Adjustment between Costumers Reported Data and Medical Records in Evaluating Technical Quality of Prenatal Care

Evaluation is a suitable way to improve the healthcare quality. At the other hand، quality and validity of information is an important factor in this process. The aim of this study was to assess adjustment and agreement between medical records data and pregnant women reported healthcare data in prenatal maternity care. A cross-sectional study was conducted on 185 pregnant women who were selected randomly and received maternity care from 40 urban health centers and health bases in Tabriz. Technical quality data were obtained from two different sources، i. e. medical record and pregnant women reported data. Questionnaire’s content validity was reviewed and confirmed by 10 experts and its reliability was confirmed based on Cronbach''s alpha (α = 0. 748). Weighted Kappa and ICC (intra-class correlation coefficient) were used to analyze each item. Data were analyzed using the STATA ver. 10 and SPSS ver. 17 statistical packages. There was a weak adjustment between the two data sources. Only in some services there was a moderate adjustment such as number of care (Kappa = 0. 56)، blood pressure and weight measurement (Kappa = 0. 55). In registration time to health center (P = 0. 95، 95% CI 0. 931-0. 962) and awareness of pregnancy (P = 0. 87، 95% CI 0. 824-0. 903) there was a strong adjustment between medical document and customers reported data. For some services such as pregnancy education، it is preferred to use pregnant women reported data، because such data are a form of output assessment. Furthermore، due to a defect in the recording services، customers’ reported data were more valid than the health records.