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A comparison of self-report and chart audit in studying resident physician assessment of cardiac risk factors.

Abstract：

OBJECTIVE:To examine the relationship between resident physicians' perceptions of their preventive cardiology practices and a chart audit assessment of their documented services. DESIGN:A criterion standard comparison of two methods used to assess resident physicians' practices: self-report and chart audit. SETTING:Physician ambulatory care in a residency program. PATIENTS AND OTHER PARTICIPANTS:Coronary artery disease (CAD) risk factor assessment was evaluated by self-report for 72 resident physicians and by chart audit of randomly selected records of 544 of their patients who did not have CAD or a debilitating chronic disease during a one-year period. INTERVENTION:Measurements of the residents' perceived CAD risk factor assessment practice by self-report, and chart audit assessments of their recorded care. MAIN OUTCOME:The relationship between self-reported and chart audit assessments of CAD risk factors. RESULTS:Chart audit assessment of CAD risk factor management was highly significantly (p < 0.01) lower than self-reported behaviors for evaluation of cigarette smoking, diet, physical activity, stress, plasma cholesterol, blood pressure, and body weight/obesity. CONCLUSIONS:Three different interpretations of these findings are apparent. 1) Physician self-report is a poor tool for the measurement of clinical behavior, and therefore research of physician behavior should not rely solely on self-reported data; 2) physicians' chart recording of their clinical practice is insufficient to reflect actual care; or 3) neither is an accurate measure of actual practice.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Leaf DA,Neighbor WE,Schaad D,Scott CS

doi

10.1007/BF02600254

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

194-8

issue

4

eissn

0884-8734

issn

1525-1497

journal_volume

10

pub_type

杂志文章

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