Weatherburn Christopher J
SCIMP Interim Clinical Lead, SCIMP, NSS Digital and Security, NHS National Services Scotland, Scotland.
GP Lead, Dundee Health & Social Care Partnership, Scotland.
Scott Med J. 2021 May;66(2):66-72. doi: 10.1177/0036933021995965. Epub 2021 Feb 21.
This project explores primary care data quality (DQ) across Scotland.
A survey was sent to primary care staff in winter 2019. National data regarding Quality and Outcomes Framework (QOF) performance indicators and the GP software system used was obtained, analysed with T-tests and Chi-squared tests. Overall QOF performance with non-financial incentives from 918 practices was 77%. There was no significant difference with overall QOF performance against GP system ( = 0.46) or if the practice had a coder ( = 0.06). From the survey, search systems that make it hard to search for particular codes was the most important barrier to DQ; 61% of respondents ( = 491) felt there was particular information GPs should code, 16% of respondents stated that hospital discharge letters generally include corresponding codes and 9% for outpatient correspondence; 43% stated their practice had undertaken steps to improve DQ, training was the most common initiative, followed by workflow optimisation, dedicated coder(s), audit, guidelines and using code lists; 80% ( = 475) of respondents had received training in using their GP system, an average of eight years ago.
Obtaining improved GP systems, training, agreeing what GPs should code and improving transfer of data should be explored.
本项目探讨了苏格兰各地基层医疗数据质量（DQ）。
2019年冬季向基层医疗工作人员发送了一份调查问卷。获取了有关质量与结果框架（QOF）绩效指标以及所使用的全科医生软件系统的国家数据，并通过t检验和卡方检验进行分析。918家医疗机构在非财务激励措施下的QOF总体绩效为77%。与使用全科医生系统的QOF总体绩效（P = 0.46）或医疗机构是否有编码员（P = 0.06）相比，没有显著差异。从调查中可知，难以搜索特定编码的检索系统是数据质量的最重要障碍；61%的受访者（n = 491）认为全科医生应该对特定信息进行编码，16%的受访者表示医院出院信件通常包含相应编码，门诊信件为9%；43%表示其所在医疗机构已采取措施改善数据质量，培训是最常见的举措，其次是工作流程优化、专职编码员、审核、指南和使用编码列表；80%（n = 475）的受访者平均在八年前接受过使用其全科医生系统的培训。
应探索获取改进的全科医生系统、开展培训、明确全科医生应编码的内容以及改善数据传输等方面。
