Epidemiological usefulness of population-based electronic clinical records in primary care: estimation of the prevalence of chronic diseases

被引:51
作者
Esteban-Vasallo, M. D. [1 ]
Dominguez-Berjon, M. F. [1 ]
Astray-Mochales, J. [1 ]
Genova-Maleras, R. [1 ]
Perez-Sania, A. [2 ]
Sanchez-Perruca, L. [2 ]
Aguilera-Guzman, M. [2 ]
Gonzalez-Sanz, F. J. [2 ]
机构
[1] Madrid Reg Hlth Affairs Author, Inst Publ Hlth, Madrid, Spain
[2] Madrid Reg Hlth Affairs Author, Madrid Reg Hlth Serv, Madrid, Spain
关键词
Chronic diseases; computerized medical record; health surveys; prevalence; primary health care; MEDICAL-RECORDS; SELF-REPORTS; QUALITY;
D O I
10.1093/fampra/cmp062
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective. To estimate the prevalence of selected chronic illnesses based on electronic clinical records in primary care (ECRPC) and to assess its usefulness for epidemiological research, by comparing ECRPC data against those reported by a contemporary health survey. Methods. Design: Descriptive cross-sectional study. Setting: All primary care medical consultations in the Madrid Regional Public Health System (PHS). Subjects: A total of 23 535 182 ECRPC-registered episodes of illness, generated by PHS patients over 15 years of age seeking medical care during 2005-06. Main outcome measures: Prevalences of chronic diseases estimated on the basis of medically examined cases registered in ECRPC and morbidity as reported by a contemporary health survey covering the same geographic area. Results. A total of 52.5% of the adult population had some chronic health problem. The highest overall prevalences were hypertension (14.8%), mental disorders (12.0%) and allergy (11.6%). Prevalences were generally highest among women, elderly and the native population. Depending on the specific disease, ECRPC-based prevalences were similar to (e.g. diabetes), higher (e.g. chronic skin problems) or lower (e.g. asthma and dyslipidaemia) than those reported by surveys, with certain age- and sex-related variations. Conclusions. Prevalences estimated from ECRPC and survey data present variations depending on the disease, age and sex. Both data sources provide complementary information about chronic disease prevalence. ECRPC have the advantage of generating an ongoing standardized register and entailing no additional effort for health professionals.
引用
收藏
页码:445 / 454
页数:10
相关论文
共 22 条
[1]  
[Anonymous], 2004, MORT BURD DIS EST WH
[2]   Globalisation and mental disorders - Overview with relation to depression [J].
Bhugra, D ;
Mastrogianni, A .
BRITISH JOURNAL OF PSYCHIATRY, 2004, 184 :10-20
[3]   Prevalence estimates for chronic diseases in Italy: exploring the differences between self-report and primary care databases [J].
Cricelli, C ;
Mazzaglia, G ;
Samani, F ;
Marchi, M ;
Sabatini, A ;
Nardi, R ;
Ventriglia, G ;
Caputi, AP .
JOURNAL OF PUBLIC HEALTH MEDICINE, 2003, 25 (03) :254-257
[4]  
Direccion General de Salud Publica y Alimentacion, 2007, INF EST SAL POBL COM
[5]  
Esteban y Pena M M, 2001, Aten Primaria, V27, P25
[6]  
Filippi Alessandro, 2005, Ital Heart J, V6, P311
[7]  
Genova R, 2006, ENVEJECIMIENTO DEPEN, P107
[8]   Evaluating the quality of self-reports of hypertension and diabetes [J].
Goldman, N ;
Lin, IF ;
Weinstein, M ;
Lin, YH .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2003, 56 (02) :148-154
[9]   Agreement between questionnaire data and medical records of chronic diseases in middle-aged and elderly Finnish men and women [J].
Haapanen, N ;
Miilunpalo, S ;
Pasanen, M ;
Oja, P ;
Vuori, I .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1997, 145 (08) :762-769
[10]   A survey of validity and utility of electronic patient records in a general practice [J].
Hassey, A ;
Gerrett, D ;
Wilson, A .
BRITISH MEDICAL JOURNAL, 2001, 322 (7299) :1401-1405