Do Proxies Reflect Patients' Health Concerns About Urinary Incontinence and Gait Problems?

While falls and urinary incontinence are prevalent among older patients, who sometimes rely on proxies to provide their health information, the validity of proxy reports of concern about falls and urinary incontinence remains unknown. Caution should be exercised when using proxies as a source of inf...

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Bibliographic Details
Published in:Policy File 2005
Main Authors: Higashi, Takahiro, Hays, Ron D, Brown, Julie A, Kamberg, Caren, Pham, Chau, Reuben, David, Shekelle, Paul G, Solomon, David, Young, Roy, Roth, Carol Pindar, Chang, John T, MacLean, Catherine, Wenger, Neil S
Format: Report
Language:English
Subjects:
Health care policy
RAND Corporation
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Summary:While falls and urinary incontinence are prevalent among older patients, who sometimes rely on proxies to provide their health information, the validity of proxy reports of concern about falls and urinary incontinence remains unknown. Caution should be exercised when using proxies as a source of information about older patients' health perceptions. Questions asking about proxies' views yield suboptimal agreement with patient responses. However, proxy scales of UI and fall concern are internally consistent and may provide valid independent information.