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How to Improve the Drafting of Health Profiles

Author

Listed:
  • Margherita Napolitani

    (Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy)

  • Giovanni Guarducci

    (Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy)

  • Gulnara Abinova

    (San Michele Private Hospital, 17031 Albenga, Italy)

  • Gabriele Messina

    (Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy
    Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy)

  • Nicola Nante

    (Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy
    Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy)

Abstract

Delineating patients’ health profiles is essential to allow for a proper comparison between medical care and its results in patients with comorbidities. The aim of this work was to evaluate the concordance of health profiles outlined by ward doctors and by epidemiologists and the effectiveness of training interventions in improving the concordance. Between 2018 and 2021, we analyzed the concordance between the health profiles outlined by ward doctors in a private hospital and those outlined by epidemiologists on the same patients’ medical records. The checks were repeated after training interventions. The agreement test (Cohen’s kappa) was used for comparisons through STATA. The initial concordance was poor for most categories. After our project, the concordance improved for all categories of CIRS. Subsequently, we noted a decline in concordance between ward doctors and epidemiologists for CIRS, so a new training intervention was needed to improve the CIRS profile again. Initially, we found a low concordance, which increased significantly after the training interventions, proving its effectiveness.

Suggested Citation

  • Margherita Napolitani & Giovanni Guarducci & Gulnara Abinova & Gabriele Messina & Nicola Nante, 2022. "How to Improve the Drafting of Health Profiles," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3452-:d:771323
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    References listed on IDEAS

    as
    1. Ines Buchholz & Mathieu F. Janssen & Thomas Kohlmann & You-Shan Feng, 2018. "A Systematic Review of Studies Comparing the Measurement Properties of the Three-Level and Five-Level Versions of the EQ-5D," PharmacoEconomics, Springer, vol. 36(6), pages 645-661, June.
    2. Marlena Krawczyk-Suszek & Andrzej Kleinrok, 2022. "Health-Related Quality of Life (HRQoL) of People over 65 Years of Age," IJERPH, MDPI, vol. 19(2), pages 1-24, January.
    3. Daniele Fineschi & Sofia Acciai & Margherita Napolitani & Giovanni Scarafuggi & Gabriele Messina & Giovanni Guarducci & Nicola Nante, 2022. "Game of Mirrors: Health Profiles in Patient and Physician Perceptions," IJERPH, MDPI, vol. 19(3), pages 1-8, January.
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