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Developing the use of primary care data

Developing the use of primary care data. Dr Azeem Majeed University College London. DH review of primary care data. Identify potential customers & users of primary care data Identify potential sources of data, including strengths & weaknesses Increase awareness of how data can be used

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Developing the use of primary care data

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  1. Developing the use of primary care data Dr Azeem Majeed University College London

  2. DH review of primary care data • Identify potential customers & users of primary care data • Identify potential sources of data, including strengths & weaknesses • Increase awareness of how data can be used • Identify options for improving accessibility, quality and usefulness of data

  3. Methods for carrying out review of primary care data • Literature review • Interviews with DH & NHS staff • Advice from academics & other experts • Workshop on primary care data • Comments on report

  4. Why is primary care data needed? • Help clinicians provide care • Plan health services • Monitor targets • Measure clinical performance • Guide clinical decisions • Measure health service utilisation • Health services research & epidemiology

  5. What data are available • Data collected IN primary care • Data collected ON primary care

  6. Sources of primary care data • PRIMIS & MIQUEST • Primary care databases, e.g., GPRD, IMS Mediplus, DIN • PACT data • RCGP weekly returns service • PCG/T disease registers • Local & regional morbidity projects

  7. Strengths of primary care data • Population based • Most contacts with NHS take place in primary care • Information on morbidity, treatment, outcomes & utilisation • Increasing number of practices now computerised

  8. Weaknesses of primary care data • Often comes from volunteer practices & hence may not be representative • Quality & completeness of data recording varies widely • Lack of socio-economic & ethnic data • Collected for different objectives • Can be difficult & expensive to access

  9. % Change in antibiotic prescribing 1995-1998: GPRD

  10. Key questions • How can awareness be increased among potential users? • Should addition of socio-economic & ethnic data be a priority • How can a balance be achieved between the need for local & national data • How can the NHS make use of developments in primary care IT & disease registers?

  11. Key recommendations • Encourage development of PRIMIS • Accreditation scheme with quality standards • Make greater use of sources such as GPRD • Develop centres of analytical expertise • Ensure monitoring takes case-mix into account

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