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PRIMIS

PRIMIS. 23 rd April 2002 Metropole Birmingham. PRIMIS Comparative Analysis Service: The Results So Far!. Lynne Wright (Information Team) Dai Evans (Clinical Adviser). Interpreting Results. still early days for data quality causes of variation: true disease variation

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PRIMIS

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  1. PRIMIS 23rd April 2002 Metropole Birmingham

  2. PRIMIS Comparative Analysis Service:The Results So Far! Lynne Wright (Information Team) Dai Evans (Clinical Adviser)

  3. Interpreting Results • still early days for data quality • causes of variation: • true disease variation • observed variation • variation due to data quality • lot of work needed in practices, schemes

  4. Importance of Results • general snapshot of disease levels • PRIMIS data is biggest slice of primary care data • repeated frequently  better DQ in time • some diseases, no prevalence data available (cf. incidence data). • last big dataset – MSGP 4, 1991

  5. Numbers Involved: DQ • Central & Eastern: 3.5 million pts • London: 1.1 million pts • Northern: 1.1 million pts • South & South West: 2 million pts • Wales: 800,000 pts

  6. Numbers Involved: PDQ • Central & Eastern: 630-690,000 pts • London: 1-1.1 million pts • Northern: 750-900,000 pts • South & South West: 530-630,000 pts • Wales:

  7. Pop’n: 630-690,000 1-1.1 million 750-900,000 530-630,000

  8. Pop’n: 3.5million 1.1 million 1.1 million 2 million 800,000

  9. Pop’n: 630-690,000 1-1.1 million 750-900,000 530-630,000

  10. Ischaemic Heart Disease

  11. Pop’n: 630-690,000 1-1.1 million 750-900,000 530-630,000

  12. Pop’n: 3.5million 1.1 million 1.1 million 2 million 800,000

  13. Chart 1. Proportion of Patients with CHD 6 5.49 5.30 5 4.55 3.93 3.89 3.69 3.73 3.66 4 3.53 3.13 3.17 3.01 2.57 3 Percentage 2 1 0 Prac 1 Prac 2 Prac 3 Prac 4 Prac 5 Prac 6 Prac 7 Prac 8 Prac 9 Prac 10 Prac 11 Prac 12 PCT Staffordshire Moorlands Primary Care Trust

  14. Heart failure(example of reducing recording levels) Keele University GPRN

  15. Management of IHD

  16. Diabetes

  17. Pop’n: 3.5 million 1.1 million 1.1 million 2 million 800,000

  18. Pop’n: 630-690,000 1-1.1 million 750-900,000 530-630,000

  19. Diabetesplus monitoring (generalised prevalence increase) Keele University GPRN

  20. Numbers Involved: SDQ • Central & Eastern: 730,000 pts • London: 500,000 pts • Northern: 64,000 pts • South & South West: 29,000 pts • Wales:

  21. Pop’n: 730,000 500,000 64,000 29,000

  22. Pop’n: 730,000 500,000 64,000 29,000

  23. Pop’n: 730,000 500,000 64,000 29,000

  24. Mental Health

  25. Pop’n: 3.5million 1.1 million 1.1 million 2 million 800,000

  26. Pop’n: 630-690,000 1-1.1 million 750-900,000 530-630,000

  27. PRIMIS 23rd April 2002 Metropole Birmingham

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