冠心病发病率中的虚假趋势：新的全科医生合同的意外后果？
Spurious trends in coronary heart disease incidence: unintended consequences of the new GP contract?
作者信息
Carey Iain M, Dewilde Stephen, Harris Tess, Whincup Peter H, Cook Derek G
机构信息
Division of Community Health Sciences, St George's, London.
出版信息
Br J Gen Pract. 2007 Jun;57(539):486-9.
Abstract
Comparisons of the same patient data in 2004 and 2006 downloads of the DIN-LINK UK primary care database demonstrated unexpected differences in the rates of coronary heart disease between the datasets. Incidence rates were lower between 1996-2003 in the new (2006) download. Patient record checks demonstrated that coronary heart disease codes had been removed in the new download during the run-up to the new contract. Planners need to be aware of such issues when evaluating trends in CHD or other similar conditions.
摘要
对DIN-LINK英国初级保健数据库2004年和2006年下载的同一患者数据进行比较后发现，两个数据集之间冠心病发病率存在意外差异。在新的（2006年）下载数据中，1996 - 2003年期间的发病率较低。患者记录检查表明，在新合同签订前的准备阶段，新下载数据中冠心病编码已被删除。规划者在评估冠心病或其他类似疾病的趋势时需要意识到此类问题。
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