Spatial distribution of clinical computer systems in primary care in England in 2016 and implications for primary care electronic medical record databases: a cross-sectional population study

BMJ Open
Evangelos KontopantelisDarren M Ashcroft

Abstract

UK primary care databases (PCDs) are used by researchers worldwide to inform clinical practice. These databases have been primarily tied to single clinical computer systems, but little is known about the adoption of these systems by primary care practices or their geographical representativeness. We explore the spatial distribution of clinical computing systems and discuss the implications for the longevity and regional representativeness of these resources. Cross-sectional study. English primary care clinical computer systems. 7526 general practices in August 2016. Spatial mapping of family practices in England in 2016 by clinical computer system at two geographical levels, the lower Clinical Commissioning Group (CCG, 209 units) and the higher National Health Service regions (14 units). Data for practices included numbers of doctors, nurses and patients, and area deprivation. Of 7526 practices, Egton Medical Information Systems (EMIS) was used in 4199 (56%), SystmOne in 2552 (34%) and Vision in 636 (9%). Great regional variability was observed for all systems, with EMIS having a stronger presence in the West of England, London and the South; SystmOne in the East and some regions in the South; and Vision in London, the South, G...Continue Reading

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Citations

Jan 24, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·S S ZghebiE Kontopantelis
Nov 30, 2018·BMJ : British Medical Journal·Jack W O'SullivanCarl Heneghan
Oct 25, 2017·Neurosurgical Review·Ronald SahyouniHarrison W Lin
Jun 25, 2019·JAMA Internal Medicine·Carol A C CouplandJulia Hippisley-Cox
Mar 13, 2019·International Journal of Epidemiology·Achim WolfPuja Myles
Feb 15, 2020·ERJ Open Research·Spencer J KeeneRachel Jordan
May 21, 2020·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Helen I McDonaldMichael Edelstein
Aug 14, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Brian MacKennaBen Goldacre
Nov 4, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Daniel StowBarbara Hanratty
Jan 28, 2021·Social Studies of Science·Paraskevas Vezyridis, Stephen Timmons
Jan 30, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sue BellassNat Wright
Apr 21, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Julia Hippisley-Cox, Carol Coupland
Jun 18, 2021·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Yiu-Shing LauMatt Sutton
Sep 25, 2021·BMC Medicine·Joht Singh ChandanKrishnarajah Nirantharakumar
Oct 6, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Karoline FreemanAileen Clarke
Nov 14, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·N AkterI Bakbergenuly

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Software Mentioned

ResearchOne
SystmOne
NHS Digital
Practice Manager
SNOMED CT
EMIS Web
QResearch
Stata
Evolution
Microtest

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