Large computer databases in general practice.

Pringle, Mike; Hobbs, Rhonda

doi:10.1136/bmj.302.6779.741

Cited by 30 publications

(8 citation statements)

References 11 publications

(1 reference statement)

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“…General practice records have already been recognised as a potentially rich source of morbidity data 5. Improved uptake of computerisation in primary care and technological advances in electronic data transfer make it possible to use general practice computer systems for assessing local health needs.…”

Section: Introductionmentioning

confidence: 99%

Collecting morbidity data in general practice: the Somerset morbidity project

Pearson

O’Brien

Thomas

et al. 1996

BMJ

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Objective-To collect a valid, complete, con-, tinuous, and representative database of morbidity presenting to primary care and to use the data to help commission services on the basis of local need and effectiveness.Setting-Computerised general practices in Somerset.Methods-Participating general practices were selected to be representative of the district health authority population for general practice and population characteristics. All conditions presented at face to face consultations were assigned a Read code and episode type and the data were regularly validated. Data were sent by modem from the practices via a third party to the health authority each week.Main outcome measures-Proportion of consultations coded and accuracy of coding.Results-l1 practices agreed to participate. Validations for completeness during April 1994 to March 1995 revealed that 96.4% of the records were coded; 94 % ofthe 1090 records validated had appropriate episode types and 87% appropriate Read codes. The results have been used to help formulate the health authority's purchasing plans and have enabled a change in the local contracts for surgery for glue ear.Conclusions-The project has shown the feasibility of establishing a network of practices recording and reporting the morbidity seen in primary care. Early indications are that the data can be useful in evidence based purchasing.

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Section: Introductionmentioning

confidence: 99%

Collecting morbidity data in general practice: the Somerset morbidity project

Pearson

O’Brien

Thomas

et al. 1996

BMJ

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“…However, the need for General Practice morbidity data was recognised for management reasons (23). As computers became more common in General Practice surgeries and started to contain more clinical information (24), it was recognised that the collected data would be an excellent source of continuous, longitudinal research material (25) although the level of clinical data being recorded remains low in many areas (26).…”

Section: Primary Care Morbidity Surveillance In the Nhsmentioning

confidence: 99%

A Review Of 10 Years Of Systematic Health Surveillance In The Army

Tuck¹,

Bricknell²

2005

J R Army Med Corps

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Health and morbidity reporting has been an important feature of the historical assessment of military campaigns from times of antiquity. Most of these reports have concentrated on hospital admission rates and mortality. In 1994 the British Army introduced a primary care health surveillance reporting system called J94. This provided the first opportunity for the systematic capture and analysis of morbidity data that allowed the identification of disease trends and the audit of remedial action. In parallel with the developments made by the military in the field of health surveillance, a number of initiatives in the NHS tried to develop real time surveillance systems with differing degrees of success. This paper reviews the developments made by military and civilian programs, identifies the problems that have been faced, areas where success has been achieved and the issues that will have to be considered as we prepare for the introduction of the next generation of IT based medical information systems into the military.

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“…Data collection in primary health care is clearly crucial to use fully the personal knowledge that teams derive from extended day to day contact with patients 4. The potential of large computer databases in general practice has yet to be realised 5. Standardised software systems, such as Scotland's GPASS, are one way forward, but until standards of data integrity and format are agreed nationally there seems little likelihood of realising the full potential of data collection in primary care and ending costly duplication.…”

Section: Commentmentioning

confidence: 99%