Discrepancies between the self-reporting of STI preventive care and the actual care provided by male doctors to male patients in Karnataka, India.
OBJECTIVE
To examine the discrepancies between the self-reporting of STI preventive care and the actual care provided by male doctors to male patients in several subdistricts of the state of Karnataka, south India.


METHODS
Of 3376 allopathic medical practitioners (doctors) enumerated, 2846 were contacted in person. Doctors who saw at least five patients with STI a month were then interviewed (814). Further, 451 of these practitioners were visited by a 'surrogate patient.' Comparative analyses were conducted of items from the survey questionnaire and from the surrogate patient answer sheet that unambiguously tapped into the same information.


RESULTS
Systematic differences in the self-report by the doctors and the report by the surrogate patients were found. For instance, 99% of practitioners reported examining the patients, whereas only 71% of surrogate patients reported being examined. 96% of practitioners reported advising condom use, whereas only 19% of surrogate patients reported receiving this advice. 97% of practitioners reported advising partner treatment, whereas only 10% of surrogate patients reported receiving this advice. Younger practitioners, doctors in rural centres and doctors with STI in-service training were more likely to be discordant in what they self-reported and what surrogate patients reported.


CONCLUSIONS
The discrepancies between doctor self-reporting and surrogate patient observations bring into question the reliability of practitioner recall, suggesting that the use of self-reporting surveys should be reassessed.
Mignone
Javier
J
Department of Family Social Sciences, Faculty of Human Ecology, The University of Manitoba, Winnipeg, Manitoba, Canada. mignonej@ms.umanitoba.ca
Washington
Reynold
R
Ramesh
B M
BM
Blanchard
James F
JF
Rajaretnam
T
T
Moses
Stephen
S
D000328:Adult; D017280:Condoms / Q000600:supply & distribution; D003695:Delivery of Health Care / Q000592:standards*; D004522:Educational Status; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D010808:Physical Examination / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D011364:Professional Practice / Q000592:standards*; D012423:Rural Health; D012650:Self Disclosure; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D014504:Urban Health