Baja concordancia entre la información clínica de atención primaria y hospital
Resumen: Objectives: To measure the diagnostic agreement between Primary Care (PC) and hospital information systems, in order to assess the usefulness of health care records for research purposes. Setting: Cross-sectional retrospective study integrating PC and hospital diagnostic information for the Aragon population admitted to hospital in 2010. Participants: 75.176 patients were analysed. Interventions: Similarities, differences and the kappa index were calculated for each of the diagnoses recorded in both information systems. Main measurements: The studied diseases included COPD, diabetes, hypertension, cerebrovascular disease, ischaemic heart disease, asthma, epilepsy, and heart failure. Results: Diagnostic concordance was higher in men and between 45 and 64 years. Diabetes was the condition showing the highest concordance (kappa index: 0.75), while asthma had the lowest values (kappa index: 0.34). Conclusions: The low concordance between the diagnostic information recorded in PC and in the hospital setting calls for urgent measures to ensure that healthcare professionals have a comprehensive picture of patient''s health problems.
Idioma: Español
DOI: 10.1016/j.aprim.2015.06.002
Año: 2015
Publicado en: Atencion Primaria (2015), [7 pp]
ISSN: 0212-6567

Factor impacto JCR: 1.098 (2015)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 83 / 155 = 0.535 (2015) - Q3 - T2
Categ. JCR: PRIMARY HEALTH CARE rank: 15 / 20 = 0.75 (2015) - Q3 - T3

Factor impacto SCIMAGO: 0.262 - Family Practice (Q2) - Medicine (miscellaneous) (Q3)

Tipo y forma: Article (Published version)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Med.Pr.,Sal.Públ.)

Creative Commons You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material.

Exportado de SIDERAL (2021-01-21-10:44:27)

Este artículo se encuentra en las siguientes colecciones:

 Record created 2015-12-16, last modified 2021-01-21

Versión publicada:
Rate this document:

Rate this document:
(Not yet reviewed)