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Int J Technol Assess Health Care. 2006 Spring;22(2):203-10.

Evaluation of the ambulatory and home care record: Agreement between self-reports and administrative data.

Author information

1
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario M5T 3M6, Canada. denise.guerriere@utoronto.ca

Abstract

OBJECTIVES:

Although measuring the utilization of ambulatory and home-based healthcare resources is an essential component of economic analyses, very little methodological attention has been devoted to the development and evaluation of resource costing tools. This study evaluated a newly developed tool, the Ambulatory and Home Care Record (AHCR), which comprehensively evaluates costs incurred by the health system and care recipients and their unpaid caregivers.

METHODS:

The level of agreement between self-reports from 110 cystic fibrosis care recipients and administrative data was assessed for four categories of health services: home-based visits with healthcare professionals, ambulatory visits with healthcare professionals, laboratory and diagnostic tests, and prescription medications.

RESULTS:

Agreement between care recipients' reports on the AHCR and administrative data ranged from moderate (kappa = 0.41; 95 percent confidence interval, 0.16-0.61) for physician specialist visits to perfect (kappa = 1.0) for physiotherapy visits.

CONCLUSIONS:

By evaluating and standardizing a resource and costing tool, such as the AHCR, economic evaluations may be improved and comparisons of the resource implications for different services and for diverse populations are possible.

PMID:
16571196
DOI:
10.1017/S0266462306051026
[Indexed for MEDLINE]

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