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KMID : 0191120110260111409
Journal of Korean Medical Science
2011 Volume.26 No. 11 p.1409 ~ p.1414
Validity of Self-reported Healthcare Utilization Data in the Community Health Survey in Korea
Rim Hwa-young

Kim Hyeong-Su
Lee Kun-Sei
Chang Soung-Hoon
Melbourne F Hovell
Kim Young-Taek
Kim Yu-na
Kang Gil-Won
Tak Yang-Ju
Im Jee-Hye
Abstract
To evaluate the sensitivity and specificity of Community Health Survey (CHS), we analyzed data from 11,217 participants aged ¡Ã 19 yr, in 13 cities and counties in 2008. Three healthcare utilization indices (admission, outpatient visits, dental visits) as comparative variables and the insurance benefit claim data of the Health Insurance Review & Assessment Service as the gold-standard were used. The sensitivities of admission, outpatient visits, and dental visits in CHS were 54.8%, 52.1%, and 61.0%, respectively. The specificities were 96.4%, 85.6%, and 82.7%, respectively. This is the first study to evaluate the validity of nationwide health statistics resulting from questionnaire surveys and shows that CHS needs a lot of efforts to reflect the true health status, health behavior, and healthcare utilization of the population.
KEYWORD
Validity, Self-Reported, Healthcare Utilization, Community Health Survey
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