+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Concordance of the ambulatory medical record and patients' recollections of aspects of an ambulatory new-patient visit



Concordance of the ambulatory medical record and patients' recollections of aspects of an ambulatory new-patient visit



Journal of General Internal Medicine 1(3): 159-162



The ambulatory medical record should provide an accurate account of what took place during an outpatient visit. If it does not, the record cannot be used to judge many aspects of the quality of care, including physician-patient communication. The author evaluated the accuracy of the ambulatory medical record by comparing the results of structured telephone interviews with 40 patients following new-patient visits with audits of the medical records. The evaluation focused on chief complaint and the patient's understanding of the diagnosis, medications and follow-up arrangement. The 95% confidence intervals of concordance rates between interview and audit were [1, 0.68] or better for all measures except understanding of diagnosis [0.73, 0.37]. The generally good rate of concordance between the ambulatory medical record and patient recollection for important indices of physician-patient communication suggests that the ambulatory medical record can be used to evaluate that aspect of ambulatory patient care.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 039656979

Download citation: RISBibTeXText

PMID: 3772584

DOI: 10.1007/bf02602329


Related references

What is the concordance between the medical record and patient self-report as data sources for ambulatory care?. Medical Care 44(2): 132-140, 2006

Supplement: Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records || The Health-Illness Profile: An Essential Component of the Ambulatory Medical Record. Medical Care 11(2): 117-124, 1973

Supplement: Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records || Implications of Computer Science for Developing Ambulatory Medical Record Systems. Medical Care 11(2): 132-137, 1973

Supplement: Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records || The Community Hospital: Ambulatory Services, Statistics, and Medical Care Record Data. Medical Care 11(2): 158-169, 1973

Individual-patient visit-by-visit office and ambulatory blood pressure measurements over 24months in patients undergoing renal denervation for hypertension. International Journal of Cardiology 181: 96-101, 2015

Supplement: Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records || Methods of Classifying Disability and Severity of Illness in Ambulatory Care Patients. Medical Care 11(2): 125-131, 1973

Supplement: Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records || The E Book System for Record-Keeping in General Practice. Medical Care 11(2): 138-144, 1973

Ambulatory patient medical record holder. Official Gazette of the United States Patent & Trademark Office Patents 1178(4): 2180, Sept 26, 1995

Aspects of the further development of ambulatory primary medical care based on a territorial analysis. 2. Characteristics of the ambulatory management process. Zeitschrift für die Gesamte Hygiene und ihre Grenzgebiete 34(8): 474-477, 1988

Supplement: Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records || Information for Developing National Statistics on Ambulatory Medical Care. Medical Care 11(2): 87-95, 1973

Toward a patient-centered ambulatory after-visit summary: Identifying primary care patients' information needs. Informatics for Health and Social Care 43(3): 248-263, 2017

Ambulatory visit groups: a framework for measuring productivity in ambulatory care. Health Services Research 19(4): 415-437, 1984

AVGs: the ambulatory side of DRGs--proactive opportunity or another nursing retrofit: ambulatory visit groups. Nursing Administration Quarterly 14(1): 36-43, 1989

The case mix of ambulatory surgery as measured by ambulatory visit groups. Journal of Ambulatory Care Management 13(1): 33-45, 1990

Supplement: Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records || Information for Self-Evaluation of Patient Care and Feedback to Physicians. Medical Care 11(2): 61-67, 1973