MacRury Sandra, Finlayson Jim, Hussey-Wilson Susan, Holden Samantha
University of the Highlands and Islands, UK
University of the Highlands and Islands, UK.
Health Informatics J. 2016 Jun;22(2):113-9. doi: 10.1177/1460458214535118. Epub 2014 Jun 15.
General practice records present a comprehensive source of data that could form a variety of anonymised or pseudonymised research databases to aid identification of potential research participants regardless of location. A proof-of-concept study was undertaken to extract data from general practice systems in 15 practices across the region to form pseudo and anonymised research data sets. Two feasibility studies and a disease surveillance study compared numbers of potential study participants and accuracy of disease prevalence, respectively. There was a marked reduction in screening time and increase in numbers of potential study participants identified with the research repository compared with conventional methods. Accurate disease prevalence was established and enhanced with the addition of selective text mining. This study confirms the potential for development of national anonymised research database from general practice records in addition to improving data collection for local or national audits and epidemiological projects.
全科医疗记录提供了一个全面的数据来源,可以形成各种匿名或假名研究数据库,以帮助识别潜在的研究参与者,无论其位置如何。开展了一项概念验证研究,从该地区15家医疗机构的全科医疗系统中提取数据,以形成假名和匿名研究数据集。两项可行性研究和一项疾病监测研究分别比较了潜在研究参与者的数量和疾病患病率的准确性。与传统方法相比,使用研究数据库后,筛查时间显著缩短,识别出的潜在研究参与者数量增加。通过添加选择性文本挖掘,准确的疾病患病率得以确立并得到提高。这项研究证实了利用全科医疗记录开发全国性匿名研究数据库的潜力,此外还改善了地方或国家审计及流行病学项目的数据收集工作。