Jafar Sadegh Tabrizi; Kamal Gholipour; Mohammad Asghari Jafarabadi; Mojtaba Mohammad Zadeh; Mostafa Farahbakhsh
Volume 10, Issue 1 , May 2014, , Pages 128-137
Abstract
Introduction: Evaluation is a suitable way to improve the healthcare quality. At the other hand, qualityand validity of information is an important factor in this process. The aim of this study was to assessadjustment and agreement between medical records data and pregnant women reported healthcare data ...
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Introduction: Evaluation is a suitable way to improve the healthcare quality. At the other hand, qualityand validity of information is an important factor in this process. The aim of this study was to assessadjustment and agreement between medical records data and pregnant women reported healthcare data inprenatal maternity care.Methods: A cross-sectional study was conducted on 185 pregnant women who were selected randomlyand received maternity care from 40 urban health centers and health posts in Tabriz, Iran. Technicalquality data were obtained from two different sources medical record and pregnant women reported data.Questionnaire’s content validity was reviewed and confirmed by 10 experts and its reliability wasconfirmed based on Cronbach's alpha (α = 0.748). Weighted Kappa and ICC (intra-class correlationcoefficient) were used to analyze each item. Data were analyzed using the STATA ver.10 and SPSSver.17 statistical packages.Results: There was a weak agreement between the two data sources. Only in some services there was amoderate agreement such as number of care (Kappa = 0.56), blood pressure and weight measurement(Kappa = 0.55). In registration time to health center (P = 0.95, 95%CI 0.931-0.962) and awareness ofpregnancy (P = 0.87, 95%CI 0.824-0.903) there was a strong agreement between medical document andcustomers reported data.Conclusion: For some services such as pregnancy education, it is preferred to use pregnant womenreported data, because such data are a form of output assessment. Furthermore, due to a defect in therecording services, customers’ reported data were more valid than the health records.