An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice

To evaluate the reliability of information in general practice (GP) electronic health records (EHRs), 2100 adult patients were randomly selected for interview regarding the presence of specific medical conditions and recent influenza vaccination. Agreement between self-report and data extracted from...

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Main Authors: Regan, Annette, Gibbs, R., Effler, P.
Format: Journal Article
Published: Elsevier 2018
Online Access:http://hdl.handle.net/20.500.11937/66766
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author Regan, Annette
Gibbs, R.
Effler, P.
author_facet Regan, Annette
Gibbs, R.
Effler, P.
author_sort Regan, Annette
building Curtin Institutional Repository
collection Online Access
description To evaluate the reliability of information in general practice (GP) electronic health records (EHRs), 2100 adult patients were randomly selected for interview regarding the presence of specific medical conditions and recent influenza vaccination. Agreement between self-report and data extracted from EHRs was compared using Cohen’s kappa coefficient (k) and interpreted in accordance with Altman’s Kappa Benchmarking criteria; 377 (18%) patients declined participation, and 608 (29%) could not be contacted. Of 1115 (53%) remaining, 856 (77%) were active patients (≥3 visits to the GP practice in the last two years) who provided complete information for analysis. Although a higher proportion of patients self-reported being vaccinated or having a medical condition compared to the EHR (50.7% vs 36.9%, and 39.4% vs 30.3%, respectively), there was “good” agreement between self-report and EHR for both vaccination status (κ = 0.67) and medical conditions (κ = 0.66). These findings suggest EHR may be useful for public health surveillance.
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spelling curtin-20.500.11937-667662018-07-05T03:56:17Z An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice Regan, Annette Gibbs, R. Effler, P. To evaluate the reliability of information in general practice (GP) electronic health records (EHRs), 2100 adult patients were randomly selected for interview regarding the presence of specific medical conditions and recent influenza vaccination. Agreement between self-report and data extracted from EHRs was compared using Cohen’s kappa coefficient (k) and interpreted in accordance with Altman’s Kappa Benchmarking criteria; 377 (18%) patients declined participation, and 608 (29%) could not be contacted. Of 1115 (53%) remaining, 856 (77%) were active patients (≥3 visits to the GP practice in the last two years) who provided complete information for analysis. Although a higher proportion of patients self-reported being vaccinated or having a medical condition compared to the EHR (50.7% vs 36.9%, and 39.4% vs 30.3%, respectively), there was “good” agreement between self-report and EHR for both vaccination status (κ = 0.67) and medical conditions (κ = 0.66). These findings suggest EHR may be useful for public health surveillance. 2018 Journal Article http://hdl.handle.net/20.500.11937/66766 10.1016/j.vaccine.2018.04.076 Elsevier restricted
spellingShingle Regan, Annette
Gibbs, R.
Effler, P.
An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice
title An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice
title_full An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice
title_fullStr An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice
title_full_unstemmed An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice
title_short An audit of the reliability of influenza vaccination and medical information extracted from eHealth records in general practice
title_sort audit of the reliability of influenza vaccination and medical information extracted from ehealth records in general practice
url http://hdl.handle.net/20.500.11937/66766