Harnessing the potential of electronic general practice pathology data in Australia: An examination of the quality use of pathology for type 2 diabetes patients

International Journal of Medical Informatics
Chisato ImaiAndrew Georgiou

Abstract

Despite the importance of pathology testing in diagnosis and disease monitoring, there is little in-depth research about pathology test ordering in general practice and how it impacts patient outcomes. This is in part due to the limited availability of high-quality data. With the now-widespread use of electronic software in general practice comes the potential for electronic patient data to be used for research leading to better understanding of general practice activities, including pathology testing. This study aimed to examine the usefulness of electronic general practice pathology data to: (1) identify patients' characteristics, (2) monitor quality of care, (3) evaluate intervention effects, (4) identify variations in patient care, and (5) measure patient outcomes. An exemplar study evaluating kidney function testing in type 2 diabetes mellitus (type 2 diabetes) compared to guidelines was used to demonstrate the value of pathology data. De-identified electronic data from approximately 200 general practices in Victoria were extracted using Outcome Health's Population Level Analysis & Reporting (POLAR) Aurora research platform. Our study population included patients ≥18 diagnosed with type 2 diabetes before July 2016. Data fr...Continue Reading

References

Feb 22, 1980·JAMA : the Journal of the American Medical Association·R A Côté, S Robboy
Mar 5, 2002·Diabetes Care·Alain G BertoniFrederick L Brancati
Oct 1, 2005·Quality & Safety in Health Care·D J Spiegelhalter
Dec 18, 2013·Clinica Chimica Acta; International Journal of Clinical Chemistry·Michael Legg
Jan 4, 2018·BMJ : British Medical Journal·John P NewJ Martin Gibson
Mar 31, 2019·The Medical Journal of Australia·Rachel CanawayJon D Emery
Nov 13, 2019·BMJ Health & Care Informatics·Christopher PearceAnna Fragkoudi

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