Pearson N, O'Brien J, Thomas H, Ewings P, Gallier L, Bussey A
Somerset Health Authority, Taunton.
BMJ. 1996 Jun 15;312(7045):1517-20. doi: 10.1136/bmj.312.7045.1517.
To collect a valid, complete, continuous, and representative database of morbidity presenting to primary care and to use the data to help commission services on the basis of local need and effectiveness.
Computerised general practices in Somerset.
Participating general practices were selected to be representative of the district health authority population for general practice and population characteristics. All conditions presented at face to face consultations were assigned a Read code and episode type and the data were regularly validated. Data were sent by modem from the practices via a third party to the health authority each week.
Proportion of consultations coded and accuracy of coding.
11 practices agreed to participate. Validations for completeness during April 1994 to March 1995 revealed that 96.4% of the records were coded; 94% of the 1090 records validated had appropriate episode types and 87% appropriate Read codes. The results have been used to help formulate the health authority's purchasing plans and have enabled a change in the local contracts for surgery for glue ear.
The project has shown the feasibility of establishing a network of practices recording and reporting the morbidity seen in primary care. Early indications are that the data can be useful in evidence based purchasing.
收集一个有效、完整、连续且具有代表性的基层医疗发病数据库，并利用这些数据根据当地需求和有效性来协助委托服务。
萨默塞特郡的计算机化全科医疗诊所。
选择参与的全科医疗诊所，使其在全科医疗和人口特征方面能代表地区卫生当局的人口。在面对面咨询中出现的所有病症都被分配一个Read编码和发作类型，并且数据会定期进行验证。数据每周通过调制解调器从诊所经由第三方发送至卫生当局。
编码咨询的比例和编码的准确性。
11家诊所同意参与。1994年4月至1995年3月期间对完整性的验证显示，96.4%的记录进行了编码；在1090条经过验证的记录中，94%有合适的发作类型，87%有合适的Read编码。这些结果已被用于协助制定卫生当局的采购计划，并促成了当地关于胶耳手术合同的变更。
该项目已表明建立一个记录和报告基层医疗中所见发病情况的诊所网络是可行的。早期迹象表明，这些数据在循证采购中可能会有用。
