Using registries in general practice to estimate countrywide morbidity in the Netherlands
Using registries in general practice to estimate countrywide morbidity in the Netherlands
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DOI：
10.1016/j.puhe.2006.06.005
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发表时间：
2006-10-01
期刊：
影响因子：
5.2
通讯作者：
Poos, Marinus J. J. C.
中科院分区：
文献类型：
--
作者：
Gijsen, Ronald;Poos, Marinus J. J. C.
目的：研究在一般实践中使用登记数据的可能性，以便提供荷兰人口中涉及广泛主要疾病的发病率数字。研究设计：对登记诊断进行定性和定量分析。方法：从6个注册中心获得定量数据。此外，还获得了有关登记程序的资料，并与各登记处的代表进行了讨论。讨论的主题是登记的一般特征和特定疾病的规则。结果：注册表的特征和计算发病率和患病率的疾病特异性编码规则存在一些重要差异。但是，对于大多数疾病来说，两个或两个以上的登记处的规则是相互对应的，因此可以选择以类似方式衡量特定疾病发生的登记处。然而，对于某些年龄类别，在不同的登记中观察到相当大的差异。对全国的最佳估计是按选定登记的平均发病率和流行率计算的。结论：最初在患者护理期间获得的数据可用于公共卫生政策目的。为了进一步提高数据的质量并增加这些数据对公共卫生政策的有用性，需要作出更多努力。(c) 2006年，皇家公共卫生研究所。Elsevier Ltd.出版。版权所有。
Objective: Examining the possibility of using data from registries in general practice in order to present morbidity figures concerning a broad range of major diseases for the Dutch population.Study design: Qualitative and quantitative analysis of registered diagnoses.Methods: Quantitative data from six registries were obtained. In addition, information about the registration process was obtained and discussed with representatives of the registries. Subjects for discussion were the general characteristics of the registries and disease-specific rules.Results: Some important differences exist in the characteristics of the registries and the disease-specific coding rules for computing incidence and prevalence. However, for most diseases the rules of two or more registries corresponded with each other, so that a selection of registries that measured the occurrence of a particular disease in a similar way could be made. Nevertheless, for some age categories rather large differences between registries were observed. The best estimates for the whole country were calculated as the average incidence and prevalence of the selected registries.Conclusions: Data that were originally obtained during patient care can be made usable for public health policy purposes. To further improve the quality of data and to increase the usefulness of these data for public health policy purposes, more efforts are required. (c) 2006 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.