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采用结构化但简单的方法来提高初级保健数据质量确实能够取得成功。

Structured yet simple approaches to primary care data quality improvements can indeed strike gold.

作者信息

Ghosh Abhijeet, Halcomb Elizabeth, McCarthy Sandra, Ashley Christine

机构信息

COORDINARE - South Eastern NSW PHN, PO Box 325, Fairy Meadow, NSW 2519, Australia; and Corresponding author.

School of Nursing, Faculty of Science, Medicine and Health, Building 41, Northfields Avenue, University of Wollongong, Wollongong, NSW 2522, Australia.

出版信息

Aust J Prim Health. 2021 Mar;27:143-151. doi: 10.1071/PY20247.

Abstract

General practice data provide important opportunities for both population health and within-practice initiatives to improve health. Despite its promise, a lack of accuracy affects the use of such data. The Sentinel Practices Data Sourcing (SPDS) project is a structured chronic disease surveillance and data quality improvement strategy in general practice. A mixed-methods approach was used to evaluate data quality improvement in 99 participating practices over 12 months. Quantitative data were obtained by measuring performance against 10 defined indicators, whereas 48 semi-structured interviews provided qualitative data. Aggregated scores demonstrated improvements in all indicators, ranging from minor to substantially significant improvements. Participants reported positively on levels of support provided, and acquisition of new knowledge and skills relating to data entry and cleansing. This evaluation provides evidence of the effectiveness of a structured approach to improve the quality of primary care data. Investing in this targeted intervention has the potential to create sustained improvements in data quality, which can drive clinical practice improvement.

摘要

全科医疗数据为人群健康以及改善健康的机构内部举措提供了重要契机。尽管前景广阔,但数据缺乏准确性影响了此类数据的使用。哨兵实践数据获取(SPDS)项目是一项针对全科医疗的结构化慢性病监测和数据质量改进策略。采用混合方法对99个参与实践机构在12个月内的数据质量改进情况进行评估。通过对照10项既定指标衡量绩效来获取定量数据,而48次半结构化访谈则提供了定性数据。汇总得分显示所有指标均有改进,改进幅度从轻微到显著不等。参与者对所提供的支持水平以及获取与数据录入和清理相关的新知识和技能给予了积极评价。该评估为采用结构化方法提高初级保健数据质量的有效性提供了证据。对这种有针对性的干预措施进行投资有可能持续改善数据质量,进而推动临床实践的改进。

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