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The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
BMC Research Notes, Volume: 16, Issue: 1
Swansea University Authors:
Mark Atkinson , Roxanne Cooksey
, Jenna Jones, Sinead Brophy
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DOI (Published version): 10.1186/s13104-023-06325-y
Abstract
ObjectivesTo examine the use of two coding systems used in the THIN UK primary care research database for the coding of telephone encounters between patient and healthcare professional in primary care. This is relevant to other research databases built on GP clinical systems. Consideration of teleph...
Published in: | BMC Research Notes |
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ISSN: | 1756-0500 |
Published: |
Springer Science and Business Media LLC
2023
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Online Access: |
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URI: | https://cronfa.swan.ac.uk/Record/cronfa63441 |
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Abstract: |
ObjectivesTo examine the use of two coding systems used in the THIN UK primary care research database for the coding of telephone encounters between patient and healthcare professional in primary care. This is relevant to other research databases built on GP clinical systems. Consideration of telephone consultations was particularly important during the COVID-19 pandemic as remote interactions between patient and GP are more numerous than before and are likely to remain at a higher frequency.ResultsTelephone encounters could either be indicated by a consultation-type code or by a Read code. All three possible combinations (coded by one method, the other method and both) were in use. In 2014, 30% were coded by the consultation-type, 55% by Read codes and 15% by both. In contrast, in 2000, 77% were coded by the consultation-type, 21% by Read codes and 2% by both. This has important implications because national and regional consultation rates by GPs are often estimated from these research databases by looking only at the consultation-type codes and consequently many encounters will not be detected. |
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Keywords: |
Telephone consultation, General practitioner, Electronic health record |
College: |
Faculty of Medicine, Health and Life Sciences |
Issue: |
1 |