Spatial distribution of clinical computer systems in primary care in England in 2016 and implications for primary care electronic medical record databases: a cross-sectional population study
Spatial distribution of clinical computer systems in primary care in England in 2016 and implications for primary care electronic medical record databases: a cross-sectional population study
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DOI：
10.1136/bmjopen-2017-020738
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发表时间：
2018-05-01
期刊：
影响因子：
2.9
通讯作者：
Ashcroft, Darren M.
中科院分区：
文献类型：
--
作者：
Kontopantelis, Evangelos;Stevens, Richard John;Ashcroft, Darren M.
英国初级保健数据库（PCD）被世界各地的研究人员用于告知临床实践。这些数据库主要与单个临床计算机系统相关联，但对初级保健实践或其地理代表性采用这些系统知之甚少。我们探讨了临床计算系统的空间分布，并讨论了这些资源的寿命和区域代表性的影响。设计横断面研究。设置英国初级保健临床计算机系统。参与者7526一般做法在2016年8月。方法通过临床计算机系统在两个地理水平，较低的临床调试组（CCG，209个单位）和较高的国家卫生服务区（14个单位）。数据的做法，包括医生，护士和病人的数量，和地区deprivation.Results的7526做法，埃格顿医疗信息系统（EMIS）中使用的4199（56%），在2552（34%）和视觉636（9%）。观察到的所有系统，与EMIS有一个更强的存在于英格兰西部，伦敦和南部; SystmOne在东部和南部的一些地区;和视觉在伦敦，南部，大曼彻斯特和Birmingham.Conclusions PCD基于单一的临床计算机系统在地理上聚集在英格兰。例如，临床实践研究数据链和健康改善网络是研究成果方面最受欢迎的初级保健数据库，它们基于Vision临床计算机系统，
Objectives UK primary care databases (PCDs) are used by researchers worldwide to inform clinical practice. These databases have been primarily tied to single clinical computer systems, but little is known about the adoption of these systems by primary care practices or their geographical representativeness. We explore the spatial distribution of clinical computing systems and discuss the implications for the longevity and regional representativeness of these resources.Design Cross-sectional study.Setting English primary care clinical computer systems.Participants 7526 general practices in August 2016.Methods Spatial mapping of family practices in England in 2016 by clinical computer system at two geographical levels, the lower Clinical Commissioning Group (CCG, 209 units) and the higher National Health Service regions (14 units). Data for practices included numbers of doctors, nurses and patients, and area deprivation.Results Of 7526 practices, Egton Medical Information Systems (EMIS) was used in 4199 (56%), SystmOne in 2552 (34%) and Vision in 636 (9%). Great regional variability was observed for all systems, with EMIS having a stronger presence in the West of England, London and the South; SystmOne in the East and some regions in the South; and Vision in London, the South, Greater Manchester and Birmingham.Conclusions PCDs based on single clinical computer systems are geographically clustered in England. For example, Clinical Practice Research Datalink and The Health Improvement Network, the most popular primary care databases in terms of research outputs, are based on the Vision clinical computer system, used by