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The coding of telephone consultations in UK primary care databases: are we picking up all the calls?

Mark Atkinson Orcid Logo, Roxanne Cooksey Orcid Logo, Jenna Jones, Sinead Brophy Orcid Logo

BMC Research Notes, Volume: 16, Issue: 1

Swansea University Authors: Mark Atkinson Orcid Logo, Roxanne Cooksey Orcid Logo, Jenna Jones, Sinead Brophy Orcid Logo

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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 teleph...

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Published in: BMC Research Notes
ISSN: 1756-0500
Published: Springer Science and Business Media LLC 2023
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spelling v2 63441 2023-05-12 The coding of telephone consultations in UK primary care databases: are we picking up all the calls? 8f85ae301cc97a48eaf58fe343c5a797 0000-0003-4237-3588 Mark Atkinson Mark Atkinson true false df63826249b712dcb03cb0161d0f3daf 0000-0002-6763-9373 Roxanne Cooksey Roxanne Cooksey true false e662b6c5aba239a9cd0f115d16df0a82 Jenna Jones Jenna Jones true false 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false 2023-05-12 HDAT 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. Journal Article BMC Research Notes 16 1 Springer Science and Business Media LLC 1756-0500 Telephone consultation, General practitioner, Electronic health record 9 5 2023 2023-05-09 10.1186/s13104-023-06325-y http://dx.doi.org/10.1186/s13104-023-06325-y COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University SU College/Department paid the OA fee 2023-06-07T12:20:08.7737497 2023-05-12T09:35:50.6754531 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Mark Atkinson 0000-0003-4237-3588 1 Roxanne Cooksey 0000-0002-6763-9373 2 Jenna Jones 3 Sinead Brophy 0000-0001-7417-2858 4 63441__27744__91961c68d98c441fb1724e84e9773209.pdf 63441.pdf 2023-06-07T12:18:32.0730105 Output 627490 application/pdf Version of Record true Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. true eng http://creativecommons.org/licenses/by/4.0/
title The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
spellingShingle The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
Mark Atkinson
Roxanne Cooksey
Jenna Jones
Sinead Brophy
title_short The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
title_full The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
title_fullStr The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
title_full_unstemmed The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
title_sort The coding of telephone consultations in UK primary care databases: are we picking up all the calls?
author_id_str_mv 8f85ae301cc97a48eaf58fe343c5a797
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author_id_fullname_str_mv 8f85ae301cc97a48eaf58fe343c5a797_***_Mark Atkinson
df63826249b712dcb03cb0161d0f3daf_***_Roxanne Cooksey
e662b6c5aba239a9cd0f115d16df0a82_***_Jenna Jones
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
author Mark Atkinson
Roxanne Cooksey
Jenna Jones
Sinead Brophy
author2 Mark Atkinson
Roxanne Cooksey
Jenna Jones
Sinead Brophy
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container_title BMC Research Notes
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publishDate 2023
institution Swansea University
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doi_str_mv 10.1186/s13104-023-06325-y
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
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hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
url http://dx.doi.org/10.1186/s13104-023-06325-y
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description 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.
published_date 2023-05-09T12:20:07Z
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