Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services

Natasha Noble; Jamie Bryant; Louise Maher; Daniel Jackman; Billie Bonevski; Anthony Shakeshaft; Christine Paul

doi:10.1111/1753-6405.13114

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Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services

Journal article

Open access

Peer reviewed

Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services

Natasha Noble, Jamie Bryant, Louise Maher, Daniel Jackman, Billie Bonevski, Anthony Shakeshaft and Christine Paul

Australian and New Zealand Journal of Public Health, Vol.45(3), pp.277-282

2021

DOI: https://doi.org/10.1111/1753-6405.13114

PMID: 33970509

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Abstract

Aboriginal

agreement

alcohol consumption

Indigenous

medical record

preventive care

self‐report

smoking status

Objective: This study assessed the level of agreement, and predictors of agreement, between patient self‐report and medical records for smoking status and alcohol consumption among patients attending one of four Aboriginal Community Controlled Health Service (ACCHSs). Methods: A convenience sample of 110 ACCHS patients self‐reported whether they were current smokers or currently consumed alcohol. ACCHS staff completed a medical record audit for corresponding items for each patient. The level of agreement was evaluated using the kappa statistic. Factors associated with levels of agreement were explored using logistic regression. Results: The level of agreement between self‐report and medical records was strong for smoking status (kappa=0.85; 95%CI: 0.75–0.96) and moderate for alcohol consumption (kappa=0.74; 95%CI: 0.60–0.88). None of the variables explored were significantly associated with levels of agreement for smoking status or alcohol consumption. Conclusions: Medical records showed good agreement with patient self‐report for smoking and alcohol status and are a reliable means of identifying potentially at‐risk ACCHS patients. Implications for public health: ACCHS medical records are accurate for identifying smoking and alcohol risk factors for their patients. However, strategies to increase documentation and reduce missing data in the medical records are needed.

Details

Title: Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services
Authors: Natasha Noble (Corresponding Author) - University of Newcastle Australia
Jamie Bryant - University of Newcastle Australia
Louise Maher - New South Wales Department of Health
Daniel Jackman (Author) - Maari Ma Health
Billie Bonevski - University of Newcastle Australia
Anthony Shakeshaft (Author) - University of Newcastle Australia
Christine Paul - University of Newcastle Australia
Publication details: Australian and New Zealand Journal of Public Health, Vol.45(3), pp.277-282
Publisher: John Wiley & Sons, Inc.
Date published: 2021
DOI: 10.1111/1753-6405.13114
ISSN: 1753-6405
PMID: 33970509
Copyright note: © 2021 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Data Availability: The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
Grant note: This evaluation was completed as part of the Chronic Care Service Enhancements Program funded by the Centre for Aboriginal Health, NSW Health.
Organisation Unit: School of Health - Psychology
Language: English
Record Identifier: 991242156702621
Output Type: Journal article

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