Hi all > Re: electronic vs paper data collections
It all comes down to what you want to know to what data source you would want to use. If we look at the following situations: 1. Age sex distribution of patients attending GPs - best source is Medicare Australia. 2. Distribution of problems managed in general practice - best source/s BEACH or GPRN. GPRN doctors are locked in for writing a reason for script and/or reason for visit. 3. Distribution of prescriptions and the conditions treated by these medications in general practice - the best sources of data are electronic ones - GPRN's statistical power, data quality and accuracy when it comes to medications is far superior than BEACH by the simple fact that it a record of the actual prescription not a secondary entered by a GP onto paper than secondary entry again by a date entry person. The statistical power for medications is at least 10 fold in most circumstances and it is possible to analyse by trade-name, dosage, strength and form with some degree of statistical power. However the adherence work coming out of Medicare Australia PBS data is the best. The GPRN is fairly unique around the world as many clinical systems do not link problem/diagnosis with script let alone do the panels force them to do so. It would be interesting to know why the DUTCH and Canadians are looking to go paper is it a problem with the data model or the inability to force/prompt drs to complete data. 4. Non-medication treatments - BEACH would be best. 5. Diagnostics - my instinct and experience tells me GPRN is better largely around the statistical power and widespread use of electronic systems for diagnostic ordering although BEACH's attempt to link to condition is neat if one is interested in that sort of thing. 6. SAND is a great method (biased that I am) but I would argue that if one looks at the objectives of the NPCC type initiatives and initiatives that look at electronic auditing processes (e.g. MD Plus type initiatives) SAND could be surpassed. My humble opinion. Geoffrey Sayer HealthLink Ltd -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, 29 May 2007 9:48 a.m. To: General Practice Computing Group Talk Subject: Re: [GPCG_TALK] Re: Heart meds: half patients don't comply BEACH is still paper based. We would love to move to computer based collection. Requirements to do this are set out on pages 9-12 in our last annual report available at http://www.aihw.gov.au/publications/index.cfm/title/10377/ Our research indicates that only 20% of GPs have a sufficient commitment to computer data entry to have a sufficient quantity of data for collection - but the quality is an unknown. Lack of data standards is the major barrier as well as the time cost to GPs. The Canadian government, having looked at all the options having consulted with us and the Dutch who have the best computer based collection in the world, have just requested expressions of interest in setting up a BEACH style paper based collection in Canada. We are involved in a project with the AIHW to review all options for future data collection from primary care. Perhaps 2015?? see http://www.schattauer.de/index.php?id=1268&pii=me07010002&no_cache=1 Graeme On 29 May 2007 at 8:12, Ian Cheong wrote: > Is it true that Beach is still paper forms? > > Is there an electronic version - extract data from clinical system > supplemented with extra bits? > ********************************** Associate Professor Graeme Miller MB BS PhD FRACGP Medical Director Family Medicine Research Centre (A Collaborating Centre of the World Organisation of Family Doctors) University of Sydney Level 7 16-18 Wentworth St Parramatta NSW Mail: Westmead Hospital Westmead NSW 2145 Australia Medical Director Australian General Practice Statistics and Classification Centre Australian Institute of Health and Welfare/ University of Sydney Phone +61 2 9845 8156 Mobile 0412 465 585 Fax +61 2 9845 8155 Skype name: graymil Email [EMAIL PROTECTED] Web http://www.fmrc.org.au *********************************************************************** This e-mail, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). 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