Self-reports of health-care utilization: Diary or questionnaire?
Abstract
Objectives:The feasibility and convergent validity of a cost diary and a cost questionnaire was investigated. Methods:Data were obtained as part of a cost-utility analysis alongside a multicenter clinical trial in patients with resectable rectal cancer. A sample of 107 patients from 30 hospitals was asked to keep a weekly diary during the first 3 months after surgery, and a monthly diary from 3 to 12 months after surgery. A second sample of seventy-two patients from twenty-eight hospitals in the trial received a questionnaire at 3, 6, and 12 months after surgery, referring to the previous 3 or 6 months. Format and items of the questions were similar and included a wide range of medical and nonmedical items and costs after hospitalization for surgery. Results:Small differences were found with respect to nonresponse (range, 79 to 86 percent) and missing questions (range, 1 to 6 percent between the diary and questionnaire). For most estimates of volumes of care and of costs, the diary and questionnaire did not differ significantly. Total 3-month nonhospital costs were €1,860, €1,280, and €1,050 in the diary sample and €1,860, €1,090, and €840 in the questionnaire sample at 3, 6, and 12 months after surgery, respectively (p=.50). However, with respect to open questions, the diary sample tended to report significantly more care. Conclusions:For the assessment of health-care utilization in economic evaluations alongside clinical trials, a cost questionnaire with structured closed questions may replace a cost diary for recall periods up to 6 months.
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Research has shown that participants can report valid and accurate rates of work absenteeism up to 6 months.
“Research has shown that participants can report valid and accurate rates of work absenteeism up to 6 months [54].”
From Long-Term Results of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Randomized Controlled Trial (2014) · cites this paper as [54]
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- Authors
- van den Brink, M., van den Hout, W. B., Stiggelbout, A. M., Putter, H., van de Velde, C. J. H., & Kievit, J.
- Affiliations
- Leiden University Medical Center (NL)
- Venue
- International Journal of Technology Assessment in Health Care
- Publisher
- Cambridge University Press (CUP)
- Published
- 2005-07
- Volume
- 21
- Issue
- 3
- Pages
- 298-304
- ISSN
- 0266-4623 (ISSN-L)
- 1471-6348
- OpenAlex
- W2092589631
- Cited by
- 93
- References
- 22
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 4 · 2016: 8 · 2015: 6 · 2014: 5 · 2013: 5 · 2012: 6
- FWCI
- 7.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Technology Assessment in Health Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Keywords
- health care utilization, resectable rectal cancer, postoperative care costs, recall period, convergent validity, cost-utility analysis, economic evaluation
- MeSH terms
- Colectomy, Costs and Cost Analysis, Data Collection, Female, Health Services, Health Services Research, Humans, Male, Middle Aged, Rectal Neoplasms, Reproducibility of Results, Multicenter Studies as Topic
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