PuSH - Publication Server of Helmholtz Zentrum München: Official statistics and claims data records indicate non-response and recall bias within survey-based estimates of health care utilization in the older population.

Navigation

Home

Deutsch

Research

Advanced Search

Browse by ...

... Journal

... Publication Type

... Research Data

... Publication Year

Publication overview

Support & Contact

Contact persons

Help

Data protection

Hunger, M. ; Schwarzkopf, L. ; Heier, M. ; Peters, A. ; Holle, R. ; KORA Study Group (Holle, R. ; Wichmann, H.-E. ; John, J. ; Illig, T. ; Meisinger, C. ; Peters, A.)

Official statistics and claims data records indicate non-response and recall bias within survey-based estimates of health care utilization in the older population.

BMC Health Serv. Res. 13:1 (2013)

Publ. Version/Full Text Volltext

DOI

PMC

	Open Access Gold

Abstract
Metrics
Extra information

UNLABELLED: ABSTRACT: BACKGROUND: The validity of survey-based health care utilization estimates in the older population has been poorly researched. Owing to data protection legislation and a great number of different health care insurance providers, the assessment of recall and non-response bias is challenging to impossible in many countries. The objective of our study was to compare estimates from a population-based study in older German adults with external secondary data. METHODS: We used data from the German KORA-Age study, which included 4,127 people aged 65-94 years. Self-report questions covered the utilization of long-term care services, inpatient services, outpatient services, and pharmaceuticals. We calculated age- and sex-standardized mean utilization rates in each domain and compared them with the corresponding estimates derived from official statistics and independent statutory health insurance data. RESULTS: The KORA-Age study underestimated the use of long-term care services (-52%), in-hospital days (-21%) and physician visits (-70%). In contrast, the assessment of drug consumption by postal self-report questionnaires yielded similar estimates to the analysis of insurance claims data (-9%). CONCLUSION: Survey estimates based on self-report tend to underestimate true health care utilization in the older population. Direct validation studies are needed to disentangle the impact of recall and non-response bias.

Altmetric

Additional Metrics?

[➜Log in]

Edit extra informations Login

Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords health care utilization; self-report; validity; survey; response bias; recall bias; claims data; Long-term-care ; Self-reports ; Service Utilization ; Insurance Claims ; Medicine Use ; Kora-age ; Costs ; Germany ; Cohort ; Risk

ISSN (print) / ISBN 1472-6963

e-ISSN 1472-6963

Journal BMC Health Services Research

Quellenangaben Volume: 13, Issue: 1 Article Number: 1

Publisher BioMed Central

Non-patent literature Publications

Reviewing status Peer reviewed

Institute(s) Institute of Health Economics and Health Care Management (IGM)
Institute of Epidemiology II (EPI2)