Spurious trends in coronary heart disease incidence: unintended consequences of the new GP contract?

British Journal of General Practice

Peter H Whincup¹  Derek G Cook¹  Iain M Carey¹  Stephen DeWilde¹  Tess Harris¹ 

[1] Division of Community Health Sciences, St George's, London

关键词: coronary heart disease;    electronic patient records;    primary care database;    quality and outcomes framework;   

DOI  :  

学科分类：卫生学

来源: Royal College of General Practitioners

【 摘 要 】

Comparisons of the same patient data in 2004 and 2006 downloads of the DIN-LINK UK primary care database demonstrated unexpected differences in the rates of coronary heart disease between the datasets. Incidence rates were lower between 1996–2003 in the new (2006) download. Patient record checks demonstrated that coronary heart disease codes had been removed in the new download during the run-up to the new contract. Planners need to be aware of such issues when evaluating trends in CHD or other similar conditions.

【 授权许可】

Unknown