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首页> 外文期刊>Journal of public health management and practice: JPHMP >Validity of self-reported health plan information in a population-based health survey.
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Validity of self-reported health plan information in a population-based health survey.

机译：基于人口的健康调查中的自我报告的健康计划信息的有效性。

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OBJECTIVE: To validate information on private health insurance coverage in a population-based study. METHODS: Respondents to the Massachusetts Behavioral Risk Factor Surveillance System were asked the name of their health plan company (affiliation) and specific brand of insurance (product), the duration in which they belonged to the plan, and demographic and health-related data. Information on plan affiliation and product was used to classify individuals on type of coverage. At the end of the survey, respondents with health insurance were asked to retrieve their health plan cards, and to read detailed information from the cards. Self-reported data were compared with information from the cards. RESULTS: Self-reported information on health plan affiliation agreed with plan cards for 93 percent of individuals, while agreement was 79 percent for health plan product. Among health maintenance organization (HMO) participants, 93 percent correctly reported being in an HMO (sensitivity), whereas 76 percent of respondents in a non-HMO plan correctly self-reported (specificity). Individuals with higher levels of income, those with a primary care doctor, and those in a health plan for at least 1 year had higher agreement. Higher validity was associated with poor physical health and recent cancer screening. CONCLUSIONS: Self-reported data on health plan affiliation and product have good validity in a population-based sample of adults. While agreement differs according to specific respondent characteristics, these differences do not appear substantial.
机译：目的：验证基于人口研究的私人健康保险覆盖范围。方法：对Massachusetts行为风险因素监测系统的受访者被问及其卫生计划公司（隶属）和特定品牌的保险（产品），它们属于该计划的持续时间，以及与人口统计学和健康有关的数据。有关计划隶属和产品的信息用于对覆盖类型的个人进行分类。在调查结束时，要求受到健康保险的受访者检索他们的健康计划卡，并从卡中阅读详细信息。将自我报告的数据与来自卡片的信息进行比较。结果：自我报告的关于卫生计划隶属关系的信息与计划卡的计划卡为93％，卫生计划产品的协议为79％。在卫生维护组织（HMO）参与者中，93％的正确报告在HMO（敏感度）中，而非HMO计划中的76％的受访者正确地自我报告（特异性）。收入水平较高的个人，有初级保健医生的人和卫生计划至少有1年的人的协议。较高的有效性与差的身体健康和最近的癌症筛查有关。结论：关于卫生计划附属和产品的自我报告数据在基于人口的成人样本中具有良好的有效性。虽然协议根据特定的受访者特征而不同，但这些差异并不显得很大。

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