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Patients routinely report more symptoms to experienced field enumerators than physicians in rural Côte d'Ivoire

Fürst, Thomas and Silué, Kigbafori D. and Ouattara, Mamadou and Adiossan, Lukas G. and N'goran, Dje N. and Yao, Azragnou J. and Koné, Siaka and N'goran, Eliézer K. and Utzinger, Jürg and Bogoch, Isaac I.. (2013) Patients routinely report more symptoms to experienced field enumerators than physicians in rural Côte d'Ivoire. American journal of tropical medicine and hygiene, Vol. 89, H. 3. pp. 592-596.

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Official URL: http://edoc.unibas.ch/dok/A6174428

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Abstract

Abstract. Medical history-taking is among the most powerful diagnostic tools for healthcare professionals. However, its accuracy and reliability are underexplored areas. The present post-hoc study compares medical histories from 463 people in a rural part of Côte d'Ivoire. The medical histories of the same individuals were taken by physicians and experienced field enumerators who were blinded to the results of the others. Kappa (κ) statistics for 14 symptoms revealed only poor-to-moderate agreement between physicians and field enumerators (κ = 0.01-0.54). Participants reported consistently more symptoms to field enumerators than physicians. Only 33 (7.1%) participants gave no discordant statement at all. The average number of discordant statements per participant was 3.7. Poisson regression revealed no significant association between the number of discordant statements and participants' age, sex, educational attainment, occupation, or socioeconomic status. Operational research should further explore best practices to obtain reliable medical histories in resource-constrained settings.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Eco System Health Sciences > Health Impact Assessment (Utzinger)
UniBasel Contributors:Fürst, Thomas
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Williams and Wilkins
ISSN:0002-9637
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:09 Apr 2019 15:06
Deposited On:27 Feb 2014 15:45

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