000032762 001__ 32762
000032762 005__ 20210121114448.0
000032762 0247_ $$2doi$$a10.1016/j.aprim.2015.06.002
000032762 0248_ $$2sideral$$a92934
000032762 037__ $$aART-2015-92934
000032762 041__ $$aspa
000032762 100__ $$aRevilla-López, C.
000032762 245__ $$aBaja concordancia entre la información clínica de atención primaria y hospital
000032762 260__ $$c2015
000032762 5060_ $$aAccess copy available to the general public$$fUnrestricted
000032762 5203_ $$aObjectives: 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.
000032762 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000032762 590__ $$a1.098$$b2015
000032762 591__ $$aMEDICINE, GENERAL & INTERNAL$$b83 / 155 = 0.535$$c2015$$dQ3$$eT2
000032762 591__ $$aPRIMARY HEALTH CARE$$b15 / 20 = 0.75$$c2015$$dQ3$$eT3
000032762 592__ $$a0.262$$b2015
000032762 593__ $$aFamily Practice$$c2015$$dQ2
000032762 593__ $$aMedicine (miscellaneous)$$c2015$$dQ3
000032762 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000032762 700__ $$0(orcid)0000-0001-9064-9222$$aCalderón-Larrañaga, A.
000032762 700__ $$aEnríquez-Martín, N.
000032762 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.$$uUniversidad de Zaragoza
000032762 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000032762 773__ $$g(2015), [7 pp]$$pAten. prim.$$tAtencion Primaria$$x0212-6567
000032762 8564_ $$s523016$$uhttps://zaguan.unizar.es/record/32762/files/texto_completo.pdf$$yVersión publicada
000032762 8564_ $$s89273$$uhttps://zaguan.unizar.es/record/32762/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000032762 909CO $$ooai:zaguan.unizar.es:32762$$particulos$$pdriver
000032762 951__ $$a2021-01-21-10:44:27
000032762 980__ $$aARTICLE