Referral bias among health workers in studies using hospitalization as a proxy measure of the underlying incidence rate.

@article{Tchsen1996ReferralBA,
  title={Referral bias among health workers in studies using hospitalization as a proxy measure of the underlying incidence rate.},
  author={Finn T{\"u}chsen and Ole Gorm Norden Andersen and Jesper V. Olsen},
  journal={Journal of clinical epidemiology},
  year={1996},
  volume={49 7},
  pages={
          791-4
        }
}
Contacts with health services like hospitals or general practitioners are usually the only available proxy measure of incidence of disease in studies based on secondary data and differential referrals or care-seeking behavior often bias such proxy measures. In former analyses based on the Occupational Hospitalization Register in Denmark assisting nurses had high Standardized Hospitalization Ratios for many diseases. It was, however, suspected that it fully or partly was due to a referral bias… CONTINUE READING
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