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

机译：一般实践中eHealth记录中提取的流感疫苗接种和医疗信息的可靠性审计

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摘要

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.
机译：为了评估一般练习中信息的可靠性（GP）电子健康记录（EHRS），2100名成年患者被随机选择用于对特定医疗条件的存在和最近的流感疫苗接种的面试。使用Cohen的Kappa系数（k）比较了从EHRS提取的自我报告和数据之间的协议，并根据Altman的Kappa基准标准解释; 377（18％）患者拒绝参加，无法联系608（29％）。在1115（53％）中，剩下的856名（77％）是活跃的患者（≥3次访问过去两年的GP实践）提供了分析的完整信息。尽管与EHR相比，自我报告的患者的更高比例患者（50.7％与36.9％，分别为39.4％，但分别为30.3％），但自我报告和EHR之间存在“良好”疫苗接种状态（κα= 0.67）和医疗条件（κα= 0.66）。这些研究结果表明EHR可能对公共卫生监测有用。

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