J Am Med Inform Assoc - Test-retest reliability in a computer-based medical history.

Tópicos

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Resumo

The authors developed a computer-based medical history for patients to take in their homes via the internet. The history consists of 232 'primary' questions asked of all patients, together with more than 6000 questions, explanations, and suggestions that are available for presentation as determined by a patient's responses. The purpose of this research was to measure the test-retest reliability of the 215 primary questions that have preformatted, mutually exclusive responses of 'Yes,' 'No,' 'Uncertain (Don't know, Maybe),' 'Don't understand,' and 'I'd rather not answer.' From randomly selected patients of doctors affiliated with Beth Israel Deaconess Medical Center in Boston, 48 patients took the history twice with intervals between sessions ranging from 1 to 35 days (mean 7 days; median 5 days). High levels of test-retest reliability were found for most of the questions, but as a result of this study the authors revised five questions. They recommend that structured medical history questions that will be asked of many patients be measured for test-retest reliability before they are put into widespread clinical practice.

Resumo Limpo

author develop computerbas medic histori patient take home via internet histori consist primari question ask patient togeth question explan suggest avail present determin patient respons purpos research measur testretest reliabl primari question preformat mutual exclus respons yes uncertain dont know mayb dont understand id rather answer random select patient doctor affili beth israel deaco medic center boston patient took histori twice interv session rang emspday mean emspday median emspday high level testretest reliabl found question result studi author revis five question recommend structur medic histori question will ask mani patient measur testretest reliabl put widespread clinic practic

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