Title: Routinely-collected General Practice Data from the Electronic Patient Record and General Practitioner Active Electronic Questioning Method: A Comparative Study
Authors: De Clercq, Etienne
Moreels, Sarah
Bossuyt, Nathalie
Vanthomme, Katrien
Goderis, Geert
Van Casteren, Viviane
Issue Date: 2013
Publisher: I O S Press
Host Document: Studies in Health Technology and Informatics vol:192 pages:510-514
Conference: 14th World Congress on Medical and Health Informatics (MEDINFO) location:Copenhagen date:20-23 August 2013
Abstract: The numerous existing primary care-based research networks currently use various data collection methods. In this paper, we compared routine data extracted from general practitioners' (GPs') electronic patient records (EPRs) and GPs' answers to an electronic questionnaire. We investigated for 10,307 Belgian patients 10 healthcare conditions using clinical and biological parameters (cholesterol, blood pressure, and body mass index), diagnoses (hypertension, diabetes, and personal past cardiovascular event(s)), and drug prescriptions (antidiabetic drugs, aspirin, statins, and antihypertensive drugs). We found a relatively fair agreement (Kappa≥0.40) between the two data collection methods for 7 healthcare conditions, but no agreement for the biological parameters. When EPR data was used and compared with the questioning method, the prevalence of diagnoses and drug prescriptions was relatively lower and the prevalence of clinical and biological parameters was relatively higher (all missing data excluded) in the EPR data than in the data collected using the questioning method. Using EPR data, we calculated an acceptable proxy for the prevalence as observed using the questioning method. The comparison of the two data collection methods was a worthwhile approach, in that it could highlight potential ways to improve both care quality and information systems.
ISBN: 978-1-61499-288-2
ISSN: 0926-9630
Publication status: published
KU Leuven publication type: IC
Appears in Collections:Academic Center for General Practice

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