Boydell L, Grandidier H, Rafferty C, McAteer C, Reilly P
Department of Public Health Medicine, Eastern Health and Social Services Board, Belfast.
J Epidemiol Community Health. 1995 Aug;49 Suppl 1(Suppl 1):22-5. doi: 10.1136/jech.49.suppl_1.22.
To develop an epidemiological database of morbidity in the community as presented to general practitioners and to support epidemiological research in general practice.
The project is a sentinel network of 23 general practices in Northern Ireland that report the incidence of a list of selected diseases to a central unit for analysis.
Results are presented for depression, diabetes, and myocardial infarction. The age--sex distributions of diabetes and myocardial infarction are comparable with other published data but the incidence of depression is under estimated.
The importance of complete accuracy of data reported within sentinel networks depends on the purposes for which information is to be used. For some diagnoses, such as diabetes and acute myocardial infarction, the accuracy of the reported incidence is high while for other diseases, such as depression, where diagnostic behaviour varies more between doctors, the figures are much less reliable.
建立一个向全科医生报告的社区发病情况的流行病学数据库,并支持全科医学中的流行病学研究。
该项目是北爱尔兰23家全科诊所组成的哨点网络,这些诊所将一系列选定疾病的发病率报告给一个中央单位进行分析。
给出了抑郁症、糖尿病和心肌梗死的结果。糖尿病和心肌梗死的年龄-性别分布与其他已发表的数据相当,但抑郁症的发病率被低估了。
哨点网络内报告数据的完全准确性的重要性取决于信息的使用目的。对于某些诊断,如糖尿病和急性心肌梗死,报告发病率的准确性较高,而对于其他疾病,如抑郁症,医生之间的诊断行为差异更大,数据的可靠性则低得多。