Using existing datasets

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Using existing datasets

• Dr Kathryn Dwan
• ANU Medical School

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Available options

• Routinely gathered divisional/practice data
• Annual Survey of Divisions
• GP Statistical Reports
• Clinical Audit
• PHCRIS Primary Health Care Research
  Information Service
• AIHW Australian Institute Health and Welfare
• ABS Australian Bureau of Statistics Census
• HealthWIZ

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Routinely gathered divisional/practice data

• Annual Survey of Divisions
• GP Statistics Reports
• Clinical Audit

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Annual Survey of Divisions

• http//www.phcris.org.au/products/asd/index.php

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ASD content

• Context
• Governance
• Prevention
• Service delivery
• Integration
• Chronic disease management
• Practice support
• Quality support
• Consumer focus
• Workforce
• Relationships

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ASD comparisons

• Individual feedback for each Division
• How does a given division compare with other like
  divisions?
• How do individual practices compare with other
  like practices?

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ASD appropriateness

• Detail of Divisional data
• Numbers characteristics of GPs in division
  (Context) compared with Needs and well being
  (Section 9)
• Prevention programs activities (Section 2)
  compared with Chronic disease management (Section
  5)

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GP Statistics Reports

• http//www.medicareaustralia.gov.au/statistics/imd
  /forms/gpStatistics.shtml

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GP Statistics Reports By division
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GP Statistical Reports national tables
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Clinical Audit
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Clinical Audit

• "a quality improvement process that seeks to
  improve patient care and outcomes through
  systematic review of care against explicit
  criteria and the implementation of change".
• Performance is reviewed (or audited) to ensure
  that what should be done is being done, and if
  not it provides a framework to enable
  improvements to be made.

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Clinical audit possible questions

• Which of my diabetic patients are smokers?
• How am I doing with recording allergies and
  smoking status for my regular patients?
• What is the drug treatment profile for my
  patients with Coronary Heart Disease?
• Which patients with CVD or Diabetes have BMIs
  greater than 30?
• What is the Disease Prevalence in the practice
  population?
• What percentage of my regular patients between a
  specific age range have a smoking status
  recorded? Who are they?
• How are we doing with our Cervical Cancer
  Screening program?
• Who are the diabetics that are overdue for foot
  and retinal examinations?
• Which patient care items do I need to complete to
  claim my Diabetes Practice Incentive Payments?

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Primary Health Care Research Information
Service (PHCRIS)

• http//www.phcris.org.au/

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PHCRIS Resourceshttp//www.phcris.org.au/products
/index.php
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PHCRIS Assisthttp//www.phcris.org.au/support/phc
ris_assist.php
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Australian Institute of Health Welfare(AIHW)

• http//www.aihw.gov.au/index.cfm

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AIHW Medical labour force 2004
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(No Transcript)
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(No Transcript)
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(No Transcript)
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AIHW General practice activity in Australia
2006-07

• Reports the results from the Bettering the
  Evaluation and Care of Health (BEACH) programs
  national survey of 100,000 GPpatient encounters
• Diabetes policy initiatives have been associated
  with significant changes in management of this
  condition in GP surgeries
• Less evidence of change in depression management

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AIHW Publication listhttp//www.aihw.gov.au/publ
ications/index.cfm
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Australian Bureau of Statistics (ABS)

• http//www.abs.gov.au/

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ABS Census of Population and Housinghttp//www.a
bs.gov.au/websitedbs/d3310114.nsf/Home/census

• Choosing a Location or Choosing a Topic
• QuickStats
• MapStats
• Census Tables
• Community Profiles

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ABS Census options
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ABS Community profiles
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ABS Type of information
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ABS options
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ABS Basic community profile
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HealthWIZ

• http//www.health.gov.au/internet/wcms/publishing.
  nsf/Content/Healthwiz-1

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HealthWIZ

• National Social Health Statistical Data Library
• disseminates comprehensive population health
  related statistical databases
• for the purposes of clinical research, policy
  development and health services planning,
  particularly in regional areas
• Published by DoHA

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HealthWIZ (cont)

• Interrogate the data and then present this
  information in tables, maps charts and graphs.
• Compare health measures across population groups
  and geographic areas.
• Is the rate of heart disease higher than national
  averages in your region?

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HealthWIZ (cont)
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Available options

• Routinely gathered divisional/practice data
• Annual Survey of Divisions
• GP Statistical Reports
• Clinical Audit
• PHCRIS Primary Health Care Research
  Information Service
• AIHW Australian Institute Health and Welfare
• ABS Australian Bureau of Statistics Census
• HealthWIZ