> Date: 16 Dec 96 12:31:09 EST
> From: ROB HAMPTON <[log in to unmask]>
> To: GP-UK <[log in to unmask]>
> Cc: PHCSG Committee <[log in to unmask]>
> Subject: Asthma data collection
> Reply-to: [log in to unmask]
> As part of my role at NHS CCC I have met with the GPs in Asthma Group (GPIAG)
> and the National Asthma Training Centre (NATC). They are keen to explore the
> specification of computerised/EPR templates to facitlitate the structured
> recording of 3 types of asthma consultation.
>
> 1) New diagnosis
> 2) Routine follow up
> 3) Episodic contact
>
> These will mirror current standards for paper notes/guidelines.
>
> They plan to record the specific data items with Read codes.
We did some work a few years ago looking at which data items it was
possible to code - Version 3 may have filled the gaps we found, but
it might be worth getting a copy of Teasdale S, Williams J,
Bainbridge M, Cowley C. 'Dynamic Data', PHCSG, Worcester, 1994, from
Judy Hayes, PHCSG Administrator, email [log in to unmask] for
the princely sum of 5 UKP (PHCSG members) or 8 UKP (non-members).
>
> A few questions:
>
> Are there any standards for this sort of thing around?
Anyone doing this sort of thing would be well advised (medicolegally)
to ensure that the management guidelines incorporated within any such
templates or protocols reflect the content of the BTS Guidelines -
and that there is some mechanism for updating them as the guidelines
are revised in line with current evidence.
>
> Do GP-UK contributors feel that such templates would be beneficial to GPs,
> Practice nurses in asthma clinics and patients?
>
Yes!! See Sullivan F, Mitchell E. Has general practice computing
made a difference to patient care? A systematic review of published
reports. BMJ 1995; 311:848-852. I have lots of other references if
you really want them!
> Any individual/group/district or system specific asthma data capture
> templates/protocols for asthma that can be shared out there?
>
I know that several of the GP systems have the facility to create
these, e.g. Meditel (SOPHIEs), EMIS (templates), VAMP (Freehand),
etc., but they tend to be custom-tailored within individual practices
to suit the work patterns of individual GPs and nurses. Anecdotal
evidence seems to suggest that if the templates are too complex or
long, clinicians won't use them.
There is also work going on within the Collection of Health Data in
General Practices project which is setting guidelines for data
collection in a number of areas, almost certainly including asthma.
Contact Pareto Consulting for further details.
Hope this helps!
Sheila
-----------------------Sheila Teasdale---------------------------
Editor - Informatics - The Journal of Informatics in Primary Care
http://www.ncl.ac.uk/~nphcare/PHCSG/Journal/index.htm
---------------Fax 01529 460589 / 01522 569874-------------------
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