Dear all,
We are holding the second meeting of the RSS primary health care study group at the RSS on April 24th. The title is:
Variation between general practices: some statistical issues.
The meeting is free and everyone is welcome. The provisional programme is:
Variation between general practices: some statistical issues
RSS Primary Health Care Study Group Meeting
Provisional programme
24th April 2003
Royal Statistical Society, 12 Errol St, London EC1Y 8LX
2pm AZEEM MAJEED (UCL, London)
Variation between general practices: methodological & policy issues
In United Kingdom's NHS, general practitioners control access to many other health services. Consequently, the decisions they make about investigations, referrals, and hospital admissions have important implications for appropriate access to health services, the risk of iatrogenesis, and efficient use of resources. I will discuss these issues and their particular relevance to the NHS.
2.20pm CAOIMHE O'SULLIVAN (UCL, London)
Methods of estimating variation in performance between general practices
Does adjusting for patients' clinical case-mix explain variability in GP resource use between practices? We explore this using methods involving Intracluster Correlation Coefficients (ICC), and discuss issues related to estimation of binary outcome ICCs with covariates. Methods are illustrated with data from the Fourth Morbidity Statistics in General Practice survey.
2.40pm PETER YUEN (Office of Health Economics, London) VICTOR KIRI (GlaxoSmithKline)
Use of general practice patient-based data for epidemiological and health related studies
Commercial databases such as GPRD and UKPCD/MediPlus provide an important source of primary care patient-based data for research. These databases are based on a sample of general practices. There are substantial variations between practices which should be accounted for in conducting epidemiological and other health related studies. We will give an over view of these databases and discuss statistical issues involved in both the design and analysis through examples.
3.00pm Tea
3.30pm Group discussions
4.00pm Feedback and questions to speakers
Sandra Eldridge
Department of General Practice and Primary Care
Barts and The London
Queen Mary University of London
Medical Sciences Building
Mile End Road
E1 4NS
telephone 020 7882 7920
fax 020 7882 6396
e-mail [log in to unmask]
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