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Morbidity in the population and in general practice
Published in Gert P Westert, Lea Jabaaij, François G Schellevis, Morbidity, Performance and Quality in Primary Care, 2018
Michiel van der Linden, François Schellevis, Gert Westert
Morbidity presented to the GP was derived from diagnoses made in contacts between patients and the GP recorded in the electronic medical records of the practice information system. Contact diagnoses were coded using the International Classification of Primary Care (ICPC).6 Contacts for the same medical problem were clustered into episodes of care. Episodes were used to calculate annual incidence and prevalence rates. Incidence refers to the number of newly presented episodes of disease; period prevalence refers to the number of people with at least one disease episode. For each ICPC code, annual rates were calculated across sex and age groups. Detailed tables with incidence and prevalence rates by ICPC code can be found on www.NIVEL.nl/nationalestudie.
To Where We Head
Published in David A. Katerndahl, Directing Research in Primary Care, 2018
Third, events occurred to facilitate our ability to conduct and disseminate meaningful research. Recently, there has been development of relevant large databases, appropriate for addressing research questions important to family practice. These include the institution of annual collection of the National Ambulatory Medical Care Survey. To improve surveillance data in Europe, a computerized patient record based on ICD-10 and the International Classification of Primary Care (ICPC) has been proposed (Backer, 1993). Such databases greatly enhance our ability to conduct meaningful research. In addition, the Agency for Healthcare Research and Quality (AHRQ) has recently focused on infrastructure support for PBRNs. This, coupled with a growing appreciation by federal funding agencies for the value of practice-based networks, bodes well for the future of these research laboratories. Finally, in a landmark event, the major family medicine organizations joined forces to provide five years of support for the establishment of a new research-oriented journal, the Annals of Family Medicine. Not only is this development important for its provision of publication opportunities for research, but it is a key sign of an awareness by diverse groups of the need for and threat to primary care research, a sign that the culture of primary care may be changing.
Introduction
Published in Felicity Goodyear-Smith, Bob Mash, Michael Kidd, International Perspectives on Primary Care Research, 2017
The focus has been changing from a big macro level to an intermediate level. Research about the organisation of primary care at the health centre level has increased. The SBMFC and the Ministry of Health have published many books and tools that have helped this research growth. The most important of these have been the translation of the International Classification of Primary Care (ICPC),132 the validation of a national list of Ambulatory Care Sensitive Conditions and the translation and validation of the Primary Care Assessment Tool (PCAT).133 The presence of Professor Barbara Starfield from 2000 to 2010 in many scientific meetings was very important to encourage health professionals and researchers to find a focus.
Prevalence and distribution of psychological diagnoses and related frequency of consultations in Norwegian urban general practice
Published in Scandinavian Journal of Primary Health Care, 2020
Mina Piiksi Dahli, Mette Brekke, Torleif Ruud, Ole Rikard Haavet
Norwegian GPs record all medical contacts electronically, in order to obtain reimbursement in a government-aided tariff system. The International Classification of Primary Care 2 (ICPC-2) is used for diagnosis coding [17]. ICPC-2 divides into chapters that cover medicine at large, where chapter ‘P – psychological’ – consists of 26 codes for mental health complaints and 17 codes for psychiatric diagnoses. In this article, the term ‘psychological diagnoses’ covers all of these diagnostic codes. Outcome measures were psychological diagnoses made by the participating GPs during the 12 months period, as well as the number of consultations for their patients with or without such diagnoses. The electronic medical records from 17,973 patients and 111,870 contacts were extracted. Of these, 16,845 patients had one or more consultations with their GP, either in the form of office- or home visit. These accounted for 68,814 contacts during the 12 months, and these form the sample used in this study. The remaining excluded contacts were either a phone call, letter, prescription or interdisciplinary meetings. Contacts without a registered ICPC-2 diagnostic code were excluded.
Cardiovascular disease patients have increased risk for comorbidity: A cross-sectional study in the Netherlands
Published in European Journal of General Practice, 2018
Candan Kendir, Marjan van den Akker, Rein Vos, Job Metsemakers
This cross-sectional, observational study was based on data from the Registration Network Family Practices (RegistratieNet Huisartspraktijken, RNH). This network was developed in the Netherlands in 1988 to establish a computerized database. Basic sociodemographic characteristics of patients and all relevant past and current permanent health problems are recorded systematically and are updated continuously. Registration of medical information is part of daily routine. Registered health problems are added and uploaded to the RNH database every three months. For the registration of diseases, the International Classification of Primary Care (ICPC) is used, applying the criteria of the International Classification of Health Problems in Primary Care (ICHPPC-2), or other relevant criteria.
Added value of CRP to clinical features when assessing appendicitis in children
Published in European Journal of General Practice, 2022
Guus C. G. H. Blok, Eelke D. Nikkels, Johan van der Lei, Marjolein Y. Berger, Gea A. Holtman
The International Classification for Primary Care (ICPC) is used for diagnostic coding in Dutch primary care. We manually reviewed the first patient contact in the study period that met all of the following criteria at the time of contact: the patient received a gastrointestinal diagnosis (ICPC codes D01 through D99); abdominal pain was mentioned in the free text record; the patient had been registered in that practice for at least 12 months; the patient was aged 4–18 years; and the GP obtained a CRP. We subsequently reviewed the identified contacts and retained only patients presenting with recent acute abdominal pain (i.e. the presenting symptoms started ≤1 week before the consultation). Patients with a history of appendicitis or appendectomy were removed.