of patient interview data and pharmacy records for antihypertensive, statin, and antidepressant medication use among older women. Am J Epidemiol. 2004;159:308–317
  13. Kennedy AD, Leigh-Brown AP, Torgerson DJ, Campbell J, Grant A. Resource use data by patient report or hospital records: do they agree?. BMC Health Serv Res. 2002;2:2
  14. Wallihan DB, Stump TE, Callahan CM. Accuracy of self-reported health services use and patterns of care among urban older adults. Med Care. 1999;37:662–670
  15. Bellon JA, Lardelli P, Luna JD, Delgado A. Validity of self reported utilization of primary health care services in an urban population in Spain. J Epidemiol Community Health. 2000;54:544–551
  16. Reijneveld SA. The cross-cultural validity of self-reported use of health care: a comparison of survey and registration data. J Clin Epidemiol. 2000;53:267–272
  17. Reijneveld SA, Stronks K. The validity of self-reported use of health care across socioeconomic strata: a comparison of survey and registration data. Int J Epidemiol. 2001;30:1407–1414
  18. Chang HY, Chiou CJ, Lin MC, Lin SH, Tai TY. A population study of the self-care behaviors and their associated factors of diabetes in Taiwan: results from the 2001 National Health Interview Survey in Taiwan. Prev Med. 2005;40:344–348
  19. Shih YT, Hung YT, Chang HY, Liu JP, Lin HS, Chang MC, et al. The design, contents, operation and the characteristics of the respondents of the 2001 National Health Interview Survey in Taiwan. Taiwan J Public Health. 2003;22:419–430
  20. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–483
  21. Chen CY, Chiu HF, Yeh MK, Chang CC, Yang CY. The use of anti-asthmatic medications among pediatric patients in Taiwan. Pharmacoepidemiol Drug Saf. 2003;12:129–133
  22. Chen HY, Chang HY, Shih SF, Hsu CC, Lin YH, Shih YT. The regional differences in prevalence, medical expenditures and risk factors for injury in Taiwanese teenagers. BMC Public Health. 2006;6:107–116
  23. Hu SW, Yang LC, Chang HY. Factors associated with amalgam restorations in Taiwan. Br Dent J. 2002;193:411–414
  24. Cohen JA. A coefficient of agreement for nominal scales. Educ Psych Meas. 1960;20:37–46
  25. Shrout PE, Spitzer RL, Fleiss JL. Quantification of agreement in psychiatric diagnosis revisited. Arch Gen Psychiatry. 1987;44:172–177
  26. Byrt T, Bishop J, Carlin JB. Bias, prevalence and kappa. J Clin Epidemiol. 1993;46:423–429
  27. Lantz CA, Nebenzahl E. Behavior and interpretation of the kappa statistic: resolution of the two paradoxes. J Clin Epidemiol. 1996;49:431–434
  28. Huang N, Shih SF, Chang HY, Chou YJ. Record linkage research and informed consent: who consents?. BMC Health Serv Res. 2007;7:18–22
  29. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  30. Roberts RO, Bergstralh EJ, Schmidt L, Jacobsen SJ. Comparison of self-reported and medical record health care utilization measures. J Clin Epidemiol. 1996;49:989–995

PII: S0895-4356(09)00056-0

doi: 10.1016/j.jclinepi.2009.01.016

Journal of Clinical Epidemiology
Volume 62, Issue 12 , Pages 1316-1322 , December 2009

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