Measuring use of health services for at-risk drinkers: How brief can you get?

Brenda M. Booth, Jo Ann E. Kirchner, Stacy M. Fortney, Xiaotong Han, Carol R. Thrush, Michael T. French

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

This study examines the validity, utility, and costs of using a brief telephone-administered instrument, the Brief Health Services Questionnaire (BHSQ), for self-reported health care provider contacts relative to collection and abstraction of complete medical records. The study sample was 441 community-dwelling at-risk drinkers who participated in an 18-month longitudinal study. Agreement between BHSQ self-reports and abstracted provider contacts was good to very good for general medical (79% agreement, kappa = .50) and specialty mental health contacts (93% agreement, kappa = .62), but low for "other" miscellaneous health contacts (61% agreement, kappa = .04). Average cost to collect and abstract complete medical records was $424 per study participant, whereas average cost to administer only the BHSQ was $31 per participant. Although it is not possible to conduct a formal cost-effectiveness analysis, results suggest the BHSQ is a viable option for collecting self-reported health provider contacts in a sample of at-risk drinkers, with definite cost advantages over more elaborate data collection methods.

Original languageEnglish (US)
Pages (from-to)254-264
Number of pages11
JournalJournal of Behavioral Health Services and Research
Volume33
Issue number2
DOIs
StatePublished - Apr 1 2006

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

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