National health data linkage and the agreement between self-reports and medical records for middle-aged and older adults in Taiwan

Ching Ju Chiu, Hsiang Min Huang, Tsung Hsueh Lu, Ying Wei Wang

研究成果: Article同行評審

4 引文 斯高帕斯(Scopus)

摘要

Background: Characteristics associated with acceptance of dataset linkages and health data linkage data quality were analyzed. Methods: Participants from the 2011 Taiwan Longitudinal Study on Aging were asked to link their epidemiological data with concurrent and future medical claim datasets. Characteristics associated with acceptance of data linkage, data consistency, under-reporting, and over-reporting of disease conditions were identified. Results: Among the 3727 respondents, 3601 (96.6%) accepted data linkage. Middle-aged adults with worse functional health accepted data linkage. Older adults (65+) with better health behavior and social support were more likely to accept data linkage. Consistency between self-reports and medical data was very good to satisfactory (Kappa = 0.80 and 0.67, respectively, for diabetes and hypertension). Comorbidities were common risk factors resulting in inconsistency between self-reports and medical data (OR = 1.58 and 1.27, respectively, for diabetes and hypertension). Living alone was another risk factor resulting in inconsistency for diabetes. Male, older, and not living alone were other risk factors resulting in inconsistencies for hypertension. Under-reporting of illness was associated with poor health and older age. Over-reporting of illness was associated with better health and younger age. Discussion: The findings suggest different adjustment methods for middle-aged versus older respondents when considering self-report data validity.

原文English
文章編號917
期刊BMC Health Services Research
18
發行號1
DOIs
出版狀態Published - 2018 十二月 3

All Science Journal Classification (ASJC) codes

  • 健康政策

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