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Data ran into trouble. J Med Ethics. Recorded quality of primary care for patients with diabetes in England before and after the introduction of a financial incentive scheme: a longitudinal observational study. BMJ Qual Saf. Download references. The Dr. The unit receives research funding from Dr.
Foster Intelligence, an independent health service research organization a wholly owned subsidiary of Telstra. You can also search for this author in PubMed Google Scholar. AB wrote the first draft. All authors edited critically for content. The author s read and approved the final manuscript. Correspondence to Alex Bottle. AB and PA are co-directors of the Dr. Foster Unit at Imperial, which is part-funded by Dr. Foster, a Telstra Health healthcare information company.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
Reprints and Permissions. Bottle, A. Download citation. Received : 06 September Accepted : 29 March Published : 20 April Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Abstract Background In the UK, several initiatives have resulted in the creation of local data warehouses of electronic patient records.
Methods We describe the key features of the Discover database, including scope, architecture and governance; descriptive analyses compare the population demographics and chronic disease prevalences with those in CPRD. Results As of June , Discover held records for a total of 2. Conclusions Like CPRD, Discover has been a number of years in the making, is a valuable research tool, and can serve as a model for other areas developing similar data warehouses.
Background The healthcare sector and regulatory bodies increasingly need to understand more about the real-world implications of diseases and healthcare interventions, requiring access to good-quality fully integrated healthcare datasets. Origins and uses of the WSIC database Commissioning is the process by which health and care services are planned, purchased and monitored. Full size image. Discover Project Governance Framework. Methods Using descriptive statistics, we compared the Discover patient mix with that of London as a whole and the UK.
Results Data elements and recording levels Figure 3 shows the geographical area of London covered by Discover and available for research. Table 1 Discover data elements by level of aggregation Full size table. Recording levels over time for key risk factors. Table 2 Prevalence estimates for long-term conditions covered by the Quality and Outcomes Framework for general practice Full size table. References 1. Article Google Scholar 5. Article Google Scholar 6.
Google Scholar 8. Article Google Scholar 9. Article Google Scholar Article Google Scholar Download references. Acknowledgments None. Funding The Dr. The funders were not involved in the analysis, write-up or decision to publish.
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