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A comparison of two methods of collecting economic data in primary care
Abstract
BACKGROUND: There have been few attempts to assess alternative methods of collecting resource use data for economic evaluations. OBJECTIVE: This study aimed to compare two methods of collecting resource use data in primary care: GPs' case records and a self-complete postal questionnaire. METHODS: 303 primary care attenders were sent a postal survey, incorporating a questionnaire designed to collect service utilisation information for the previous six months. Data were also collected from GP case records. The reporting of GP visits between the two methods, and estimates of costs associated with those visits, were compared. RESULTS: There was good agreement between the number of GP visits recorded on GP case records (mean 3.03) and on the CSRI (mean 2.99) (concordance correlation coefficient = 0.756). In contrast, estimates of average costs of visits from CSRI data were higher and had greater variance compared to case record-based costs (54.63 pound sterling versus 42.37 pound sterling; P = 0.003). This may be explained by differences in average visit length (11.66 versus 9.36 minutes). CONCLUSIONS: This study shows good agreement between GP case records and a self-complete questionnaire for the reporting of GP visits. However, differences in costs associated with those visits arose due to differences in the method used for calculating length of visit.
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“has been shown to be a valid measure of frequency of health service use.68”
From Investigating the effectiveness of an online acceptance and commitment therapy (ACT) intervention versus a waiting list control condition on pain interference and quality of life in adults with chronic pain and multimorbidity: Protocol for a randomised controlled trial (2019) · cites this paper as [68]
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“In line with statistical convention and Cohen’s recommendations,69 a sample size of 77 per group (total=154) will have the desired power of 0.8, with a 0.025 alpha level to detect a medium effect size (d=0.50 to 0.79) and both a significant clinical (ie, five point difference or one-half its SD)68 and statistical difference in HRQoL between the experimental and control groups based on a two-tailed”
From Investigating the effectiveness of an online acceptance and commitment therapy (ACT) intervention versus a waiting list control condition on pain interference and quality of life in adults with chronic pain and multimorbidity: Protocol for a randomised controlled trial (2019) · cites this paper as [68]
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“The CSRI has been widely used in research to examine the cost of chronic pain,5 58–60 and has been shown to be a valid measure of frequency of health service use.61”
In the citing paper
“been used across several populations [19] and is a valid and reliable instrument sensitive to the detection of mental health conditions within the population [20].”
From The effectiveness of a suicide prevention app for indigenous Australian youths: study protocol for a randomized controlled trial. (2013) · cites this paper as [19]
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Self-citation
Metadata
- Authors
- Patel, A., Rendu, A., Moran, P., Leese, M., Mann, A., & Knapp, M.
- Affiliations
- King's College London (GB)
- London School of Economics and Political Science (GB)
- Corresponding author
- Patel, Anita
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-04-11
- Volume
- 22
- Issue
- 3
- Pages
- 323-327
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2170967664
- Cited by
- 149
- References
- 21
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 4 · 2023: 16 · 2022: 2 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 8 · 2017: 10 · 2016: 14 · 2015: 11 · 2014: 15 · 2013: 8 · 2012: 6
- FWCI
- 9.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Keywords
- primary care, postal questionnaires, service utilization, visit duration, economic evaluation
- MeSH terms
- Adolescent, Adult, Cost Allocation, Family Practice, Female, Humans, London, Male, Medical Records, Middle Aged, Office Visits, Primary Health Care, Surveys and Questionnaires, State Medicine, Health Care Surveys
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