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衡量编码临床信息的完整性和时效性。

Measuring the completeness and currency of codified clinical information.

作者信息

Williams J G

机构信息

Department of Primary Care, Postgraduate Medical School, University of Surrey, Guildford, United Kingdom.

出版信息

Methods Inf Med. 2003;42(4):482-8.

Abstract

OBJECTIVES

The paper describes how an objective score (CCscore) of the 'completeness' and 'currency' of codified clinical information relevant to the management of diabetes mellitus may be derived for individual practices.

METHODS

A questionnaire was developed and administered to 35 practices and statistical methods were used to test for correlation between the prevalence for diabetes mellitus and the relevant CCscores

RESULTS

No significant correlation could be found.

CONCLUSIONS

The 'quality' of computer-stored information varies widely across English General practices for reasons that are incompletely understood. We demonstrated how CCscores may be calibrated for different 'views' of 'relevance', 'completeness', and 'currency' and yet be consistent across practices for a given 'view'. The potential value of this score and how it may contribute to our understanding of variation in 'information quality' are discussed.

摘要

目的

本文描述了如何为个体医疗机构得出与糖尿病管理相关的编码临床信息的“完整性”和“时效性”的客观评分(CC评分)。

方法

设计了一份问卷并发放给35家医疗机构,运用统计方法检验糖尿病患病率与相关CC评分之间的相关性。

结果

未发现显著相关性。

结论

计算机存储信息的“质量”在英国全科医疗中差异很大,原因尚不完全清楚。我们展示了如何针对“相关性”“完整性”和“时效性”的不同“视角”校准CC评分,并且在给定“视角”下各医疗机构间保持一致。讨论了该评分的潜在价值以及它如何有助于我们理解“信息质量”的差异。

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