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.
Setting-Computerised general practices in Somerset.
Method-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.
Main outcome measures-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.
Conclusions-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.
Mots-clés Pascal : Soin santé primaire, Morbidité, Médecin généraliste, Base donnée, Assistance ordinateur, Organisation santé, Homme, Angleterre, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Primary health care, Morbidity, General practitioner, Database, Computer aid, Public health organization, Human, England, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0331200
Code Inist : 002B28E. Création : 10/04/1997.