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从注册数据评估心理健康:什么是最好的代理?

Simon Gabriël Beerten¹, Robby De Pauw², Gijs Van Pottelbergh¹

¹Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.

International journal of medical informatics

|January 20, 2024

概括

与调查相比,医疗登记经常低估心理健康状况. 结合注册表变量,特别是处方数据,可以提高监控的准确性,尽管焦虑仍然具有挑战性.

科学领域:

流行病学流行病学
医疗信息学医疗信息学
心理健康研究心理健康研究

背景情况:

与人口调查相比,医疗登记册往往低估了疾病患病率.
准确的流行数据对于有效的公共卫生监测和资源分配至关重要.
了解注册表数据的局限性对于解释调查结果至关重要.

研究的目的:

在初级保健注册表 (INTEGO) 中识别可变量,可以准确地代表通常在调查中评估的心理健康状况.
为了比较健康访谈调查 (HIS) 和初级保健登记处之间的抑郁症状,焦虑和精神活性药物的使用率.
评估医疗登记册作为心理健康监测工具的外部有效性.

主要方法:

比较了2018年比利时健康访谈调查 (HIS) 数据与INTEGO初级保健登记处的15岁及以上的个人数据.
使用斯皮尔曼的rho (SR) 评估相关性,并使用类内相关系数 (ICC) 达成一致.
评估了各种INTEGO变量,包括症状代码,诊断代码,自由文本和处方数据,单独和组合.

主要成果:

在HIS和INTEGO之间观察到普遍较高的相关性,除了焦虑.
两种数据来源之间的一致性从公平到差不多,但在结合变量,结合自由文本或考虑慢性处方使用时得到改善.
整体患病率主要是低估的,特别是焦虑症,那里的协议仍然很差.

结论:

与调查数据相比,医疗登记册的外部有效性可能是有限的.
仔细选择注册表变量和考虑处方慢性是精确的心理健康监测至关重要的.
登记册需要特定的策略,才能有效地作为心理健康状况的监控工具.

关键词:

流行病学流行病学医疗信息学医学信息学心理健康心理健康

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