Dataset Information

Accuracy of Self-Reported Health Care Use in a Population-Based Sample of Homeless Adults.

ABSTRACT:

Objective

To assess the accuracy of self-reported ambulatory care visits, emergency department (ED) encounters, and overnight hospitalizations in a population-based sample of homeless adults.

Data source

Self-report survey data and administrative health care utilization databases.

Study design

Self-reported health care use in the past 12 months was compared to administrative encounter records among 1,163 homeless adults recruited in 2004-2005 from shelters and meal programs in Toronto, Ontario.

Data extraction methods

Self-reported health care use was assessed using a structured face-to-face survey. Each participant was linked to administrative databases using a unique personal health number or their first name, last name, sex, and date of birth.

Principal findings

The sensitivity of self-report for ambulatory care visits, ED encounters, and overnight hospitalizations was 89, 80, and 73 percent, respectively; specificity was 37, 83, and 91 percent. The mean difference between self-reported and documented number of encounters in the past 12 months was +1.6 for ambulatory care visits (95 percent CI = 0.4, 2.8), -0.6 for ED encounters (95 percent CI = -0.8, -0.4), and 0.0 for hospitalizations (95 percent CI = 0.0, 0.1).

Conclusions

Adults experiencing homelessness are quite accurate reporters of their use of health care, especially for ED encounters and hospitalizations.

SUBMITTER: Hwang SW

PROVIDER: S-EPMC4722213 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Accuracy of Self-Reported Health Care Use in a Population-Based Sample of Homeless Adults.

Hwang Stephen W SW Chambers Catharine C Katic Marko M

Health services research 20150626 1

<h4>Objective</h4>To assess the accuracy of self-reported ambulatory care visits, emergency department (ED) encounters, and overnight hospitalizations in a population-based sample of homeless adults.<h4>Data source</h4>Self-report survey data and administrative health care utilization databases.<h4>Study design</h4>Self-reported health care use in the past 12 months was compared to administrative encounter records among 1,163 homeless adults recruited in 2004-2005 from shelters and meal programs ...[more]

PMID: 26119335

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Dataset Information

Accuracy of Self-Reported Health Care Use in a Population-Based Sample of Homeless Adults.

Objective

Data source

Study design

Data extraction methods

Principal findings

Conclusions

Publications

Accuracy of Self-Reported Health Care Use in a Population-Based Sample of Homeless Adults.

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