Improving the identification of people with dementia in primary care: evaluation of the impact of primary care dementia coding guidance on identified prevalence

BMJ Open
Paul RussellBreda Flaherty

Abstract

Improving dementia care is a policy priority nationally and internationally; there is a 'diagnosis gap' with less than half of the cases of dementia ever diagnosed. The English Health Department's Quality and Outcomes Framework (QOF) encourages primary care recognition and recording of dementia. The codes for dementia are complex with the possibility of underidentification through miscoding. We developed guidance on coding of dementia; we report the impact of applying this to 'clean up' dementia coding and records at a practice level. The guidance had five elements: (1) identify Read Codes for dementia; (2) access QOF dementia register; (3) generate lists of patients who may have dementia; (4) compare search with QOF data and (5) review cases. In each practice, one general practitioner conducted the exercise. The number of dementia QOF registers before and after the exercise was recorded with the hours taken to complete the exercise. London primary care. 23 (85%) of 27 practices participated, covering 79 312 (19 562 over 65 s) participants. The number on dementia QOF registers; time taken. The number of people with dementia on QOF registers increased from 1007 to 1139 (χ(2)=8.17, p=0.004), raising identification rates by 8.8%. ...Continue Reading

Citations

Oct 4, 2015·Journal of the Royal Society of Medicine·Nick BlackMartin Knapp
Sep 28, 2018·American Journal of Alzheimer's Disease and Other Dementias·Ioannis V ZaganasAlexandros N Vgontzas
Oct 30, 2019·Health Technology Assessment : HTA·Louise M AllanClaire Bamford
Mar 4, 2017·Social Theory & Health : STH·Alexandra Hillman
Jul 29, 2021·BJGP Open·Samuel Thomas CreavinYoav Ben-Shlomo

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